Seattle Emergency Physicians Inc

To whom it may concern,The patient was treated in the emergency department at Seattle First Hill on 01/12/and again on 01/14/The insurance remits were misdirected; however after research by our accounts receivable department they were both obtainedAll payments/adjsutments have been posted
There is no remaining balance on either account and patient was sent a -0- balance statement for verification of this on 06/23/Respectfully,Leah D***on behalf of Seattle Emergency Physicians

Complaint: ***
I am rejecting this response because:
Sincerely,
*** ***

This patient has not been billed twice for the same thingPatient had two separate visits; one visit was on 10/16/and the other 12/30/The patient's insurance was billed and paid leaving the patient responsibility balance of coinsurance/deductible on each accountThe patient
was then billed twice with no response before being turned to the collection agencyThere are no notes on either account showing the patient ever called in to make payment arrangements or any other inquiriesThis account did meet appropriate criteria to be turned to the collection agency

Ms. [redacted] was seen and treated in the ER at Swedish First Hill on 12/05/16. While the ED group, Seattle Emergency Physicians, is hospital-based they are not hospital employees. Since this is a completely different tax id the ER group is responsible for their contracting separate from the...

facility and they do not have a direct contract with Aetna. Aetna initially paid $148.41 on this claim; however it was reprocessed and an additional $921.60 was paid to the patient by Aetna on 03/02/17. To date we have not received that additional insurance payment that Aetna sent to the patient. The only out of pocket expense for Ms. [redacted] for these pro fee charges is $81.99, which is her coinsurance.Please contact me if you have any further questions or need additional information.

I was able to obtain a paper copy of the EOB from Aetna showing patient payment issued. Apologies, the total amount payable was $921.60. Amount paid to the member was $773.19 with coinsurance responsibility of $230.40. The EOB has a check/eft trace number so if member has not received that payment from Aetna she should contact her insurance with the trace number on her EOP and Claim ID is [redacted] 01. The current balance due is $773.19 insurance payment and $230.40 coinsurance which totals $1,003.59.

Complaint: [redacted]
I am rejecting this response because:
Aetna did not agree or paid me $920 or what ever this business claims for the doctor services. If they want 920 they would need to go to Aetna directly but I will not agree to pay for a bill $1152.00.  If the doctor is a contractor and not a employee representative of swedish medical center . Then the doctor and hospital mis-represented themselves when they claim they accept aetna as insurance coverage . If the company claims after the fact that they do not accept aetna; that seems like internal issue not my problem.
Sincerely,
[redacted]