Sign in

SETMA L.L.P.

Sharing is caring! Have something to share about SETMA L.L.P.? Use RevDex to write a review
Reviews SETMA L.L.P.

SETMA L.L.P. Reviews (22)

Review: Nature of complaint: SETMA Ordered product from a company not in the insurance network.

I took my daughter to Dr. [redacted] who is a heart specialist in SETMA. He ordered a heart monitor on 7/28/2014. The office staff placed an order for this product. Later we found that the order was placed with a company that is not in insurance network. The insurance does have several in-network companies that provide similar equipment. We have an outstanding bill of $1925.00 from the Medicomp INC which our insurance has not honored.

We have attempted to reach the supervisor of Referral Department of SETMA, a Ms [redacted] ###-###-#### (Ext 2210), but she has not replied to our phone calls.Desired Settlement: Acceptance of legal liability for the difference between in-network amount and out-of network amount for the heart monitor.

Business

Response:

Southeast Texas Medical Associates LLP response to complaint 10269859

Our staff have spoken with Mr. [redacted] regarding his daughter’s test. We applied the event monitor at our office and it gets sent in for reading. He is required to pay his 10% which is $139.87. The bill is in appeal and he will owe nothing. Even if the appeal is denied, he will not have to pay anything. We have never had this company deny any insurance and this is the company we use for all our event monitors.

According to [redacted], Director of referral/billing department she has called him. She talked to him on 10-10-2014, he wanted to communicate via e-mail, because he had a meeting that day.

She told him that she would call him back after she found out what or who could help him.

After she checked with Dr. [redacted]’s pod and talked to [redacted], she called him back and left him and extended message letting him know that he needed to talk to [redacted] at Dr. [redacted]’s pod.

[redacted] the nurse in Dr [redacted]’s pod who has been working the appeal with his insurance company will also call him.

Sincerely,

[redacted], RN MSN

Director of Operations

Southeast Texas Medical Associates, LLP

Review: I received a bill from SETMA for $73.00 which I paid in their office. A month later, I received another bill for $73.00 which I again paid (thinking it was another bill). I learned that the second $73.00 bill was the same as the one I had already paid. On January 9, 2015, I called SETMA and spoke at length with [redacted] in the billing department. She researched the issue and advised that I would receive 2 refund checks (one for [redacted] and the other for [redacted]-my daughter). The 2 checks would total $73.00. [redacted] advised that I should receive the checks in 14 business days. On February 2, 2015, I had not received the checks and contacted SETMA for the status. I again spoke with [redacted] who advised that I should receive the check by the end of the week. On February 9, 2015, I still had not received the checks and again called and spoke with [redacted]. [redacted] contacted a supervisor who stated that she would process the checks when she returned to the office on February 11th and I would receive them by the end of the week. On February 19, 2015, I still had not received the checks and called SETMA for the 4th time. I spoke with [redacted] who stated that she showed by refund checks had not been processed but were still pending in the system. She could not tell me how much longer this process would take. She stated that she sent an email to the processing department and would call me back once they responded. At the end of the day, I had not heard back from [redacted]. I have now requested my refund checks from SETMA on 4 different occasions over a 6 week period. I am no closer to receiving the checks as I was on January 9th when I first called. The fact that they incorrectly billed me again for a bill which had already been paid is the reason I am having to get a refund in the first place. Yet, they continue to allow my refund to sit unprocessed for 6 weeks.Desired Settlement: Refund of $73.00

Business

Response:

This letter is in reference to a Revdex.com of Southeast Texas Beaumont complaint ID 10456881 received by Southeast Texas Medical Associates on Monday March 2nd, 2015.We received a request from Ms. [redacted] on Friday, January 9th, 2015. There are steps that we follow in order for a refund to be completed and it usually takes 4 to 6 weeks. The time will vary depending upon on the date we received the over payment, pending insurance reimbursement and other balances within the account. This refund should have been completed and received by Ms. [redacted] on Friday, February 20th, 2015 to allow the maximum allotted time of 6 weeks. Due to unforeseen reasons within the Accounts Payable Department they fell behind and this refund was not mailed until February 23rd, 2015. We apologize for any inconvenience that this may have cost the patient. Please let me know if you have any further questions or need additional information. Thank you, [redacted] C. [redacted] C. [redacted], CPCDirector of CBOBilling, Collections, Referrals & Front OfficeSoutheast Texas Medical Associates, LLP

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID 10456881, and find that this resolution is satisfactory to me.

Sincerely,

Check fields!

Write a review of SETMA L.L.P.

Satisfaction rating
 
 
 
 
 
Upload here Increase visibility and credibility of your review by
adding a photo
Submit your review

SETMA L.L.P. Rating

Overall satisfaction rating

Description: Physicians & Surgeons - Medical-M.D., Physicians & Surgeons - Family Practice, Clinics, Nurses-Practitioners, Offices of Physicians (except Mental Health Specialists) (NAICS: 621111)

Address: 2929 Calder St Ste 100, Beaumont, Texas, United States, 77702-1841

Phone:

Show more...

Web:

www.setma.com

This site can’t be reached

Shady, yet now dead: once upon a time this website was reported to be associated with SETMA L.L.P., but after several inspections we’ve come to the conclusion that this domain is no longer active.



Add contact information for SETMA L.L.P.

Add new contacts
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | New | Updated