Summit Pathology

If you have a medical bill that has to go through this company please write down who you talk to, date, and what was doneI've had nothing but problems with this company for the past months, and I'm still fight themThe billing department has problems following though with the information you give themI have given my information to so many people it's unbelievable and every time I call the for some reason can't find it and would like for me to resend my informationYou can never talk to the same person to verify what they have said before when your having the same problems months later, and the same problem occurs even when you talk to managementThey have sent my bill to collections, even though they have yet to send it to the insuranceBe prepared to deal with stupid people when you call these people

RevDex.com: I have reviewed the response made by the business, and find that this resolution is satisfactory to me. Regards, [redacted]

Complaint: ***
I am rejecting this response because: The work preformed was done as (Direct Access Testing) or DAT under (CRF 493.15) waived-testing (https://www.cms.gov/regulations-and-guidance/legislation/clia/downloads/directa...⇄ are exempt from the fees I have been billed for As I explained in my first complaint it was not a doctor referralI entered for (Direct Access Testing) on my own accordDue to a clerical mistake it was not entered correctly I have fixed the problem with *** but Summit has not been willing to do the same I have the bank statement showing the prices pay as the same in the price sheet posted in the first complaintAs they admit in there last statement no direct services are preformed for me but for the lab they contract withSo I have cost them nothing and they insist on billing on a clerical mistake
Regards,
*** ***

March 2, 2017Mr*** ***Dispute Resolution and Ad Review CounselorRevdex.comSCounty Rd Ste 100Fort Collins, CO 80528RE: Summit Pathology Complaint ID ***Dear Mr***:We have reviewed the above complaint and would offer these facts in response to this
complaint:The complainant alleges duplicate and fraudulent billing That is not correct Two bills were sent but were for different services on different days.Ms*** had medical services for which pathology was ordered on 9/9/Her insurance was billed and paid this claimAn error in billing was made for that same date of service where the services were submitted to insurance a second time and denied by her insurance company However, no billing statement on this billing error was ever sent to Ms*** and the error was realized and adjusted by our billing company prior to any bill being sent to her.Ms*** had separate medical services for which pathology was ordered on 9/23/This is the account in collection These services were NOT duplicate billed Billing statements were sent to Ms*** on 10/13/and 11/17/with no response from Ms***Therefore, the account was sent to collection These are not fraudulent charges, and, in fact, are still outstanding.Our collection agency maintains a policy of requiring a written request for copies of bills which have previously been sent to a patient so Ms***’s claim that she needed to send a letter to the collection agency in order to obtain a copy of the collection invoice is in fact accurate and representative of all of our accounts. Mr***, your letter to us states that you tried to contact us via email or mail about this complaint but received no response Please be assured that we take these complaints seriously and make efforts to answer them promptlyI am not sure what email address or address you are using, but please use PO BOX 337418, Greeley, CO for future correspondence.Regards,Chris Bhief Operation OfficerSummit Pathology Laboratories

May 5, Dispute Resolution and ReviewRevdex.comS County Road 5, Ste100Fort Collins, CO RE: Complaint ***
To Whom It May Concern:
This letter is in response to a patient who objected to a Summit bill saying that Summit had
not performed any services for him/herHowever, Summit serves as the medical director and provides oversight for a variety of laboratories, including the one visited by the patient.Each clinical laboratory testing facility has in place its own set of rules and regulations as to how to orders for testing are placed and reportedThey are required by Federal guideline to have policies in place to ensure that patient test results are delivered to a licensed physician or authorized non-physician practitioners such as nurse practitioners or physician assistantsAs a downstream provider Summit Pathology receives all of it’s patient demographic, insurance and ordering provider information from either the physician’s office where the specimen was collected, or in the case of clinical laboratory testing, the lab information system that reported the test resultsRecently many patients have begun receiving invoices for the professional component of clinical laboratory testingThis form of billing has become common in laboratories across the country, and is endorsed by the American Medical AssociationThese charges represent medical director oversight time to assure for the timeliness, reliability and usefulness of test results, among other functionsThe Clinical Laboratory Improvement Amendments of (CLIA), as well as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the College of American Pathology (CAP) all require that hospital laboratories contract with pathologists to provide professional component servicesThe hospital or clinical laboratory bill covers the cost for laboratory equipment, supplies and non-physician personnel - it does not include the professional services of the pathologistProfessional components include, but are not limited to, overseeing serological tests, meeting professional lab standards and reporting requirements, calibrating equipment, establishing test protocols, developing and evaluating quality assurance and quality control procedures, and consulting with treating physiciansPathologists remain liable for any patient problems stemming from the performance of lab equipment or personnelSummit Pathology will only bill those insurance plans that accept such charges as validThese charges are also capped at $per test, and $per individual encounter dateSummit Pathology will work with uninsured patients to reduce their bill, if they request assistanceIt is the responsibility of the patient to call the number on his/her bill to request a self-pay discountRespectfully Submitted;
Jill DH***Director, Business Operations
*** *** *** *** *** *** ** ***
* *** *** * *** *** *** * *** *** * *** ***
*** *** *** *** *** *** *** *** ** *** *** *** *** *** *** *** *** ***

August 11,
Revdex.com
*** ***
Dispute Resolution & Ad Review Counselor
SCounty RdSte
Fort Collins, CO
Complaint ID
Dear Mr***:
We are in receipt of your
correspondence dated Monday August 4, about the above referenced complaint relating to Summit Pathology
We have verified with our outside billing agency that the consumer’s refund in the amount of $was sent to the consumer on 7/24/Additionally we have verified with our collection representatives that a delete report was sent to all credit bureaus on 7/28/regarding this consumer’s $complaintAccording to our records a phone message was left for her on July to respond to her concerns Additionally a letter was sent to the consumer 8/11/stating that the collection agency had agreed to delete the item
Finally, I have written an apology to the consumer for the miscommunication I had with her on July When I spoke with her I had a difficult time hearing her and was trying to ascertain the exact spelling of her name so that I could find the correct information in our systemWhen asking for the exact spelling of her name, I was not certain what she was sayingWhile she was spelling her name, I repeated to her “ D as in Dog?” as the last letter of her last name ends with a “D” and I needed to be certain that I heard that letter correctlyI am certain that I did not refer to the consumer as a DOG as she believes and I regret that miscommunication As you can see by the timeline, she called our office on the 21st of July and I returned her call that day and also began researching her questionI gave her my name and phone number to call if she had any questions and the issues were worked by our agencies and resolved within days of her call to this office
We have documentation regarding the above timeline resolution if you would like to review it, however I am not attaching them here due to patient confidentiality and your statement that the consumer’s name should not be identified
Regards,
*** ***

If you have a medical bill that has to go through this company please write down who you talk to, date, and what was done. I've had nothing but problems with this company for the past 5 months, and I'm still fight them. The billing department has problems following though with the information you give them. I have given my information to so many people it's unbelievable and every time I call the for some reason can't find it and would like for me to resend my information. You can never talk to the same person to verify what they have said before when your having the same problems months later, and the same problem occurs even when you talk to management. They have sent my bill to collections, even though they have yet to send it to the insurance. Be prepared to deal with stupid people when you call these people.

May 5, 2016Dispute Resolution and ReviewRevdex.com8020 S County Road 5, Ste. 100Fort Collins, CO 80528RE: Complaint [redacted]To Whom It May Concern:This letter is in response to a patient who objected to a Summit bill saying that Summit had not performed any services for him/her. However,...

Summit serves as the medical director and provides oversight for a variety of laboratories, including the one visited by the patient.Each clinical laboratory testing facility has in place its own set of rules and regulations as to how to orders for testing are placed and reported. They are required by Federal guideline to have policies in place to ensure that patient test results are delivered to a licensed physician or authorized non-physician practitioners such as nurse practitioners or physician assistants. As a downstream provider Summit Pathology receives all of it’s patient demographic, insurance and ordering provider information from either the physician’s office where the specimen was collected, or in the case of clinical laboratory testing, the lab information system that reported the test results.Recently many patients have begun receiving invoices for the professional component of clinical laboratory testing. This form of billing has become common in laboratories across the country, and is endorsed by the American Medical Association. These charges represent medical director oversight time to assure for the timeliness, reliability and usefulness of test results, among other functions. The Clinical Laboratory Improvement Amendments of 1988 (CLIA), as well as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and the College of American Pathology (CAP) all require that hospital laboratories contract with pathologists to provide professional component services. The hospital or clinical laboratory bill covers the cost for laboratory equipment, supplies and non-physician personnel - it does not include the professional services of the pathologist. Professional components include, but are not limited to, overseeing serological tests, meeting professional lab standards and reporting requirements, calibrating equipment, establishing test protocols, developing and evaluating quality assurance and quality control procedures, and consulting with treating physicians. Pathologists remain liable for any patient problems stemming from the performance of lab equipment or personnel.Summit Pathology will only bill those insurance plans that accept such charges as valid. These charges are also capped at $25 per test, and $250 per individual encounter date. Summit Pathology will work with uninsured patients to reduce their bill, if they request assistance. It is the responsibility of the patient to call the number on his/her bill to request a self-pay discount.Respectfully Submitted;Jill D. H[redacted]Director, Business Operations[redacted]
[redacted] [redacted] [redacted] [redacted]
[redacted]

Summit PathologyMarch 31, 2016Dispute Resolution and Review Revdex.com8020 S County Road 5, Ste. 100 Fort Collins, CO 80528RE: Customer Complaint, [redacted]To Whom it May Concern; Thank you for your letter of March 28, 2016 regarding a complaint about our business. We take these issues very...

seriously and immediately contacted our billing company. We learned the following:Insurance information that was submitted electronically to Summit Pathology on October 5, 2015 by the treating physician's office contained a slight difference in naming convention than what is stored within the third party billing agent's data base. This mismatch, one digit difference in PO Box number, led to an error in the submission of the electronic claim for services on behalf of Summit Pathology as well as a denial of payment. Through routine protocols the patient was then sent an invoice on or around December 1, 2015 in hopes that she would call and assist in resolving the error. On February 9, 2016 the patient called and confirmed the correct insurance information. The one digit difference in PO Box number was not recognized at this point by our billing agent. The error was found during account review on March 21, 2016 as the result of the patient's second phone call to the third party billing office. At that time the research associate contacted the patient's insurance, verified eligibility and policy number. A corrected claim was filed to patient insurance on March 22, 2016. By regulation insurance carriers can take up to 30 days to respond to claim submission. Currently the patient account has been recalled from collections and is on hold pending an adjudicated claim response from the insurance carrier. We truly regret any inconvenience this may have caused the complainant. Respectfully Submitted,Janice Kaye R[redacted] Chief Financial OfficerSummit Pathology: 5802 Wright Drive, Loveland, CO 80538 [redacted] [redacted] [redacted] [redacted]  [redacted]

Summit Pathology
March 31, 2016Dispute Resolution and Review Revdex.com8020 S County Road 5, Ste. 100
Fort Collins, CO 80528RE: Customer Complaint, [redacted]To Whom it May Concern; Thank you for your...

letter of March 28, 2016 regarding a complaint about our business. We take these issues very seriously and immediately contacted our billing company. We learned the following:Insurance information that was submitted electronically to Summit Pathology on October 5, 2015 by the treating physician's office contained a slight difference in naming convention than what is stored within the third party billing agent's data base. This mismatch, one digit difference in PO Box number, led to an error in the submission of the electronic claim for services on behalf of Summit Pathology as well as a denial of payment. Through routine protocols the patient was then sent an invoice on or around December 1, 2015 in hopes that she would call and assist in resolving the error. 
On February 9, 2016 the patient called and confirmed the correct insurance information. The one digit difference in PO Box number was not recognized at this point by our billing agent. The error was found during account review on March 21, 2016 as the result of the patient's second phone call to the third party billing office. At that time the research associate contacted the patient's insurance, verified eligibility and policy number. A corrected claim was filed to patient insurance on March 22, 2016. By regulation insurance carriers can take up to 30 days to respond to claim submission. 
Currently the patient account has been recalled from collections and is on hold pending an adjudicated claim response from the insurance carrier. 
We truly regret any inconvenience this may have caused the complainant. Respectfully Submitted,
Janice Kaye R[redacted] Chief Financial OfficerSummit Pathology: 5802 Wright Drive, Loveland, CO 80538 [redacted]  [redacted]

Revdex.com:
I have reviewed the response made by the business, and find that this resolution is satisfactory to me.
Regards,
[redacted]