Initial Business Response /* (1000, 14, 2015/12/18) */
Initial Consumer Rebuttal /* (3000, 16, 2015/12/30) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Because the third party insurance is requiring SSM to bill them directlyWhen I send them the invoices
they respond back with the invoices must come directly from the healthcare provider
This
correspondence serves as SSM Health's response to Oklahoma
Revdex.com complaint id #*** filed
by Mr*** ***In the complaint Mr*** expressed concerns (care & experience and billing).Listed below are the results of each review.Care& Experience: A
thorough reviewwas completed by SSM Health StAnthony Hospital Patient AdvocateIt was determined thecare provided to the patientwas appropriateThe PatientAdvocate spoke withMr*** with results of review.Billing: A review of charges was completed by
SSM Health Registered Nurse AuditorIt was determined the charges were
appropriateSSM Heath Patient Liaison contacted Mr*** with the
results of the review.A 25%
adjustment was offered to Mr*** on the patient liability of $Mr*** stated the adjustment is not
enough to satisfy his concernsIt was explained his account will follow the billing process, and
if not paid, it may end up in bad debt.Patient statedhe will be seeking legal counselI requested he contact me directly
with Attorney information, once obtained, so it can be entered into the account notesMr*** thanked me for my assistance
Initial Business Response /* (1000, 14, 2015/12/18) */
Initial Consumer Rebuttal /* (3000, 16, 2015/12/30) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Because the third party insurance is requiring SSM to bill them directlyWhen I send them the invoices
they respond back with the invoices must come directly from the healthcare provider
This
correspondence serves as SSM Health's response to Oklahoma
Revdex.com complaint id #*** filed
by Mr*** ***In the complaint Mr*** expressed concerns (care & experience and billing).Listed below are the results of each review.Care& Experience: A
thorough reviewwas completed by SSM Health StAnthony Hospital Patient AdvocateIt was determined thecare provided to the patientwas appropriateThe PatientAdvocate spoke withMr*** with results of review.Billing: A review of charges was completed by
SSM Health Registered Nurse AuditorIt was determined the charges were
appropriateSSM Heath Patient Liaison contacted Mr*** with the
results of the review.A 25%
adjustment was offered to Mr*** on the patient liability of $Mr*** stated the adjustment is not
enough to satisfy his concernsIt was explained his account will follow the billing process, and
if not paid, it may end up in bad debt.Patient statedhe will be seeking legal counselI requested he contact me directly
with Attorney information, once obtained, so it can be entered into the account notesMr*** thanked me for my assistance