T L C Marine Service Inc

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved]
Complaint: ***
I am rejecting this response because: This is the second Revdex.com complaint I've processed for this company, I previously canceled with them (which they could produce no record of) I went through the Revdex.com to resolve the matterTo which they canceled my service, advised me that I should have canceled thorough a 3rd party (healthcare market place) and left it at thatI followed these steps to cancel, and surprise surprise I was signed up again for their service again, I received new medical cards and now am being emailed again that I have a past due balance and that my insurance will be terminated if I don't pay themI did not at any time sign back up for this service, I've been insured since august through my workWhat ever balance they deem owed is not going to be paid as I have fought this for monthsI have an email and a letter for the previous case being resolved, and the past due email as well.TranslateDesired Settlement / OutcomeDesired Settlement:selectDesired Outcome:I will not pay anything to them I want to be removed from their system completely never to be added again
Regards,
*** ***

I am writing in response to the May 2, 2016, letter to Detra D***-S*** on behalf of Mr*** ***Your complaint was received in our office on May 9, and concerns a denial for medication.As you are aware, the federal Health Insurance Portability and Accountability Act, known as the
HIPAA Privacy rule requires that we obtain an individual's written approval before using or disclosing his/her protected health information or PHIWhile our records indicate that there is no authorization for you to receive this member's PHI, we want you to know that we have reviewed Mr***'s complaint to your officeIt was identified that we previously resolved this matter on March 11, 2016, and currently consider it closed.Ms***, we appreciate your bringing Mr***'s concerns to our attentionIf you have any additional questions, please do not hesitate to contact me at ###-###-####.Sincerely,Rafael PD***Lead Client Services Representative Executive Inquiries Department

[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me.
Regards,
*** ***

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved]
Complaint: ***
I am rejecting this response because:It has not been resolvedI am attaching the completed HIPPA formIt was also faxed to Rafael D*** at IBX, ###-###-####
Regards,
*** ***

Good afternoon ***, I received the Authorization to Release Information completed by *** *** on 9/20/I am happy to report that *** ***’s complaint has been resolved in her favor*** *** had filed a 1st level appeal regarding the processing of claim *** and $was applied to her out of network deductibleAs a result of the 1st level appeal, IBC contacted the office of the ordering physician (Dr*** ***) and asked why *** ***’s lab tests were sent to an out of network lab A representative by the name of *** advised that a mistake was made in their office and that they would take responsibility for the $bill Our Appeals Specialist contacted *** *** regarding the outcome of our investigation and she agreed to withdraw her 1st level appeal. Please contact me directly at ###-###-#### if you have any additional questions. Thanks, Chris H***Executive Inquiries Analyst Market Street, 13th FloorPhiladelphia, PA

RE: Member: *** *** Revdex.com ID #: *** Dear *** *** I am writing to acknowledge receipt of the October 7, 2016, correspondence you addressed to Detra D***,
Supervisor of the Executive Inquiries DepartmentThis complaint was received in our office on October 21, 2016.The concerns presented by *** *** are being reviewed, and will be addressed upon finalization of our review. As you know, the Federal Health Insurance Portability and Accountability Act, known as HIPAA, requires that we obtain an individual’s written approval before disclosing his/her protected health information (PHI)In order for us to provide your office with a resolution, is would be necessary for *** *** to complete the attached HIPAA Authorization Form. *** ***, thank you for bringing this matter to our attention. Jamela W***Customer Touch Point Analyst IIExecutive InquiriesMarket St., 13th FloorPhiladelphia, PA

*** ***,
Good afternoon
I am writing to acknowledge the complaint # ***We are investigating the matter and will supply our response upon the conclusion of our review
Thank you
Regards,
Rafael ** D***
Specialist, Executive Inquiries Department
Independence Blue Cross

From: Y***, Scott *Date: Thu, Aug 13, at 4:PMSubject: ID of ***To: "[email protected]" Dear *** ***: I am writing in response to your recent inquiry on behalf of *** ***The purpose of this email is to inform you that we reissued a check to *** *** on July 24, 2015, and she cashed the check on August 5, 2015. Thank you for bringing *** ***’s concerns to our attentionIf you have any questions, please contact me at ###-###-####I will be glad to assist you. Sincerely, Scott Y***SpecialistExecutive Inquiries*** *** ***, ***Philadelphia, PA ***

Dear *** ***,
I am writing in response to your June 9, 2015, letter to office on behalf *** *** *** contacted your office about the denial of payment for shingles vaccination she received on June 6,
Our records indicate that there is no authorization for your office
to receive *** ***'s protected health information or PHIAs a result, we cannot disclose any information regarding our memberPlease have *** *** complete the HIPAA authorization formOnce this information is received and processed, we will be able to release her PHI to your office
Because this letter provides general information, we are able to respond to you regarding the matter in questionOur records show that the claim for services rendered processed; however, line item denied due to age invalid for serviceAn exception has been submitted on the member's behave to process the claimSince the provider is a participating provider the member should not be held accountable for the claim
Sincerely,
Sylvia B***, Specialist
Executive Inquiries

*** ***
Attached is our response to file # ***
Sincerely,
Rafael PD***
Specialist, Executive Inquiries Department
Independence Blue Cross

Good afternoon: I am writing in response to your complaint number *** for *** ***The purpose of this response is to inform you that we have resolved*** ***’s concernsHis coverage is paid to August 1, 2015, as he requestedHis claims will also be reviewed and reprocessed if warrantedIf you have any questions, please contact me at ###-###-####I will be glad to assist you. Sincerely, Scott Y***SpecialistExecutive Inquiries*** *** *** ***Philadelphia, PA ***

I am writing to acknowledge receipt of the January 27, 2017, correspondence you addressed to Detra D*** Supervisor of the Executive Inquiries DepartmentThis complaint was received in our office on February 3, 2017.The concerns presented by *** *** are being reviewed, and will be
addressed upon finalization of our review. As you know, the Federal Health Insurance Portability and Accountability Act, known as HIPAA, requires that we obtain an individual’s written approval before disclosing his/her protected health information (PHI)In order for us to provide your office with a resolution, is would be necessary for *** *** to complete the attached HIPAA Authorization Form. *** ***, thank you for bringing this matter to our attention.Sincerely, Jamela W***Customer Touch Point Analyst IIExecutive InquiriesMarket St., 13th FloorPhiladelphia, PA

Dear *** ***
I am writing to acknowledge our receipt of your August 11, 2015, correspondence to Detra D***, Supervisor of the Executive Inquiries Department We appreciate your writing to alert us of your concerns
As you are aware, the federal Health Insurance
Portability and Accountibility Act, known as the HIPAA Privacy rule requires that we obtain an individual's written permission before using her/his protected health information, or PHI for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable lawThe written approval, called an "authorization", must contain certain required elements for us to consider it valid under the HIPAA Privacy Rule.
We have received the Authorization for Disclosure of Health Information form that accompanied your inquiry. However, Sections B, and C of the form are completed with incorrect information. In addition, the form should only contain one signature. Therefore, we must consider the form invalid and ask that the attched blank form be completed Instructions are located onteh back of the form.
Although - according to the attachment that accompanied your inquiry - *** *** already addressed his request directly to our Personal Choice PPO Member Appeals Department, on August 7, 2015, please be advised that I have forwarded your inquiry to the apporpriate liaison to ensure their receipt. As part of its processes, upon receipt of *** ***'s appeal request, the Member Appeals Department will send him an acknowledgment letterThat letter will confirm our receipt, and will inform him when his appeal is scheduled to be heard, as well as any other pertinent information regarding his daughter's appeal.
*** ***, thank you for your patience while we resolve *** ***'s concernsIn the interim, I will look to receive the completed authorization formShould we finalize the appeal before the completed document is received, we will be required to correspond our findings directly to *** ***.
Sincerely,
Yvonne P***, Specialist
Executive Inquiries
attachment

I am writing to acknowledge receipt of the February 1, 2017, correspondence you addressed to Detra D***, Supervisor of Executive Inquiries DepartmentThis complaint was received in our office on February 10, 2017. On 2/7/17, *** *** was contacted and her concerns were
addressed via an inquiry she filed with the Pennsylvania Department of Insurance*** *** was satisfied with the outcome. As you know, the Federal Health Insurance Portability Accountability Act, known as HIPAA, requires that we obtain an individual’s written approval before disclosing his/her protected health information (PHI)In order for us to provide your office with a resolution, it would be needed for *** *** to complete the attached HIPAA Authorization Form. *** ***, that you for bringing this matter to our attention. Sincerely, Chris H***Executive Inquiries AnalystMarket Street, Philadelphia, PA

Good Afternoon,
Thank you for provided the completed HIPAA authorization formI will be in contact shortly with a response
If you have any questions, please contact me at (215) 241-
Sincerely,
Sylvia Baker

December 4, 2015Dear *** ***.Our Supervisor of the Executive Inquiries Department, Detra D***, has requested that l acknowledge your recent correspondence regarding *** ***The purpose of this letter is to provide your office with an authorization form.The federal Health Insurance
Portability and Accountability Act, known as the HIPA Privacy rule requires that we obtain an individual's written approval before using or disclosing his her protected health information (PHI) for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable lawThe written approval, called an authorization must contain certain required elements for us to consider it valid under the HIPAA Privacy rule.As such, we have enclosed an authorization form so that *** *** could complete the form naming you and your office as an authorized recipient of her PHI so that we can provide your office with our response upon the conclusion of our investigation.*** ***, should you have any additional questions, regarding this matter, please contact me at ###-###-#### and I will be glad to assist you.Sincerely ,Rafael D.Lead Client Services RepresentativeExecutive Inquiries Department

Good Afternoon *** ***,
Please advise if the member completed a HIPAA authorization form, which will allow our office to respond to MrEsposito's concerns
If you have any questions, please contact me at ###-###-####
Sincerely,
Sylvia B***, Specialist
Executive Inquiries

I am writing in response to the January 24, letter to Detra D*** on behalf of *** *** ***Your complaint was received in our office on January 31, and concerns *** ***’ policy cancellation. As you are aware, the federal Health Insurance Portability and
Accountability Act, known as the HIPAA Privacy rule requires that we obtain an individual’s written approval before using or disclosing his/her protected health information or PHIWhile our records indicate that there is no authorization for you to receive this member’s PHI, we want you to know that we have reviewed *** ***’ complaint to your officeIt was identified that we previously resolved this matter on January 24, and currently consider it closed. *** ***, we appreciate your bringing *** ***’ concerns to our attentionIf you have any additional questions, please do not hesitate to contact me at ###-###-#### Sincerely, Rasheeda H***Lead Client Services Rep.Executive InquiriesMarket Street, 13th FloorPhiladelphia, PA

I am writing to acknowledge receipt of the 5/3/17, correspondence addressed to Detra D***, Supervisor of the Executive Inquiries DepartmentThis complaint was received in our office on 5/10/17. As you know, the Federal health Insurance Portability and Accountability Act, known as
HIPAA, requires that we obtain an individual’s written approval before disclosing his/her protected health information (PHI)In order for us to provide your office with a resolution, it would be needed for *** *** to complete the attached HIPAA Authorization Form. *** ***, thank you for bringing this matter to our attention. Sincerely, Chris H***Executive Inquiries AnalystMarket Street, Philadelphia, PA 19103P ###-###-####

[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me.
Regards,
*** ***