South Carolina Medical Management, LLC

Per email from SCA that was previously provided in the attachment with initial response-their billing went to the [redacted] address which was the address we were provided at time of charge and notified from our statement vendor was not valid for this patient; therefore, leading us to turn over to SCA as bad addressEvidently, the US Postal service forwarded this mail since all I have to go by is what SCA confirmed Per email again from SCA that was previously provided, a deletion letter is being issued to the patient which serves has complete notice for this account [redacted]

*** stated the letter from SCA went to the [redacted] addressI have the original letter from SCA with a letter head showing the [redacted] addressSecondly I still have NOT NOT received any written confirmation from SCA and SWA that this account is paid off in FULLLLLLL

SCMM Stated The balance was written off as bad address on 5-19-and reported to SCA Collections who loaded the account in their system on 6-30-SCA uses the same NCOA program and since no update was shown, they mailed out a collection statement to the same [redacted] address and did not receive any return mailIncorrect - they mailed it to the correct address [redacted] **That was the first time I knew of any issuesI have the document from themPer SCA 09/15/WEB Revdex.com RECEIVE BUSINESS RESPONSE : The original creditor contacted our office on 9/12/& requested that we cancel this consumer's account from our recordsThat has been doneA letter has been mailed to him stating that, & we are submitting a request to the credit bureaus to delete this account from his credit report09/15/KH EMAIL Forward Business response to Consumer The first time SCA was contacted to cancel this error was on 9/15/Bottom line - SCMM failed to secure written confirmation from SCA and provide me with written confirmation from them and SCA that the records have been correctedAS I REQUESTEDAlso note the person I originally worked with [redacted] is no longer thereAS of this update I still do not have ANY confirmation from SCMM or SCA the all records have been corrected

Here are the actions taken on this account: Posted and billed Planned Administrators per hospital information provided on 5-18-2.Planned Administrators rejected unable to ID patient on 5-22-3.Billed patient 6-3-4.6-15-Patient had left message on voicemail Acct rep returned call, stating she was very rudeThe Id# we had been provided was correct but we were not given group numberGroup number added and claim refiled on 6-16-16-no responseBilled patient on 7-18-Refiled claim again on 7-28-16-no responsePatient sent pre-collection letter on 8-18-Patient called on 8-26-16, again confirming information we had was correctExplained insurance is filed as a courtesy and she needed to contact them as well but we would file claim again Refiled claim on 8-29-16-rejected on 9-1-unable to IDAccount selected for collector write off report on 9-12- 9-20-Rep from Planned Admin called and gave fax number for us to send a claimAlso spoke with patient and verified insurance info was correct, printed claim and mailed hardcopy per patient requestAlso faxed copy of claim per rep requestCollection write off was removed10-26-Patient called about status of account and was told it was in collection writeoff which occurred on 10-20- since we had not heard from insuranceShe was very rude about account being in collections-being on her credit reportShe was told we would call the collection agency and get back to herWe confirmed her account was NOT on her credit report since the agency holds accounts for 30-days before taking any actionThis allows time for us to confirm any additional action that may take place on accounts and have them removedHowever, NOTHING had been posted on her creditA manager called her back to confirm this information and her response was "oh"Insurance finally paid on this account on 10-11-and there is no other balance for this date of serviceOur office handled this account correctly and professionally

I was billed for pathology services rendered by *** *** during the delivery of my son on April 21, In June, I received a bill to pay $for services renderedI noted on the bill that the claim had not been filed with my insurance company, so I called the billing companyAt that time, I was told that the subscriber ID they had was incorrectI provided the correct information for billing my insurance company and was told the bill would be resubmittedI again received bills for $in July and AugustEach time, I called to provide the information, because I had never received and EOB from my insurance company showing the claim had been filedEach time, I was told that they would refile the claimOn September 19, I received a notice stating that I had been sent to collections for failure to payI contacted my insurance company and they reported never receiving a claim for the servicesI had my insurance company to personally contact them to have the issue resolved w

RE: [redacted]
"">[redacted] Acct#[redacted]
South Carolina Medical Management, LLC (SCMM) handles all billing and AR management for [redacted] [redacted] who provides pathology services for multiple hospitals, surgery centers and other locationsAs with all our clients, [redacted] is solely dependent on the rendering locations to provide all patients billing information since they do not have direct patient contactThe surgery center where [redacted] received services reported his address as being [redacted] (see the attached billing sheet provided)His account was processed on 1-20-14, insurance filed on 1-21-and we were notified on 2-3-that charges were applied to his deductible, properly posting the agreed upon contractual adjustments, leaving [redacted] a balance due of $[redacted] insurance company would have also notified him directly with an explanation of benefits letting him know that [redacted] had processed charges and what his responsible balance would be We then processed a billing statement for balance due to the patient with the information that had been provided on 2-4-Our statement vendor validates all addresses thru the NCOA program before printing and sends us an ACS report on all bad addresses, as well as any updatesIn working the ACS report, [redacted] account was reported and flagged in our system as "Bad Address" on 3-5-The balance was written off as bad address on 5-19-and reported to SCA Collections who loaded the account in their system on 6-30-SCA uses the same NCOA program and since no update was shown, they mailed out a collection statement to the same [redacted] address and did not receive any return mail
On 7-8-14, [redacted] called our office for the first time about the bad address (due to him receiving the SCA notice that was sent to the incorrect address which also instructed him to call SCA directly) and asked about the account being in collection and why we had not sent him anything[redacted] was the rep handling the call, explained we were notified of incorrect address and while I can't confirm the exact explanation he was given when he asked why we didn't call him, our reps try to explain we are processing thousands of accounts daily and it is impossible for us to contact each account when we are notified of bad address and/or incomplete/incorrect data on accountsOur policy is that we will remove first time bad address accounts in collections if paidHowever, they were turned over correctly as "Bad address" and flagged accordingly[redacted] updated the address in our system to [redacted] per [redacted] and processed an email to SCA about removing the account On 7-9-he called and paid account with [redacted]
On 7-15-14, [redacted] called back and spoke with [redacted], Asst Office Mgr due to him receiving another bill for SCA[redacted] confirmed with [redacted] that she had sent SCA notice to remove and that his [redacted] receipt would be mailed on payment was posted to the account which occurred on 7-15-since credit cards are processed weekly
It wasn't until [redacted] called Thursday, Sept about the account still being on his credit report that we knew something hadn't processed correctly and [redacted] told him we would research the problem
[redacted] called SCA Friday morning, 9-12-to find out what had happenedPer the attached from [redacted] at SCA, [redacted]'s original email did not go thru due to an error with the email address[redacted] would have promptly gotten back with [redacted] today once we had confirmation on what had happened but is out due to an illnessSCA has cancelled the account and it will be removed from the patient's credit fileA deletion letter is being issued to the patient with the updated address he provided (see attached from SCA)
Therefore, we apologize for the error that occurred with the email address causing an untimely delay in requesting the courtesy removal of this account and reporting the payment that was receivedHowever, the original reporting claim to SCA for bad address was valid and reported correctly based on information provided
SCMM strives to provide quality service to all our clients and their patients based on integrity, following all mandated CMS guidelines and our years of services confirms that commitment
Please let me know if you have any further concerns
[redacted], President
South Carolina Medical Management, LLC

Per email from SCA that was previously provided in the attachment with initial response-their billing went to the [redacted] address which was the address we were provided at time of charge and notified from our statement vendor was not valid for  this patient; therefore, leading us to turn over to SCA as bad address. Evidently, the US Postal service forwarded this mail since all I have to go by is what SCA confirmed.  Per email again from SCA that was previously provided, a deletion letter is being issued to the patient which serves has complete notice for this account. 
 
[redacted]

Here are the actions taken on this account:
1. Posted and billed Planned Administrators per hospital information provided on 5-18-16.
2.Planned Administrators rejected unable to ID patient on 5-22-16
3.Billed patient 6-3-16
4.6-15-16 Patient had left message on voicemail....

Acct rep returned call, stating she was very rude. The Id# we had been provided was correct but we were not given group number. Group number added and claim refiled on 6-16-16-no response.5 Billed patient on 7-18-16.
6. Refiled claim again on 7-28-16-no response.
7. Patient sent pre-collection letter on 8-18-16.
8. Patient called on 8-26-16, again confirming information we had was correct. Explained insurance is filed as a courtesy and she needed to contact them as well but we would file claim again.  Refiled claim on 8-29-16-rejected on 9-1-16 unable to ID.
9. Account selected for collector write off report on 9-12-16.
10.  9-20-16 Rep from Planned Admin called and gave fax number for us to send a claim. Also spoke with patient and verified insurance info was correct, printed claim and mailed hardcopy per patient request. Also faxed copy of claim per rep request. Collection write off was removed.
11. 10-26-16 Patient called about status of account and was told it was in collection writeoff which occurred on 10-20-16  since we had not heard from insurance. She was very rude about account being in collections-being on her credit report. She was told we would call the collection agency and get back to her. We confirmed her account was NOT on her credit report since the agency holds accounts for 30-45 days before taking any action. This allows time for us to confirm any additional action that may take place on accounts and have them removed. However, NOTHING had been posted on her credit. A manager called her back to confirm this information and her response was "oh". Insurance finally paid on this account on 10-11-16 and there is no other balance for this date of service. Our office handled this account correctly and professionally.

SCMM Stated The balance was written off as bad address on 5-19-14 and reported to SCA Collections who loaded the account in their system on 6-30-14. SCA uses the same NCOA program and since no update was shown, they mailed out a collection statement to the same [redacted] address and did not receive any return mail. Incorrect - they mailed it to the correct address [redacted]. That was the first time I knew of any issues. I have the document from them. Per SCA 09/15/2014 WEB Revdex.com RECEIVE BUSINESS RESPONSE : The original creditor contacted our office on 9/12/14 & requested that we cancel this consumer's account from our records. That has been done. A letter has been mailed to him stating that, & we are submitting a request to the credit bureaus to delete this account from his credit report. 09/15/2014 KH EMAIL Forward Business response to Consumer The first time SCA was contacted to cancel this error was on 9/15/2010 Bottom line - SCMM failed to secure written confirmation from SCA and provide me with written confirmation from them and SCA that the records have been corrected. AS I REQUESTED. Also note the person I originally worked with [redacted] is no longer there. AS of this update I still do not have ANY confirmation from SCMM or SCA the all records have been corrected.

[redacted] stated the letter from SCA went to the [redacted] address. I have the original letter from SCA with a letter head showing the [redacted] address. Secondly I still have NOT NOT received any written confirmation from SCA and SWA that this account is paid off in FULLLLLLL.