Revdex.com Consumer Complaint [redacted] The complainant ( [redacted] ) was seen in our Emergency Room on 09/19/ There was no insurance entered on the account at the time of registration and no insurance paperwork was scanned in There are no notes of any conversation with the patient about insurance A Consent for Health Care & Payment Agreement for CMH Services was signed at the time of serviceFirst statement was mailed to the patient 09/26/ No contact from the patient in responseLetter was mailed to the patient 10/21/ No contact from the patient in responseHad the patient responded to this initial statement or letter with his insurance information, we would have been able to bill the ER visit to his insuranceAdditional letters were sent 11/18/and 12/09/16, again with no responseA phone message was left for the patient on 06/20/17, with no responseA letter was mailed to the patient on 06/23/explaining that the account would be sent to a Collection Agency if we didn’t hear back on payment arrangements Again, no response was receivedThe account was sent to our outside Collection Agency on 07/14/ We contacted the Collection Agency and were told letter was sent on 07/23/ No payments were received They spoke to the patient on 11/07/ He stated he was trying to figure this out with his insurance if they will pay or not and will contact them if it needs to be put on a payment planWe handled the account as Self-Pay, as that was the only information available at the time of service or at any time after until this complaint was received, which was well over a year after the date of serviceIf you need any additional information, please let me know [redacted] Director of Revenue Cycle Citizens Memorial Hospital
Initial Business Response / [redacted] (1000, 9, 2017/04/11) */ This individual filed the same complaint with her insurance carrier (Humana)We completed an extensive investigation of her complaintOur investigation of her allegations were reported to [redacted] and they indicated that her claims were unsubstantiatedHIPAA Regulations prevent disclosure of the details contributing to their decisionFrom our standpoint, no wrong-doing occurred and the matter is considered closed
Revdex.com Consumer Complaint [redacted] The complainant ( [redacted] ) was seen in our Emergency Room on 09/19/ There was no insurance entered on the account at the time of registration and no insurance paperwork was scanned in There are no notes of any conversation with the patient about insurance A Consent for Health Care & Payment Agreement for CMH Services was signed at the time of serviceFirst statement was mailed to the patient 09/26/ No contact from the patient in responseLetter was mailed to the patient 10/21/ No contact from the patient in responseHad the patient responded to this initial statement or letter with his insurance information, we would have been able to bill the ER visit to his insuranceAdditional letters were sent 11/18/and 12/09/16, again with no responseA phone message was left for the patient on 06/20/17, with no responseA letter was mailed to the patient on 06/23/explaining that the account would be sent to a Collection Agency if we didn’t hear back on payment arrangements Again, no response was receivedThe account was sent to our outside Collection Agency on 07/14/ We contacted the Collection Agency and were told letter was sent on 07/23/ No payments were received They spoke to the patient on 11/07/ He stated he was trying to figure this out with his insurance if they will pay or not and will contact them if it needs to be put on a payment planWe handled the account as Self-Pay, as that was the only information available at the time of service or at any time after until this complaint was received, which was well over a year after the date of serviceIf you need any additional information, please let me know [redacted] Director of Revenue Cycle Citizens Memorial Hospital
Initial Business Response / [redacted] (1000, 9, 2017/04/11) */ This individual filed the same complaint with her insurance carrier (Humana)We completed an extensive investigation of her complaintOur investigation of her allegations were reported to [redacted] and they indicated that her claims were unsubstantiatedHIPAA Regulations prevent disclosure of the details contributing to their decisionFrom our standpoint, no wrong-doing occurred and the matter is considered closed