Dear Ms***,I regret that my response did not meet you satisfaction. However, as I am sure you are aware emergency room care is extremely expensive to provide. Emergency Room care is meant to be used for life threatening or medical care for serious medical conditions. Less costly urgent care centers or independent physician’s office visits are more economic alternatives for conditions that do not need immediate attention. Hospital cost structures include overhead for 24/7-days per year medical care and staffing. Our cost structures are formulated and set so that we are able to continue to provide the availability of emergency care in the communities we serve. Reimbursement at Medicare rates alone is not sustainable for any medical operation. Care providers who accept and provide care to Medicare patients are obligated to do so at the Medicare reimbursement rate, which as you know is a fraction of the actual cost of the care
Dear Ms***,Upon receipt of your Revdex.com complaint #***, we would like to request that you provide additional information, so that we are able to identify the patient account, so that we may address your concerns. Please include the name of the patient and the date of
service as to when the patient was seen. Respectfully , *** ***Revenue Cycle Supervisor - Customer Service Patient Financial ServicesSeton Family of Hospitals
Revdex.com:
I have reviewed the response and apparently Emergency Medical Group is a separate entity than Seton/Dell This should probably be changed because when you search for Emergency Medical Group it comes up a.k.a and lists seven different hospitals that are associated with this company but that is misleading I am closing this case and have re-opened a new case with Emergency Physicians Billing Group - Case #*** in hopes to get this issue resolved
Regards,
*** ***
Complaint: ***
I am rejecting this response because:Thank you for your replyAt this point, I am not informed enough to discuss what percentage of the hospital's costs Medicare offsetsSo, I will not argue with you about how much you charge for the levels and drop objection However, you still did not answer my objections 1-ACEP website clearly states that services have to be "medically necessary" and require EXTRA "institutional resources" to qualify for a higher coding levelNone of these criteria were met in our case.I know ER is expensive, and we were prepared to pay some(And, by the way, it was someone from the doctors' office that sent us, we went because we trusted them, not because we were irresponsible.) Just because ER is expensive to maintain, however, does not mean that you can invent a bogus service (which "recommendation to take ibuprofen" really is, it has no value to the patient whatsoever, as everyone is perfectly able to provide that "service" for themselves) just to drive up the revenues
Regards,
*** ***
Mr*** is in communication with the prior respondent, *** ***Mr*** and Mr*** are actively working on this account and I was advised to allow the two of them to review this furtherI will yield to Mr*** and allow him to review and follow up with Mr*** directly. Thank You,*** ***
Complaint: ***
I am rejecting this response because: I spoke with my insurance provider and they stated this entire billing issue was already paid They stated Seton should also not be contacting me for payment because they are an in network provider who should be working directly with insurance I also tried calling the # that was provided in Seton's response and was sent to a phone tree that got me no where I would like to have someone from Seton contact me directly at *** *** I can also provide them with my personal information that they need to look this up
Regards,
*** ***
Complaint: ***thank you for your responseI am available via telephone to discuss this matter in detailThe hospital has changed some data in the computer and you may or may not be able to understand the full extent of my complaint without more details from me
Regards,
*** ***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me
Regards,
*** ***
Complaint: ***
I am rejecting this response because:I think it is about a charge that should not exist and not the serviceI still think that they shouldn't register me knowing that they won't give me the services that I was needing at the momentThey register me knowing that I was going to be charge for nothing
Regards,
*** *** ***
Complaint: ***I am rejecting this response because: the issue is still not resolvedI know that this process will take some time but until my complaint is resolved I would prefer to keep it open since this is the only avenue I have to get resolution.Regards,*** ***
After reviewing your Seton bill for it appears your insurance left that for the deductibleAll patient out of pocket costs are determined by a patients insuranceRegarding the outpatient charge, we can either code a claim as in-patient, emergency, or out-patient, all codes and charges are
correct on this insurance claimI cannot speak on behalf of the physicians bill as they are contracted outside of Seton's facility billing servicesYou are always invited to call the number on the statement to gather more information on the account, the number to Seton's Customer Service is ***When you contact them you can ask for the phone number for the physicians bill to gather more informationFor a reduction in the patient out of pocket costs you are encouraged to contact your insurance provider and ask for an audit to be done as again stated a patients portion that they are held liable for is determined by their insurance carrier and their specific insurance plan
Complaint: ***
I am rejecting this response because:
Regards,
*** *** I am awaiting the actual refund in my hand before this matter is fully resolved and all monies owed are returned to me in fullThis was NOT a quick process and was ignored for many months as the last contact from *** *** was June and unfortunate it took the Revdex.com to finally show action to resolve this matterHorrible treatment and very disappointed hot this how situation was handledShameful
Dear Ms***, Upon receipt of your Revdex.com complaint #***, we ask that you please contact our office as we are needing additional information, so that we are able to identify your patient account. Our sincere apologies for any inconvenience that we may have caused and
certainly appreciate any feedback regarding your visit
You may contact our Customer Service Department @ *** *** Respectfully , *** ***Revenue Cycle Supervisor - Customer Service Patient Financial ServicesSeton Family of Hospitals
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***. When I have asked the Billing department - guy (at the time of Billing) He have said that it will not cross more than 250$ (My responsibility to pay ), I thought its okbut after seeing the bill I lost My mindIf I know that over all they are going to charge 5000$+ for a small injury , for sure I would have not stepped into *** *** ***Before doing the services, they need to explain in detail what is My responsibility in detail , if they send Big Bills and ask me to Pay , I am not rich enough to Pay billsIt is a big burden on me
Regards,
*** ***
*** ***, Thank you for giving me the opportunity to respond to this complaint, Revdex.com ID ***I have reviewed the account for your visit to Seton Medical Center Austin on 07/27/An internal audit performed concluded that the ER charges on your account were appropriate per ACEP tool
guidelinesHowever, I could not find any documentation showing that you had been provided an estimate at the time of service - even for the corresponding ER level chargesBecause of this, and in the interest of customer service, there has been an adjustment applied to your account of $650.23, bringing your account balance down to $I hope this resolution is satisfactoryIf you have any additional questions or concerns, please feel free to contact our office at ***Thank you,*** ***Revenue Cycle Supervisor - Customer ServicePatient Financial Services
Complaint: [redacted]
I am rejecting this response because: the issue is still not resolved. I know that this process will take some time but until my complaint is resolved I would prefer to keep it open since this is the only avenue I have to get resolution.
Regards,
[redacted]
Dear [redacted], Upon receipt of your Revdex.com complaint, we would like to request that you provide additional information, so that we are able to identify patient account and address your concerns. Please include the facility, name and date of birth of...
the patient. You may also contact us at [redacted] option #4. Respectfully, [redacted] - Customer Service Patient Financial ServicesSeton Family of Hospitals
Dear Mr. [redacted], Thank you for the opportunity to respond to your concerns regarding the following referenced Revdex.com Case number – [redacted] B[redacted].In review of your concerns it appears that the Seton Family of Hospitals has already addressed your visit to Seton Williamson for date of service on...
June 6, 2015. Our records indicates that we responded to the complaint on September 02, 2015. Please note that during this process the account was sent out for audit regarding the ER level and at that time we received confirmation that services were billed correctly and that the billing met the ACEP criteria.In this case, your coverage is solely based on your individual benefit plan and I would respectfully encourage you to contact your insurance directly if you feel that they have assessed an incorrect amount to be patient responsibility.In summary, our records indicate that you have an outstanding balance of $1,165.03. The account balance in this case is part of your deductible in which was assessed by your benefit plan. Please contact us at your earliest convenience to discuss a viable payment plan or other available options in order to satisfy your account balance.Sincerely, [redacted] - Customer Service Patient Financial ServicesSeton Family of Hospitals Administrative Offices
Dear Ms***,I regret that my response did not meet you satisfaction. However, as I am sure you are aware emergency room care is extremely expensive to provide. Emergency Room care is meant to be used for life threatening or medical care for serious medical conditions. Less costly urgent care centers or independent physician’s office visits are more economic alternatives for conditions that do not need immediate attention. Hospital cost structures include overhead for 24/7-days per year medical care and staffing. Our cost structures are formulated and set so that we are able to continue to provide the availability of emergency care in the communities we serve. Reimbursement at Medicare rates alone is not sustainable for any medical operation. Care providers who accept and provide care to Medicare patients are obligated to do so at the Medicare reimbursement rate, which as you know is a fraction of the actual cost of the care
I am looking into this now, please give me hours to do research on this accountI will respond to this Revdex.com complaint ASAP. ***
Dear Ms***,Upon receipt of your Revdex.com complaint #***, we would like to request that you provide additional information, so that we are able to identify the patient account, so that we may address your concerns. Please include the name of the patient and the date of
service as to when the patient was seen. Respectfully , *** ***Revenue Cycle Supervisor - Customer Service Patient Financial ServicesSeton Family of Hospitals
Revdex.com:
I have reviewed the response and apparently Emergency Medical Group is a separate entity than Seton/Dell This should probably be changed because when you search for Emergency Medical Group it comes up a.k.a and lists seven different hospitals that are associated with this company but that is misleading I am closing this case and have re-opened a new case with Emergency Physicians Billing Group - Case #*** in hopes to get this issue resolved
Regards,
*** ***
Complaint: ***
I am rejecting this response because:Thank you for your replyAt this point, I am not informed enough to discuss what percentage of the hospital's costs Medicare offsetsSo, I will not argue with you about how much you charge for the levels and drop objection However, you still did not answer my objections 1-ACEP website clearly states that services have to be "medically necessary" and require EXTRA "institutional resources" to qualify for a higher coding levelNone of these criteria were met in our case.I know ER is expensive, and we were prepared to pay some(And, by the way, it was someone from the doctors' office that sent us, we went because we trusted them, not because we were irresponsible.) Just because ER is expensive to maintain, however, does not mean that you can invent a bogus service (which "recommendation to take ibuprofen" really is, it has no value to the patient whatsoever, as everyone is perfectly able to provide that "service" for themselves) just to drive up the revenues
Regards,
*** ***
Mr*** is in communication with the prior respondent, *** ***Mr*** and Mr*** are actively working on this account and I was advised to allow the two of them to review this furtherI will yield to Mr*** and allow him to review and follow up with Mr*** directly. Thank You,*** ***
Complaint: ***
I am rejecting this response because: I spoke with my insurance provider and they stated this entire billing issue was already paid They stated Seton should also not be contacting me for payment because they are an in network provider who should be working directly with insurance I also tried calling the # that was provided in Seton's response and was sent to a phone tree that got me no where I would like to have someone from Seton contact me directly at *** *** I can also provide them with my personal information that they need to look this up
Regards,
*** ***
Complaint: ***thank you for your responseI am available via telephone to discuss this matter in detailThe hospital has changed some data in the computer and you may or may not be able to understand the full extent of my complaint without more details from me
Regards,
*** ***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me
Regards,
*** ***
Complaint: ***
I am rejecting this response because:I think it is about a charge that should not exist and not the serviceI still think that they shouldn't register me knowing that they won't give me the services that I was needing at the momentThey register me knowing that I was going to be charge for nothing
Regards,
*** *** ***
Complaint: ***I am rejecting this response because: the issue is still not resolvedI know that this process will take some time but until my complaint is resolved I would prefer to keep it open since this is the only avenue I have to get resolution.Regards,*** ***
After reviewing your Seton bill for it appears your insurance left that for the deductibleAll patient out of pocket costs are determined by a patients insuranceRegarding the outpatient charge, we can either code a claim as in-patient, emergency, or out-patient, all codes and charges are
correct on this insurance claimI cannot speak on behalf of the physicians bill as they are contracted outside of Seton's facility billing servicesYou are always invited to call the number on the statement to gather more information on the account, the number to Seton's Customer Service is ***When you contact them you can ask for the phone number for the physicians bill to gather more informationFor a reduction in the patient out of pocket costs you are encouraged to contact your insurance provider and ask for an audit to be done as again stated a patients portion that they are held liable for is determined by their insurance carrier and their specific insurance plan
Complaint: ***
I am rejecting this response because:
Regards,
*** *** I am awaiting the actual refund in my hand before this matter is fully resolved and all monies owed are returned to me in fullThis was NOT a quick process and was ignored for many months as the last contact from *** *** was June and unfortunate it took the Revdex.com to finally show action to resolve this matterHorrible treatment and very disappointed hot this how situation was handledShameful
Dear Ms***, Upon receipt of your Revdex.com complaint #***, we ask that you please contact our office as we are needing additional information, so that we are able to identify your patient account. Our sincere apologies for any inconvenience that we may have caused and
certainly appreciate any feedback regarding your visit
You may contact our Customer Service Department @ *** *** Respectfully , *** ***Revenue Cycle Supervisor - Customer Service Patient Financial ServicesSeton Family of Hospitals
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***. When I have asked the Billing department - guy (at the time of Billing) He have said that it will not cross more than 250$ (My responsibility to pay ), I thought its okbut after seeing the bill I lost My mindIf I know that over all they are going to charge 5000$+ for a small injury , for sure I would have not stepped into *** *** ***Before doing the services, they need to explain in detail what is My responsibility in detail , if they send Big Bills and ask me to Pay , I am not rich enough to Pay billsIt is a big burden on me
Regards,
*** ***
*** ***, Thank you for giving me the opportunity to respond to this complaint, Revdex.com ID ***I have reviewed the account for your visit to Seton Medical Center Austin on 07/27/An internal audit performed concluded that the ER charges on your account were appropriate per ACEP tool
guidelinesHowever, I could not find any documentation showing that you had been provided an estimate at the time of service - even for the corresponding ER level chargesBecause of this, and in the interest of customer service, there has been an adjustment applied to your account of $650.23, bringing your account balance down to $I hope this resolution is satisfactoryIf you have any additional questions or concerns, please feel free to contact our office at ***Thank you,*** ***Revenue Cycle Supervisor - Customer ServicePatient Financial Services
Complaint: [redacted]
I am rejecting this response because: the issue is still not resolved. I know that this process will take some time but until my complaint is resolved I would prefer to keep it open since this is the only avenue I have to get resolution.
Regards,
[redacted]
I have entered an escalation to our cash posting team, will review and reply once the credit is on the account.
Dear [redacted], Upon receipt of your Revdex.com complaint, we would like to request that you provide additional information, so that we are able to identify patient account and address your concerns. Please include the facility, name and date of birth of...
the patient. You may also contact us at [redacted] option #4. Respectfully, [redacted] - Customer Service Patient Financial ServicesSeton Family of Hospitals
Dear Mr. [redacted], Thank you for the opportunity to respond to your concerns regarding the following referenced Revdex.com Case number – [redacted] B[redacted].In review of your concerns it appears that the Seton Family of Hospitals has already addressed your visit to Seton Williamson for date of service on...
June 6, 2015. Our records indicates that we responded to the complaint on September 02, 2015. Please note that during this process the account was sent out for audit regarding the ER level and at that time we received confirmation that services were billed correctly and that the billing met the ACEP criteria.In this case, your coverage is solely based on your individual benefit plan and I would respectfully encourage you to contact your insurance directly if you feel that they have assessed an incorrect amount to be patient responsibility.In summary, our records indicate that you have an outstanding balance of $1,165.03. The account balance in this case is part of your deductible in which was assessed by your benefit plan. Please contact us at your earliest convenience to discuss a viable payment plan or other available options in order to satisfy your account balance.Sincerely, [redacted] - Customer Service Patient Financial ServicesSeton Family of Hospitals Administrative Offices