Spine Specialists of Boston

Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] Please add your rejection comments below The attached Explanation of Benefits from [redacted] shows how they handled the claim and the potential reason why no payment was made In essence, the payment made by [redacted] far exceeded the [redacted] Approved Amount Four telephone calls were made to billing in to address this outstanding balance The outstanding balance owing is still a major unresolved concern Included in the attachments is a statement, dated 11/30/and mailed 12/22/15, showing a balance of $ This is in addition to the original balance ($484.91) in the complaint This statement and balance has NEVER been sent or received on any prior occasion In addition, the charges indicated on this statement where never submitted to [redacted] for claim consideration I stand on my previous position regarding the balance due on this account Regards, [redacted] ***

Thank you for taking the time to speak with me this morningAs I mentioned, I am limited in regards to the information I can provide due to the HIPAA laws Dr [redacted] is a spine specialist in BostonHe performed surgery on [redacted] in March of Ms [redacted] had chosen [redacted] as her primary insurance and maintained [redacted] as a secondary Her claims were submitted to ***, who paid the allowed amount (as determined by the insurance companies) less the patient responsibilityThat balance was around $ that secondary balance was automatically submitted to [redacted] , however [redacted] does not pay it because it is a coinsurance amount [redacted] does have a lower coinsurance amount and we graciously reduced the amount Ms [redacted] would owe by approximately $We sent monthly statements to Ms [redacted] to attempt to collect this balanceWhen she did not make any payments, after more than days her account was sent to the collection agency we utilize.When the agency tried to contact Ms***, they spoke to her “significant other” who stated, very rudely, that the doctor had been paid more than enough for his services and they were not going to pay any moreAt this timeThe balance remains unpaid and there is really not much else we can do without incurring extensive costs to take Ms [redacted] to small claims court I feel that in light of the circumstances, Dr [redacted] ’s Revdex.com rating should not have any marks against itPlease feel free to call me if you need any additional informationSincerely, [redacted] Billing Manager for Spine Specialists of BostonTechPro Medical Systems [redacted] ***Phone: [redacted] Fax: [redacted] Email: [redacted]

Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted]. Please add your rejection comments below. 
The attached Explanation of Benefits from [redacted] shows how they handled the claim and the potential reason why no payment was made.  In essence, the payment made by [redacted] far exceeded the [redacted] Approved Amount.  Four telephone calls were made to billing in 2015 to address this outstanding balance.   The outstanding balance owing is still a major unresolved concern.  Included in the attachments is a statement, dated 11/30/15 and mailed 12/22/15, showing a balance of $121.57.  This is in addition to the original balance ($484.91) in the complaint.   This statement and balance has NEVER been sent or received on any prior occasion.  In addition, the charges indicated on this statement where never submitted to [redacted] for claim consideration.  I stand on my previous position regarding the balance due on this account. 
Regards,
[redacted]

Thank you for taking the time to speak with me this morning. As I mentioned, I am limited in regards to the information I can provide due to the HIPAA laws.  Dr. [redacted] is a spine specialist in Boston. He performed surgery on [redacted] in March of 2015. Ms. [redacted] had chosen [redacted] as her...

primary insurance and maintained [redacted] as a secondary.  Her claims were submitted to [redacted], who paid the allowed amount (as determined by the insurance companies) less the patient responsibility. That balance was around $1200.00.  that secondary balance was automatically submitted to [redacted], however [redacted] does not pay it because it is a coinsurance amount. [redacted] does have a lower coinsurance amount and we graciously reduced the amount Ms. [redacted] would owe by approximately $600. We sent monthly statements to Ms. [redacted] to attempt to collect this balance. When she did not make any payments, after more than 120 days her account was sent to the collection agency we utilize.When the agency tried to contact Ms. [redacted], they spoke to her “significant other” who stated, very rudely, that the doctor had been paid more than enough for his services and they were not going to pay any more. At this time. The balance remains unpaid and there is really not much else we can do without incurring extensive costs to take Ms. [redacted] to small claims court.  I feel that in light of the circumstances, Dr. [redacted]’s Revdex.com rating should not have any marks against it. Please feel free to call me if you need any additional information. Sincerely,[redacted]Billing Manager for Spine Specialists of BostonTechPro Medical Systems [redacted]Phone: [redacted]Fax:     [redacted]Email:  [redacted]