Seven Corners, Inc.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me.
Regards,
*** ***

July 29, *** *** Revdex.com NDelaware Street #Indianapolis, IN 46204- RE: Complaint ID: *** Dear *** ***: Seven Corners, Incis in receipt of the complainant’s rebuttal to our prior response regarding complaint *** filed by *** ***. The complainant, *** ***, advised they have not yet received a response regarding the Appeal documentation provided for the claim. Our office received the appeal from the insured on June 27, The appeal was reviewed, and additional information was requested from the treating physician. Additional information was obtained, and the claim was processed for payment in the amount of $2,on July 28, 2016. A letter advising the payment is being processed was sent to the insured, *** *** via email. We hope this answers your concerns regarding this matter. Should you have any further concerns, please contact this office Sincerely, Seven Corners, Inc

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me.
Regards,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below.I am going to submit the doc.'s certificate that I obtained on seven corner's request as a proof of my condition, which they are denying now! I have to locate the ccertificate to resend it to youIf they don't give insurance claim being purchased after days, why did they accept the payment? There are lots of complaints against them for cheating people!Regards,
*** & *** ***

December
17, 2015***
***Revdex.com
of Central Indiana
NDelaware StreetSuite
# 2020Indianapolis,
IN 46204-2599RE: Complaint Number: ***Complainant:
*** *** Our
Insured’s Name: *** ** Certificate
Number: ***Policy:
Liaison
ContinentUnderwriter: Certain Underwriters at Lloyd's, LondonDear
Ms***:We
are in receipt of your correspondence regarding the above referenced
complaint. The complaint was received by
Seven Corners on December 17, 2015. Seven Corners, Inc.; is an administrator for Certain Underwriters at
Lloyd's, London (Underwriters)This response is on behalf of Seven Corner’s,
Incand Certain Underwriters at Lloyd's, London (Underwriters) subscribing to
the above referenced policy.Our
records show that the effective dates of the above captioned policy were from October
9, to December 9, The
insured submitted a Proof of Loss Form stating she suffered from a skin rash
with itching since arriving in the United States on August 27, Based upon the Policy’s Coverage Benefits, the
coverage was not in effect until October 9, 2015. Therefore, no coverage is afforded for the
claim submitted because the condition existed prior to the effective date of
the policyThe
policy language that is pertinent to this matter:DESCRIPTION
OF BENEFITSMedical
Expenses: Only such expenses, incurred as the result of and within one hundred
and eighty days (180) days from a Disablement, which are specifically
enumerated in the following list of charges, and which are not excluded in
EXCLUSIONS AND LIMITATIONS, shall be considered as Covered Expenses:EXCLUSIONS
AND LIMITATIONSFor
Medical benefits, this Insurance does not cover:
Pre-existing Conditions which are excluded under this policyThis means that
any claims for Pre-existing Conditions will not be covered for the duration of
this policy.a)
If You are a United States resident under age 70, this exclusion is waived for
the first $25,in eligible medical expenses incurred outside the United
States and Canada (for persons age and over, the amount is $5,000), minus
Your Deductible and selected Coinsurance option (Plan E or F)This waiver does
not include coverage for known, scheduled, required, or expected medical care,
drugs, or treatments existent or necessary prior to the effective date of this
program.b)
If you are a non-U.Sresident under age 70, this exclusion is waived for
eligible medical expenses for an Acute Onset of a Pre-existing Condition(s) (as
defined herein) up to $45,(Ages 65-limited to $2,000) for eligible
medical expenses incurred in the United States, minus Your Deductible and
selected Coinsurance option (Plan A or B)For persons age and over, there
is no benefitThis benefit does not include coverage for known, scheduled,
required, or expected medical care, drugs, or treatments existent or necessary
prior to arrival in the United States and prior to the effective date of this
program..PLAN
DEFINITIONSPre-existing
Condition(s) shall mean any medical condition, sickness, Injury, Illness,
disease, Mental Illness or Mental Nervous Disorder, regardless of the cause
including any congenital, chronic, subsequent, or recurring complications or
consequences related thereto or resulting therefrom that with reasonable
medical certainty existed at the time of application or any time during the 36*
months prior to the effective date of coverage under this policy, whether or
not previously manifested, symptomatic, known, diagnosed, treated or disclosed
This specifically includes but is not limited to any medical condition,
sickness, Injury , Illness, disease, Mental Illness or Mental Nervous Disorder,
for which medical advice, diagnosis, care or treatment was recommended or
received or for which a reasonably prudent person would have sought treatment
during the month period immediately preceding the effective date of coverage
under this policy*For Insured Persons traveling outside the United States and
Canada, the period is months instead of months.The
reasons for this denial of coverage are not limited to those stated in this
letter, and Underwriters reserve the right to supplement this letter with
further legal and factual reasons as to why there is no coverage. Underwriters do not waive any rights under
the Policy or under applicable law. This
response is based upon the information you provided to Underwriters and
information Underwriters have obtained during their investigation and review of
your claim.We
hope this answers any outstanding questions in relation to *** **’s claim.If
you should have any further questions or need further clarification of the
above, please do not hesitate to contact us.Sincerely,Claims
DepartmentSeven
Corners, Inc

February 14, *** *** Revdex.com N Delaware Street #Indianapolis IN 46204-RE: Complaint ID *** Customer: *** *** Certificate ***
Insured: *** *** Policy Name: *** *** Dear Ms***: Seven Corners, Incis in receipt of Complaint ID Number *** and sent to the attention of Chelsi T*** on February 1, 2017. The complainant, *** ***, has expressed concerns with the handling of his wife’s travel medical insurance claims under the certificate # referenced aboveThis office has reviewed the file and the claim in question. The claims were denied under the exclusion in the policy for pre-existing conditions. This decision was made after medical review of the medical records received in connection with *** ***’s illness. We regret that Mr*** is not happy with our customer service or claim handling. However, our records reflect extensive communications between our company and Mr*** in efforts to explain our denial and assist him with his concerns. Please be advised that in response to this complaint, as well as a formal complaint that has been filed by Mr*** with the California Department of Insurance, we will be undertaking a complete review of this file. Complete, detailed response to Mr***’s complaint with documentation will be sent to the California Department of Insurance by their deadline of March 1, 2016. Thank you for your time and attention to this matter and should you have questions involving this claim matter, please contact this officeSincerely, Seven Corners, Inc

Revdex.com:I have reviewed the response made by the business in reference to complaint ID***, and have determined that the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below.Thank you for the responseHowever as
I stated before; this is unacceptableAs I said earlier; I was not made aware PRIOR to my purchase the extreme limitations of this policyNor was I made aware PRIOR to my purchase that I would be dealing with a company other than the one named on the policyThis would have drastically altered my decision in choosing such an inadequate policy and company.
This was clearly misleading and a blatant bait and switch I expect my claim honored
Regards,*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below
[Provide details of why you are not satisfied with this resolution.]
Regards,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***I am happy to hear that Revdex.com was able to help me and will consider this case complete ONLY upon the Actual Receipt of the Reimbursement promised by Seven CornersI will let Revdex.com know if I have satisfactorily received what they promised.
Thanks for your help, Revdex.com.
Regards,
*** ***
&nb

May 26, *** *** Revdex.com N Delaware Street #Indianapolis IN 46204-RE: Complaint ID *** Customer: Russell SRambert Certificate #9LCL15-Dear Ms***: Seven Corners, Incis in receipt of the rebuttal regarding Complaint ID Number ***, sent to the attention of Dennis W*** on May 23, 2016. The complainant, *** ***, has expressed disagreement with the handling of recent travel medical insurance claims for insured *** *** under the certificate # referenced aboveThe original decision was made on the file based on a medical review of the records received and the definition in the policy. Due the continued dissatisfaction of the complainant with the decision, we did submit the file for an additional Independent Medical Review. This review has been returned with the determination that the insured’s illness was NOT the result of a pre-existing conditionTherefore, based on this new review, we are pleased to advise that we have overturned our denial of these claims and they will be processed according to the benefits allowed under the policy. Thank you for your time and attention to this matter and should you have questions involving this claim matter, please contact this officeSincerely, Seven Corners, Inc.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below
Hi *** and Revdex.com team,It's nice to see that Seven Corners replied Thank you Chelsi for replying. You say that you "reviewed the file and claim" and denied all the claims due to this "pre-existing condition." Can you please tell us what that is? what is the condition that you are saying is "pre-existing." We have asked this over and overFor many months we have been dealing with you guys trying to get an answer. You say that you did a "medical review..." Can you tell us if you got the Clarification Letters that we sent you on Dec 7, 2016? Both the Clarification Letters from the original doctors clearly state that what was causing *** to have the stabbing lower left pain was not any pre-existing conditionDid you get the Clarification Letters? Did you read them? You mention "extensive communication" between me and your claims departmentYes that is trueMostly us asking you the same questions again and again, and Kathy H*** ignoring, dodging, or replying with bad responses like, "the denial is firm..." We ask you what the "pre-existing condition" isYou ignore usWe ask you if you received the Clarification Letters from the doctorsThe Clarification Letters that your claims person Kathy H*** said would be nearly impossible to even getWell after months of hard work, we got two so farWe sent them to your Claims people with a new Appeal on Dec 7, And nothingNo reply to whether you got them or read themWe waited weeks, and we sent you another email asking if you got the Appeal. Also you continue to ignore our question about the "month look back period" which applies to "pre-existing conditions." Can you respond about that question?***, can you as the Revdex.com, ask Chelsi these questions and get a reply? That would be very appreciated.We have had to file a CA Commissioner of Insurance Complaint about Seven Corners.Hopefully Chelsi and the Seven Corners people decide to stop denying the claims, and reimburse *** for the bills she has already had to pay to stop them from going to collections, as well as pay the current claims. I have replied and attached the Clarification Letters from the original doctors in case you want to read them.thanks*** *** *** Regards,
*** ***

February 23, Revdex.com of Central Indiana N Delaware Street #Indianapolis, IN 46204- RE: Complaint ID: *** Complainant: *** *** To Whom It May Concern: Seven Corners, Inc(“Seven
Corners”) is in receipt of Complaint *** which was filed by *** *** on February 17, 2016. We have reviewed the complaint and the claim file and have confirmed that the claim is not eligible for trip cancellation coverage benefits. The reasoning for our decision is explained below In order to clarify the roles of the parties involved, Nationwide Mutual Insurance Company (“NMIC”) is the insuring company of the travel insurance policy purchased by Mr***. Seven Corners is the third party administrator contracted by NMIC to provide customer service administration and claims adjudication services for individuals who purchase travel insurance products underwritten by NMIC. OneTravel is the Travel Provider from whom Mr*** purchased his flights On June 16, 2015, Mr*** purchased airfare and travel insurance for travel dates August 5-7, 2015. Our office received Mr***’s claim on September 10, 2015, wherein he presented a trip cancellation claim due to medical reasons. Upon evaluation of the submitted claim, it was determined that a physician’s statement was not completed by Mr***’s attending physicianHowever, a doctor’s note was submitted stating that Mr*** reported to the physician that he fell ill while on vacation and was not able to depart on his scheduled flight. The travel insurance policy purchased by Mr*** requires evidence of medical treatment and medically imposed restrictions by a physician preventing and/or advising against travel on or before the scheduled departure date. In addition, the nature of the medical condition should be disclosed in order to determine if any policy exclusions would apply. To date, no medical condition has been disclosed as mandated by the terms of the policy On September 24, 2015, a request for additional information was sent to Mr***Specifically, we asked for a fully completed physician’s statement, cancellation confirmation, and confirmation of the amount requested by Mr*** for reimbursement. A follletter was sent to Mr*** again advising of this request, and the necessity to submit the pertinent information for further review and consideration of his claim On January 29, 2016, Mr*** submitted duplicate copies of the initial claim submission documents; however, in addition, there was a note from Mr*** advising that his medical condition has been present for years and that since he self-treated, there was no need to see a physician. For this reason, his claim was subsequently denied because the documentation submitted by Mr*** did not meet the policy’s definition of sickness. Under the travel insurance policy purchased by Mr***, “sickness” is (1) an illness that requires a physical examination and medical treatment by a physician and (2) commences while the coverage is in effect. Due to the failure of Mr*** to present evidence to meet the definition of “sickness” under the travel insurance policy, a denial letter was mailed to Mr*** on February 10, We appreciate the opportunity to address Mr***’s concerns. Please contact this office should you have any further questions regarding this matter Sincerely, Seven Corners, Inc

December 16, 2015*** ***Revdex.com of Central Indiana NDelaware StreetSuite # 2020Indianapolis, IN 46204-2599RE: Complaint Number: ***Complainant: *** *** and *** *** Our Insured's Name: *** ***Certificate Number:
***Policy: United Methodist Volunteers in MissionUnderwriter: Certain Underwriters at Lloyd's, LondonDear Ms***: We are in receipt of your correspondence regarding the above referenced complaint The complaint was received by Seven Corners on December 14, Seven Corners, Incis an administrator for Certain Underwriters at Lloyd's, London (Underwriters)This response is on behalf of Seven Corner's, Incand Certain Underwriters at Lloyd's, London (Underwriters) subscribing to the above referenced policy.Our records show that the effective dates of the above captioned policy were from March 1, to March 7, Only medical care charges resulting from this accident and incurred within this policy period would be considered Our company is willing to waive the required Timely Filing within days, as the insured reported their occurrence to their primary carrier. To date our company has paid $9,in medical expenses as the secondary provider The complaint did not specify the outstanding incurred charges that the complainants were indicating were unpaid In order for our company to consider reimbursement of any outstanding charges, we need the complainants to provide the following documented information. Copies of the medical records and itemized medical bills for the claimed charges.Upon receipt of the above specified information, our company will review the presented claim(s) for afforded Coverage Benefits per the Policy's Conditions and Provisions for additional payable charges. Should you have any further questions involving this claim matter, please contact our company. Sincerely, Seven Corners

Seven Corners, Incis in receipt of the rebuttal response to complaint number: ***, and sent to the attention of Dennis W***The rebuttal response and payment invoices were submitted by the complainants: *** and *** *** on behalf of the insured party, *** ***.Mrand Mrs*** presented two invoices for payment consideration regarding medical treatment received by *** ***This office reviewed the submitted invoice in the amount of $from CHOCOWINITY EMS for ambulance servicesSeven Corners had previously notified the provider that in order to determine if the submitted charges were eligible for payment, to present an itemized statement detailing the services that were provided to *** ***As of today's date, this office has not received the requested information.Upon our receipt of Mrand Mrs*** concerns, Seven Corners reevaluated the unpaid claim for ambulance servicesEven though the needed itemized documentation from the provider was not presented for review, this office has agreed to issue payment directly to CHOCOWINITY EMS, in the amount of $Please see the attached Explanation of Benefits (EOB) form that confirms this payment.Seven Corners then reviewed the second presented document from the ECU SCHOOL OF MEDICINE CLINICThe invoice was dated 11/22/and showed $as the amount dueOn 12/18/2015, this office had determined the claim was eligible for payment and proceeded to issue payment directly to the provider in the amount of $Please see the attached Explanation of Benefits form that confirms this payment.We hope this answers *** and *** ***' concerns regarding *** *** recent claimShould you have any further questions involving this claim matter, please contact this office.Sincerely, Seven Corners, Inc

June 2, Revdex.com NDelaware Street #Indianapolis, IN 46204-RE: Complaint ID: *** Disputed Amount: $Dear Sir or Madam: This office is in receipt of complaint number: *** that was sent to the attention of Seven Corners, IncThe complaint was
submitted by complainant: *** *** *** ***, who objects to the decision to deny his presented claim(s)Mr*** purchased an *** *** ** (Group) policy with effective dates: 1/1/to 2/28/The complainant sought out medical care on 1/10/from *** Health Services ***Medical records from that visit state that the patient’s symptoms began two weeks earlier. This statement would affirm that the member’s illness originated prior to the effective date of the purchased policy and would be considered a pre-existing condition, that is excluded from policy coverageSeven Corners communicated this determination via electronic correspondence sent to Mr*** via email on 5/19/ The complainant, states in his complaint that: “it is true that the symptoms started on December …”Based on this statement, Mr*** admits that his symptoms originated prior to the effective date of his coverage under the *** *** ** (Group) policy and therefore would be excluded from policy coverage In review of Mr***’s statements, the pre-existing condition definition included in his claims denial letter does indeed differ from the definition included within his purchased policyFor this error, we truly apologizeHowever, based upon the policy definition from the *** *** ** (Group) policy, the member’s illness would be considered a pre-existing condition The policy purchased by Mr*** contains the following pertinent policy wording: DEFINITIONS Pre-Existing Condition means: 1) the existence of symptoms which would cause an ordinarily prudent person to seek diagnosis, care or treatment within the months immediately prior to the Insured’s Effective Date under the policy; or, 2) any condition which originates, is diagnosed, treated or recommended for treatment within the months immediately prior to the Insured’s Effective Date under the policyWe hope this answers any outstanding questions in relation *** *** *** *** ‘s claim. If you should have any further questions or need further clarification of the above, please do not hesitate to contact us. Seven Corners, Inc

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below
It has been a while since we spoke (I was hoping Seven Corners had covered the bills), but we just received a new bill from the ambulance service. We would like to reopen/reactivate our complaint against Seven Corners Insurance to have them cover the bills from our son's accident while he was on a service oriented retreat last March. We certainly feel that the bills should be covered as Seven Corners was the accident insurance that was purchased by the church to cover the participants of the retreat. *** fell ft off of a ladder onto a concrete pad, broke vertebrae, his wrist, and his elbow. It is clear that he needed ambulance servicesAttached are the two bills that have not been paidPlease let us know if you have any questions or need additional informationThank you, *** and *** ***

Seven Corners is in receipt of complaint # ***, and sent to the attention of Dennis *** The complaint was filed by *** *** who objects to the handling of his claimWe appreciate the opportunity to address the concerns of the complainant.Mr*** purchased a Liaison Continent travel
policy on January 8, During his trip, Mr*** sought out medical care related to diabetes and hypertension at the Ella Family PracticeThe medical visit occurred on February 9, The insured party then submitted a medical expense claim to Seven Corners.On March 9, 2015, *** *** sent an email to Seven Corners requesting to cancel the purchased Liaison Continent policy and refund him the premiumLater that same day, Mr*** was sent notification via email that this office could not refund his premium because he filed a claim on policy number ***The following policy language was included in the communication to the consumer (emphasis added):Part I - INDIVIDUAL INSURANCE PROVISIONSRefund of Premium/Cancellation"REFUND OF PREMIUM - Refund of total plan cost will only be considered if written request is received by Seven Corners prior to the Effective Date of CoverageIf written request is received after the Effective Date of coverage, the unused portion of the plan cost may be refunded minus a cancellation fee, provided no claim has been submitted to Seven Corners for reimbursement." This policy language is accessible by insured party prior to and at the time of purchase. In order for this office to appropriately evaluate *** ***'s medical expense claim, Seven Corners proceeded to request medical records from Ella Family PracticeUpon our review of the medical documentation, it was determined the medical visit resulted from Mr***'s pre-existing medical conditionsHis presented claim was therefore ineligible for claim payment On April 9, 2015, notification of claim denial was mailed to Mr***.When we received Mr***'s Revdex.com complaint, we reevaluated his claimBased upon the presented documentation, we must affirm the previous claim denial and reiterate that the premium paid by Mr*** is ineligible for reimbursement since a medical expense claim was presented for payment consideration.Policy Language which is pertinent to the denial of Mr***'s claim:PART IV - EXCLUSIONSMEDICAL BENEFIT EXCLUSIONSFor Medical benefits, this Insurance does not cover:Pre-existing Conditions which are excluded under this policyThis means that any claims for Pre-existing Conditions will not be covered for the duration of this policy.a) If You are a United States citizen, this exclusion is waived for the first $25,in eligible medical expenses incurred outside the United States and Canada (for persons age and over, the amount is $5,000), minus Your Deductible and selected Coinsurance option (Plan E or F)This waiver does not include coverage for known, scheduled, required, or expected medical care, drugs, or treatments existent or necessary prior to the effective date of this programAny exclusion specifically listed in Medical Benefits exclusions, through 40, will not receive benefits from this waiver.b) If you are a non-U.Scitizen under age 70, this exclusion is waived for eligible medical expenses for an Acute Onset of a Pre-existing Condition(s) (as defined herein) up to the limit as provided in the Acute Onset of a Pre-existing Condition(s) section of the Schedule of Benefits for eligible medical expenses incurred in the United States, minus Your Deductible and selected Coinsurance option (Plan A or B)For persons age and over, there is no benefitThis benefit does not include coverage for known, scheduled, required, or expected medical care, drugs, or treatments existent or necessary prior to arrival in the United States and prior to the effective date of this programAny exclusion specifically listed in Medical Benefits exclusions, through 40, will not receive benefits from this waiver.PART III - DEFINITIONSThe term "Pre-existing Condition(s)" shall mean any medical condition, sickness, Injury, Illness, disease, Mental Illness or Mental Nervous Disorder, regardless of the cause including any congenital, chronic, subsequent, or recurring complications or consequences related thereto or resulting therefrom that with reasonable medical certainty existed at the time of application or any time during the 36* months prior to the effective date of coverage under this policy, whether or not previously manifested, symptomatic, known, diagnosed, treated or disclosedThis specifically includes but is not limited to any medical condition, sickness, Injury , Illness, disease, Mental Illness or Mental Nervous Disorder, for which medical advice, diagnosis, care or treatment was recommended or received or for which a reasonably prudent person would have sought treatment during the month period immediately preceding the effective date of coverage under this policy*For Insured Persons traveling outside the United States and Canada, the period is months instead of months.The term "Acute Onset of a Pre-Existing Condition(s)" shall mean a sudden and unexpected outbreak or recurrence of a Pre-existing Condition(s) which occurs spontaneously and without advance warning either in the form of Physician recommendations or symptoms, is of short duration, is rapidly progressive, and requires urgent careThe Acute Onset of a Pre-existing Condition(s) must occur after the effective date of the policyTreatment must be obtained within hours of the sudden and unexpected outbreak or recurrenceA Pre-existing Condition that is a chronic or congenital condition or that gradually becomes worse over time will not be considered Acute OnsetThis benefit does not include coverage for known, scheduled, required, or expected medical care, drugs or Treatments existent or necessary prior to arrival in the United States and prior to the Effective Date of coverage.We hope this answers *** ***'s concerns regarding his premium reimbursementShould you have further questions or need further clarification of the above, please do not hesitate to contact us

Seven Corners, Incis in receipt of Complaint ID Number: *** and sent to the attention of *** *** on December 27, The complainant: *** *** has expressed concerns with the processing of her recent medical expense claimOn July 21, 2014, a Tin Leg travel insurance policy
was purchased for Ms***’s travel dates: September 19, to October 5, *** *** suffered an illness during her trip and sought out medical care in PeruThe customer seeks reimbursement for out-of-pocket medical costsOn November 25, 2014, the complainant sent an email notifying Seven Corners of her illness during her travels and provided claim documents to substantiate her medical expense claimUpon our review, the proof of loss form completed by the customer was not the appropriate claim form for the purchased travel planMs*** submitted documents and requested that her claim settlement be electronically deposited to her banking institutionWe could not honor that request for Automated Clearing House (ACH) payment; therefore a settlement check in the amount of $was issued to the customerThe check was mailed on December 9,
On December 17, 2014, Ms*** sent an email inquiry to Seven Corners regarding the status of her claim Her inquiry was answered the same day, affirming claim settlement was mailed on December 9, On December 24, 2014, Ms*** sent an email to Seven Corners stating she never received her claim paymentThis office responded to the customer and asked Ms*** to verify her mailing addressThe customer provided her current mailing address:
*** *** *** *** *** ** ***
The claim payment had not been issued to Ms***’s current address, but to her address at the time her travel plan was purchasedSince the customer has not received her payment and the check had not been cashed or returned to this office, Ms*** was informed that if she has not received the check within days; we would void and reissue the payment to her current mailing addressSeven Corners profusely apologizes for this error in handling and we propose to void the payment and reissue the settlement check to Ms***’s current address; once the customer confirms this proposal would be acceptable to herWe appreciate the opportunity to address the concerns of *** *** and hope our actions resolve her concernPlease contact this office should you have any further questions

Seven Corners, Incis in receipt of the rebuttal response to complaint number: ***, and sent to the attention of Dennis W***The rebuttal response and payment invoices were submitted by the complainants: *** and *** *** on behalf of the insured party, *** ***.Mrand Mrs*** presented two invoices for payment consideration regarding medical treatment received by *** ***This office reviewed the submitted invoice in the amount of $from CHOCOWINITY EMS for ambulance servicesSeven Corners had previously notified the provider that in order to determine if the submitted charges were eligible for payment, to present an itemized statement detailing the services that were provided to *** ***As of today's date, this office has not received the requested information.Upon our receipt of Mrand Mrs*** concerns, Seven Corners reevaluated the unpaid claim for ambulance servicesEven though the needed itemized documentation from the provider was not presented for review, this office has agreed to issue payment directly to CHOCOWINITY EMS, in the amount of $Please see the attached Explanation of Benefits (EOB) form that confirms this payment.Seven Corners then reviewed the second presented document from the ECU SCHOOL OF MEDICINE CLINICThe invoice was dated 11/22/and showed $as the amount dueOn 12/18/2015, this office had determined the claim was eligible for payment and proceeded to issue payment directly to the provider in the amount of $Please see the attached Explanation of Benefits form that confirms this payment.We hope this answers *** and *** ***' concerns regarding *** *** recent claimShould you have any further questions involving this claim matter, please contact this office.Sincerely, Seven Corners, Inc

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below
Although this company claims in it's reply that it has issued a refund for my claim, I have heard nothing from them Not a letter, email or phone call regarding my appeal I have made several attempts to call and e mail them and they do not respond They have claimed in the past to send correspondence to my house (the original denial that I never received), and nothing has ever come to my house from this company I am frustrated and not sure how to get them to reply to me about this appeal I read that they claim they have issued my refund, yet I have no proof of thatNot sure what to do next
Regards,
*** ***