I have reviewed the response made by the business in reference to complaint ID [redacted]. As long as they come through on providing the requested documents I will consider this matter resolved for the time being. However since this is the third time I have been told I will receive the requested documents I am skeptical of them actually following through. Hopefully they will finally make good on said request.
Regards,
[redacted]
Dear Dispute Resolution Consultant,Thank you for sharing concerns expressed by Mr. [redacted], we have reviewed Mr. [redacted]s concerns and tbund thefollowing.Mr. [redacted] presented to McKee Medical Center's Emergency Department twice on 7/1/2015. The first account the charge...
for$5.10 was billed to [redacted] as non-covered and the charge was adjusted and not billed to Mr. [redacted]s. On the second ED visit, the charge for $353.80 was billed to [redacted] and was denied; we aqjusted this amount and was not billed to Mr. [redacted]s or affect his coinsurance as this was appljed to the ED Level charge only. We are sending Mr. [redacted]s a copy of his itemized bills with these adjustments reflected.I r yo or Mr. [redacted]s has any further questions or conecrns please do not hesitate to call me directly. If I am not available,you n ay call [redacted] t )f further assistant e.
I am forwarding this complaint to Anna R[redacted] who is the PFS 3rd party claims manager. I believe this is in regards to a Banner Medical Clinic estimate.
The response received from Banner Health is unacceptableI
have been in communication with the relation team and as of current time the
issues at hand have in no way been taken care ofDuring the process it has
been a complete struggle trying to obtain any sort of information regarding my
unfortunate experience with Banner Health
Banner Health Relations is "reviewing" my case to see if
they can reverse the $chargeHowever, this has been going on for several
weeks and has not been satisfiedI will not accept any response until we have
reached a fair agreement regarding this case
Thank you,
[redacted]
Dear Sir or Madam:Thank you for your patience and opportunity to rectify matterswith respect to the concernsof Ms. [redacted]. After a thorough review of the accounts, we have determined the followinginformation regarding the four
accounts referenced above.[redacted]; Patient:...
[redacted], DOS: [redacted]: Pursuant to the insurance card provided on the date of serviceby Ms. [redacted], the care provided on the date of service was covered by
Ms. [redacted]'s primary insurance, AETNA. Ms. [redacted] paid $350.00 on this account on the date of servicewhich was copay pursuant to her insurance. AETNA paid their contracted rate on this account and Banner Health made the contractual adjustment. The patient, [redacted] was not eligible with
AHCCCS on the date of service.[redacted]; Patient: [redacted], Tammy, DOS: [redacted]: Ms. [redacted]'s primary
insurance, AETNA,made a payment of $706.00 on this account,leaving a capay/coinsurance of$350.00. Ms. [redacted]made two paymentson this account,one in the amount of $385.34 and one in the amount of$600.00. The total amount of$985.34 constituted an overpayment on the account. On July 16,2013, $350.00of the total amount paid was transferred to account [redacted]with a date of service of June 3, 2014 (AETNA had made payment on this accountof$706.00 with a capay/coinsurance in the amount of$350.00 to patient). Also on July 16,2014, $285.34 of the total amount paid was transferred to account [redacted] with a date of serviceof May 31, 2013 (AETNAhad made paymenton the account of$706.00 leaving a capay/coinsurance in the amount of$350.00 to patient). AHCCCS (APIPA)was billed on account [redacted] and made payment. Accordingly, the $285.34 transferred to this accountwas refunded to Ms. [redacted]on November 21, 2013.Banner Health has made a thorough coverage verification and found that Ms. [redacted] received retro coverage for the Monday of May and June of2013 when approved for AHCCCS in June 2013. Accordingly, the following refunds have been processedby Banner Health:Account No. [redacted]: $350.00 which represents patient's capay/coinsuranceAccount No. [redacted]: $350.00 which represents patient's capay/coinsuranceWe hope that this resolves this matter to [redacted]'s satisfaction. Please feel free to contact us with any further questions at [redacted].
my account was sent to collections when I had asked for time to resolve issues I had with billing. I gave them workers compensation information upon my arrival at the hospital. They never took the information even after I called on it multiple times. I told them I would make payments on the balance once they corrected the billing. I had a balance from other charges but they lumped current charges in the total making things confusing. I want my account out of collections. There is still an issue with how my account was billed in which I could not receive payment from Aflac. I am getting ready to contact the medical board because of the number of hours they billed and how they miss-diagnosed.
Dear Sir or Madam:We are in receipt of the Revdex.com Complaint by filed [redacted]. The complaint relates to three (3) accounts for treatment received at Banner Del Webb Medical Center. Account number [redacted] has a date of
service of July 14, 2016. Account number...
[redacted] has dates of service of July 16 - 20, 2016. Account number[redacted] (for a minor child) has dates of service of July 17-28, 2016.On August 26, 2016, a statement, relating to account numbers[redacted] and [redacted], was mailed to patient at the address of [redacted]. Mail was returned on September 17,2016 to Banner Health. On November 23, 2016 an attempt was made to contact the patient regarding these accounts. On December 6, 2016, after failed attempts to contact the patient by phone and mail, the account was placed in collections. On December 16, 2016, Ms. [redacted] contacted Banner and stated that she had never received a statements
and it was confirmed that the address on file was incorrect. At that time a request was submitted to
recall the account out of collections. On December 27, 2016, the request was approved and on December 28, 2016, account numbers [redacted] and[redacted] were recalled from the collection agency. On January 13, 2017, a statement was generated and mailed to the correct address provided by Ms. [redacted].On November 4, 2016 the statement for account number [redacted] was returned to Banner Health. On November 23,2016 and December 6, 2016 attempts were made to contact the patient regarding the account. On December 28,2016, after failed attempts to contact the patient, the account was referred to the collection agency. On January 5, 2017, Ms. [redacted]contacted Banner Health regarding the status of the recall of the accounts from the agency. On that same day account number [redacted] was recalled from the agency and on January 13, 2017 a statement
for this account was mailed to the correct address provided by Ms. [redacted].A this time
all three accounts have been recalled from the collection agencyand statements mailed to
Ms. [redacted].
T ank you for your consideration in !his matter. Please feel free to contact us with any questions or concerns.
Dear Mr. McKinney, I want to thank you for sharing your concerns with us regarding your recent visit at Banner Desert Medical Center during July. I sincerely apologize regarding the customer service experience that you had with my staff. I can assure you this is not our department’s current...
process. I did investigate your concern and spoke to the department, as well as the PFS Representative that did not meet your needs that day.The PFS employee that worked with you has been coached regarding customer service and that we should always exceed the customers expectation. I have also send out reminders to the PFS staff house wide to reeducate and to remind them regarding this expectation. I greatly appreciate your feedback as it allows us the opportunity to improve our processes.
the complaint is in regards to the overcharging by banner and or dr. davis. pls note it is not a 1 or 2 times situation. if I have 4 visits a...
year the estimate for each is always in favor of banner health. which requires considerable time and effort on my part to have the money returned. if banner will make an effort and REVIEW the history of my account they will see where i am always overcharged. AGAIN IT IS NOT SPORADIC ON THERE PART BUT CONSTANT. IF THEY ARE INVESTIGATING AS A 1 OR 2 TIME CONDITION THEY DO NOT UNDERSTAND THE COMPLAINT
Dear Sir or Madam:We are in receipt of the Revdex.com Complaint by filed [redacted]. The complaint relates to treatment received by his daughters at Banner Medical Group East under account numbers [redacted] and [redacted] with a date of service of June 19, 2017.Thank you for...
submitting your concerns. We have reviewed the accounts in question and find that Mr.[redacted] would have been provided an estimate of services at the time of scheduling. Without knowing the full services that are to be provided the true cost cannot be given prior to services being rendered so any amount given at the time of an appointment can only be an estimate. Both children were seen as new patients and given numerous immunizations which increased the cost and extent of both exams. Notes indicate that at the time of service, Mr. [redacted] was informed that his insurance was contacted and an estimated patient balance was given of $213.83 per child, which was paid at that time. One of the accounts is still processing with insurance and has not paid. We will have coding review the level of charges as a courtesy, but at this time we do not feel refunds are warranted.We apologize for any frustration experienced by Mr. [redacted]. Thank you for your consideration in this matter. Please feel free to contact us with any questions or concerns. Sincerely,BANNER HEALTH
Banner uses an estimating tool that holds the insurance contract information for most of our contracted insurance payers. The tool reaches out to the patient's insurance group to obtain their individual benefits as provided by their insurance. A calculation is then done based on that rate given. In Mr. [redacted]'s situation, they are providing us with a 25% coinsurance which is what the clinic is collecting from him at the time of service. It would appear that the information the tool is retrieving is incorrect and should only be 20%. We have submitted a research request to have it reviewed and corrected within the tool. We have also placed an alert on his account to only collect 20% of estimated charges. We apologize for the continual over collecting and more importantly for Banner leadership not following up with him. Thank you for the opportunity to resolve the concern.
I have reviewed the response made by the business in reference to complaint ID [redacted]. As long as they come through on providing the requested documents I will consider this matter resolved for the time being. However since this is the third time I have been told I will receive the requested documents I am skeptical of them actually following through. Hopefully they will finally make good on said request.
Regards,
[redacted]
Dear Dispute Resolution Consultant,Thank you for sharing concerns expressed by Mr. [redacted], we have reviewed Mr. [redacted]s concerns and tbund thefollowing.Mr. [redacted] presented to McKee Medical Center's Emergency Department twice on 7/1/2015. The first account the charge...
for$5.10 was billed to [redacted] as non-covered and the charge was adjusted and not billed to Mr. [redacted]s. On the second ED visit, the charge for $353.80 was billed to [redacted] and was denied; we aqjusted this amount and was not billed to Mr. [redacted]s or affect his coinsurance as this was appljed to the ED Level charge only. We are sending Mr. [redacted]s a copy of his itemized bills with these adjustments reflected.I r yo or Mr. [redacted]s has any further questions or conecrns please do not hesitate to call me directly. If I am not available,you n ay call [redacted] t )f further assistant e.
I am forwarding this complaint to Anna R[redacted] who is the PFS 3rd party claims manager. I believe this is in regards to a Banner Medical Clinic estimate.
The response received from Banner Health is unacceptableI
have been in communication with the relation team and as of current time the
issues at hand have in no way been taken care ofDuring the process it has
been a complete struggle trying to obtain any sort of information regarding my
unfortunate experience with Banner Health
Banner Health Relations is "reviewing" my case to see if
they can reverse the $chargeHowever, this has been going on for several
weeks and has not been satisfiedI will not accept any response until we have
reached a fair agreement regarding this case
Thank you,
[redacted]
Dear Sir or Madam:Thank you for your patience and opportunity to rectify matterswith respect to the concernsof Ms. [redacted]. After a thorough review of the accounts, we have determined the followinginformation regarding the four
accounts referenced above.[redacted]; Patient:...
[redacted], DOS: [redacted]: Pursuant to the insurance card provided on the date of serviceby Ms. [redacted], the care provided on the date of service was covered by
Ms. [redacted]'s primary insurance, AETNA. Ms. [redacted] paid $350.00 on this account on the date of servicewhich was copay pursuant to her insurance. AETNA paid their contracted rate on this account and Banner Health made the contractual adjustment. The patient, [redacted] was not eligible with
AHCCCS on the date of service.[redacted]; Patient: [redacted], Tammy, DOS: [redacted]: Ms. [redacted]'s primary
insurance, AETNA,made a payment of $706.00 on this account,leaving a capay/coinsurance of$350.00. Ms. [redacted]made two paymentson this account,one in the amount of $385.34 and one in the amount of$600.00. The total amount of$985.34 constituted an overpayment on the account. On July 16,2013, $350.00of the total amount paid was transferred to account [redacted]with a date of service of June 3, 2014 (AETNA had made payment on this accountof$706.00 with a capay/coinsurance in the amount of$350.00 to patient). Also on July 16,2014, $285.34 of the total amount paid was transferred to account [redacted] with a date of serviceof May 31, 2013 (AETNAhad made paymenton the account of$706.00 leaving a capay/coinsurance in the amount of$350.00 to patient). AHCCCS (APIPA)was billed on account [redacted] and made payment. Accordingly, the $285.34 transferred to this accountwas refunded to Ms. [redacted]on November 21, 2013.Banner Health has made a thorough coverage verification and found that Ms. [redacted] received retro coverage for the Monday of May and June of2013 when approved for AHCCCS in June 2013. Accordingly, the following refunds have been processedby Banner Health:Account No. [redacted]: $350.00 which represents patient's capay/coinsuranceAccount No. [redacted]: $350.00 which represents patient's capay/coinsuranceWe hope that this resolves this matter to [redacted]'s satisfaction. Please feel free to contact us with any further questions at [redacted].
my account was sent to collections when I had asked for time to resolve issues I had with billing. I gave them workers compensation information upon my arrival at the hospital. They never took the information even after I called on it multiple times. I told them I would make payments on the balance once they corrected the billing. I had a balance from other charges but they lumped current charges in the total making things confusing. I want my account out of collections. There is still an issue with how my account was billed in which I could not receive payment from Aflac. I am getting ready to contact the medical board because of the number of hours they billed and how they miss-diagnosed.
Dear Sir or Madam:We are in receipt of the Revdex.com Complaint by filed [redacted]. The complaint relates to three (3) accounts for treatment received at Banner Del Webb Medical Center. Account number [redacted] has a date of
service of July 14, 2016. Account number...
[redacted] has dates of service of July 16 - 20, 2016. Account number[redacted] (for a minor child) has dates of service of July 17-28, 2016.On August 26, 2016, a statement, relating to account numbers[redacted] and [redacted], was mailed to patient at the address of [redacted]. Mail was returned on September 17,2016 to Banner Health. On November 23, 2016 an attempt was made to contact the patient regarding these accounts. On December 6, 2016, after failed attempts to contact the patient by phone and mail, the account was placed in collections. On December 16, 2016, Ms. [redacted] contacted Banner and stated that she had never received a statements
and it was confirmed that the address on file was incorrect. At that time a request was submitted to
recall the account out of collections. On December 27, 2016, the request was approved and on December 28, 2016, account numbers [redacted] and[redacted] were recalled from the collection agency. On January 13, 2017, a statement was generated and mailed to the correct address provided by Ms. [redacted].On November 4, 2016 the statement for account number [redacted] was returned to Banner Health. On November 23,2016 and December 6, 2016 attempts were made to contact the patient regarding the account. On December 28,2016, after failed attempts to contact the patient, the account was referred to the collection agency. On January 5, 2017, Ms. [redacted]contacted Banner Health regarding the status of the recall of the accounts from the agency. On that same day account number [redacted] was recalled from the agency and on January 13, 2017 a statement
for this account was mailed to the correct address provided by Ms. [redacted].A this time
all three accounts have been recalled from the collection agencyand statements mailed to
Ms. [redacted].
T ank you for your consideration in !his matter. Please feel free to contact us with any questions or concerns.
Dear Mr. McKinney, I want to thank you for sharing your concerns with us regarding your recent visit at Banner Desert Medical Center during July. I sincerely apologize regarding the customer service experience that you had with my staff. I can assure you this is not our department’s current...
process. I did investigate your concern and spoke to the department, as well as the PFS Representative that did not meet your needs that day.The PFS employee that worked with you has been coached regarding customer service and that we should always exceed the customers expectation. I have also send out reminders to the PFS staff house wide to reeducate and to remind them regarding this expectation. I greatly appreciate your feedback as it allows us the opportunity to improve our processes.
the complaint is in regards to the overcharging by banner and or dr. davis. pls note it is not a 1 or 2 times situation. if I have 4 visits a...
year the estimate for each is always in favor of banner health. which requires considerable time and effort on my part to have the money returned. if banner will make an effort and REVIEW the history of my account they will see where i am always overcharged. AGAIN IT IS NOT SPORADIC ON THERE PART BUT CONSTANT. IF THEY ARE INVESTIGATING AS A 1 OR 2 TIME CONDITION THEY DO NOT UNDERSTAND THE COMPLAINT
Dear Sir or Madam:We are in receipt of the Revdex.com Complaint by filed [redacted]. The complaint relates to treatment received by his daughters at Banner Medical Group East under account numbers [redacted] and [redacted] with a date of service of June 19, 2017.Thank you for...
submitting your concerns. We have reviewed the accounts in question and find that Mr.[redacted] would have been provided an estimate of services at the time of scheduling. Without knowing the full services that are to be provided the true cost cannot be given prior to services being rendered so any amount given at the time of an appointment can only be an estimate. Both children were seen as new patients and given numerous immunizations which increased the cost and extent of both exams. Notes indicate that at the time of service, Mr. [redacted] was informed that his insurance was contacted and an estimated patient balance was given of $213.83 per child, which was paid at that time. One of the accounts is still processing with insurance and has not paid. We will have coding review the level of charges as a courtesy, but at this time we do not feel refunds are warranted.We apologize for any frustration experienced by Mr. [redacted]. Thank you for your consideration in this matter. Please feel free to contact us with any questions or concerns. Sincerely,BANNER HEALTH
Banner uses an estimating tool that holds the insurance contract information for most of our contracted insurance payers. The tool reaches out to the patient's insurance group to obtain their individual benefits as provided by their insurance. A calculation is then done based on that rate given. In Mr. [redacted]'s situation, they are providing us with a 25% coinsurance which is what the clinic is collecting from him at the time of service. It would appear that the information the tool is retrieving is incorrect and should only be 20%. We have submitted a research request to have it reviewed and corrected within the tool. We have also placed an alert on his account to only collect 20% of estimated charges. We apologize for the continual over collecting and more importantly for Banner leadership not following up with him. Thank you for the opportunity to resolve the concern.
This complaint is under review by Banner Health and will be responded to within 7 days.
I will be forwarding this to Banner Central Billing office for further review.