To Whom It May Concern,The patient referenced in the complaint ID #[redacted] scheduled an appointment with our Fair Oaks Imaging Center facility on 11/13/2015 and was seen that day. At the time of this patient's appointment the disclosure paperwork was signed that reviews payment information...
and the patient had no questions or problems at the time of service. After the patient's procedure was complete our imaging facility's operations manager, Crystal, received a phone call from the patient and Melissa, a representative from the patient's insurance carrier, [redacted]. While on this conference call Melissa with [redacted] explained to the patient the differences in facility charges and why there was a charge at our facility for the visit that day, and stated that the co-pay should have been $30 instead of $35. After the patient disconnected from the conversation, Melissa ([redacted]) explained to Crystal that the information the patient received from [redacted] when they called before their appointment was incorrect and she apologized, The patient then spoke with our billing department and CEO about the incorrect amount that was charged. After the billing department researched the situation, they determined there was an error made and promptly refunded $5 to the patient. We are unsure why the patient feels that there should be no deductible, since [redacted] has confirmed that it is $30. Patients, Insurance Carriers, and the providers are contractually bound to the terms of the insurance policy. And in this case, per the carrier, a copay was indeed due. The patient will receive an EOB (Explanation of Benefits) statement from [redacted] that will show this to be the case. This statement is the official document that explains:The procedure that was done
The amount that was billed to the Carrier
The contractually allowed amount as stated in the contract between the provider and [redacted]
The amount that [redacted] will pay the provider
The amount owed by the patient to the provider (Any copays or deductibles)
Medical Billing is very complex, and errors unfortunately do occur on all sides. Reston Radiology Consultants (Fair Oaks Imaging Center) is committed to the correct billing of our patients, and promptly returns any and all funds that are incorrectly collected. In this particular case, the $5 discrepancy was due to a clerical error by a staff member that is no longer employed at our company. We however did collect the remaining $30 correctly, and according to the patient's insurance policy with [redacted] which will reflect on their EOB.
Sincerely,
Dennis P[redacted]
To Whom It May Concern,The patient referenced in the complaint ID #[redacted] scheduled an appointment with our Fair Oaks Imaging Center facility on 11/13/2015 and was seen that day. At the time of this patient's appointment the disclosure paperwork was signed that reviews payment information...
and the patient had no questions or problems at the time of service. After the patient's procedure was complete our imaging facility's operations manager, Crystal, received a phone call from the patient and Melissa, a representative from the patient's insurance carrier, [redacted]. While on this conference call Melissa with [redacted] explained to the patient the differences in facility charges and why there was a charge at our facility for the visit that day, and stated that the co-pay should have been $30 instead of $35. After the patient disconnected from the conversation, Melissa ([redacted]) explained to Crystal that the information the patient received from [redacted] when they called before their appointment was incorrect and she apologized, The patient then spoke with our billing department and CEO about the incorrect amount that was charged. After the billing department researched the situation, they determined there was an error made and promptly refunded $5 to the patient. We are unsure why the patient feels that there should be no deductible, since [redacted] has confirmed that it is $30. Patients, Insurance Carriers, and the providers are contractually bound to the terms of the insurance policy. And in this case, per the carrier, a copay was indeed due. The patient will receive an EOB (Explanation of Benefits) statement from [redacted] that will show this to be the case. This statement is the official document that explains:The procedure that was done
The amount that was billed to the Carrier
The contractually allowed amount as stated in the contract between the provider and [redacted]
The amount that [redacted] will pay the provider
The amount owed by the patient to the provider (Any copays or deductibles)
Medical Billing is very complex, and errors unfortunately do occur on all sides. Reston Radiology Consultants (Fair Oaks Imaging Center) is committed to the correct billing of our patients, and promptly returns any and all funds that are incorrectly collected. In this particular case, the $5 discrepancy was due to a clerical error by a staff member that is no longer employed at our company. We however did collect the remaining $30 correctly, and according to the patient's insurance policy with [redacted] which will reflect on their EOB.
Sincerely,
Dennis P[redacted]