October 10, [redacted] Revdex.com N Delaware Street #Indianapolis IN 46204-RE: Complaint ID [redacted] Customer: [redacted] Certificate # [redacted] Policy Name: Inbound Choice Claim # [redacted] Dear Ms***: Seven Corners, Incis in receipt of the rebuttal by [redacted] for Complaint ID Number [redacted] and sent to the attention of Chelsi T [redacted] on October 4, 2016. The complainant, [redacted] , has disagreed with our response to this complaintThe Inbound Choice policy purchased by the insured is a limited benefit Travel Medical policy. As explained previously, this policy contains a schedule of benefits allowing up to specified limits for medical services. The service provided on August for which Mr [redacted] paid $was for three physical therapy treatments during the same visit. The Schedule of Benefits included in the policy contains a limit of up to $per visit for physical therapy. This is the maximum amount that can be allowed for this medical service under the policy provisions. We do find that our statement that the benefit would be paid to the provider of service to be a mistake. The benefit payment was made to [redacted] since he had already made payment to the provider. We regret that Mr [redacted] is not satisfied with the payment under the policy for the claim in question. However, we are contractually required to process claims in accordance with the terms and limitations of the policy. At this time we do not find any additional benefit due for this claim. 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.
October 10, [redacted] Revdex.com N Delaware Street #Indianapolis IN 46204-RE: Complaint ID [redacted] Customer: [redacted] Certificate # [redacted] Policy Name: Inbound Choice Claim # [redacted] Dear Ms***: Seven Corners, Incis in receipt of the rebuttal by [redacted] for Complaint ID Number [redacted] and sent to the attention of Chelsi T [redacted] on October 4, 2016. The complainant, [redacted] , has disagreed with our response to this complaintThe Inbound Choice policy purchased by the insured is a limited benefit Travel Medical policy. As explained previously, this policy contains a schedule of benefits allowing up to specified limits for medical services. The service provided on August for which Mr [redacted] paid $was for three physical therapy treatments during the same visit. The Schedule of Benefits included in the policy contains a limit of up to $per visit for physical therapy. This is the maximum amount that can be allowed for this medical service under the policy provisions. We do find that our statement that the benefit would be paid to the provider of service to be a mistake. The benefit payment was made to [redacted] since he had already made payment to the provider. We regret that Mr [redacted] is not satisfied with the payment under the policy for the claim in question. However, we are contractually required to process claims in accordance with the terms and limitations of the policy. At this time we do not find any additional benefit due for this claim. 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.