T L C Marine Service Inc

Good Morning *** ***,
I received your inquiry on behalf of *** ***As you are aware, our office has not reeiceived a completed HIPAA authorizatio from your office
As a result, we are responding directly to the member
If you have any questions, please feel free to contact me at ###-###-####I will be happy to assist you
Sincerely,
Sylvia B***, Specialist
Executive Inquiries

I am writing to acknowledge receipt of the March 16, 2017, correspondence you addressed to Detra D***, Supervisor of the Executive Inquiries DepartmentThis complaint was received in our office on March 24, 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, *** *** may complete the attached HIPAA Authorization Form.*** ***, thank you for bringing this matter to our attention.Sincerely,Diane H***, Lead Client Services RepresentativeExecutive Inquiries Department

This email is to acknowledge receipt of your inquiryWe are currently reviewing the concerns presented; however, pursuant to HIPAA guidelines, we need to received a completed HIPAA Authorization form to release the member’s PHI to your officeTo this end, attached is a copy for you to forward to
the member for their review/completionOnce we receive it, we will share our findings with youIn the event that we do not receive it, we will respond directly to the member. Thanks. Reginald ***Executive Inquiries SpecialistOffice of Consumer Advocacy*** *** *** *** ***Philadelphia, PA 19103P ###-###-#### x | F ###-###-####

***4:PM (hours ago)Business response is age invalid I waited for 1/hr for mds office to contact Independence Blue Cross It is on TAPED conversation that the Shingles vaccination would be covered Office was aware that I was not interested if not

CUSTOMER NAME: *** ***
COMPLAINT ID: *** Dear *** ***:
I am writing to acknowledge receipt of the August 17, 2016, correspondence you addressed to Detra D***, Supervisor of the Executive Inquiries DepartmentThis complaint was received in our office on August 23, 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, *** *** may complete the attached HIPAA Authorization Form. *** ***, thank you for bringing this matter to our attention. Sincerely, Diane H***, Lead Client Services RepresentativeExecutive Inquiries Department Market Street, 13th FloorPhiladelphia, PA

I am writing to acknowledge receipt of the November 4, 2016, correspondence you addressed to Detra D***, Supervisor of the Executive Inquiries DepartmentThis complaint was received in our office on November 9, 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.Sincerely, Chris H***Executive Inquiries AnalystMarket Street, Philadelphia, PA

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]1/ THE HIPAA CREDENTIAL WAS ESTABLISHED YEARS AGO.2/ THE COMPANY CONTINUES TO BE IRRESPONSIBLE. THE MATTER IS FAR FROM SETTLED. SUPERVISORS ARE NOT FOLLOWING THROUGH. NO ONE IS REPLYING TO ME PER PROMISED PHONE CALLS. THE ACCOUNT REMAINS WRONG. I AM NEVER LATE ON MY BILLS.
 Complaint: [redacted]
I am rejecting this response because:
Regards,
[redacted]

March 19, 2015Dear [redacted]:Our Manager of the Executive Inquiries Department, Detra D[redacted], has requested that I respond to your recent correspondence regarding [redacted]. The purpose of this letter is to confirm that the complaint has been closed due to [redacted] received the refund which she had requested.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 (PHI) for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable law. The written approval, called an “authorization”, must contain certain required elements for us to consider it valid under the HIPAA Privacy rule.Our records reflect that we did not receive an authorization form from [redacted], naming you and your office as an authorized recipient of her PHI. However, we are aware that [redacted] closed her compliant with your office as she had received the refund in the amount of $2,007.16 and redeemed the check on March 9, 2015.[redacted], should you have any additional questions, regarding this matter, please contact me at ###-###-####. I will be glad to assist you.Sincerely,Raphael D., Specialist Executive Inquiries

Good Afternoon [redacted],
A copy of the members complaint was forwarded to our Claim Service Department. Please provide a copy of the complete authorization form which will allow our office to respond directly to you.
Sincerely,
Sylvia B[redacted], Specialist
Executive Inquiries

Revdex.com of Metro Washington DC & Eastern Pennsylviana,
We acknowledged the receipt of inquiry. It will be assigned to a specialist for review and response.
Chris R[redacted] Jr.Business Specialist
Customer Service 1901 Market Street, SG2Philadelphia, PA 19103P  ###-###-####  x[redacted]...

Good afternoon. I am writing to acknowledge the complaint regarding [redacted]. Previously, we received Ms. [redacted]’ concern specific to receiving benefit booklet by way of an February 2016 governmental inquiry.  We immediately confirmed her residential address and reissued...

the booklet to Ms. [redacted] overnight. We confirmed that we had previously fulfilled three prior requests but could not verify if there was an issue with the postal service. We were informed that the legislator’s office confirmed with Ms. [redacted] that she did receive the 168-page booklet and that she was satisfied. Please advise if you require additional information pertaining to this matter. Regards,Rafael P. D[redacted]Lead Client Services RepresentativeExecutive Inquiries Department [redacted] Philadelphia, PA 19103

CUSTOMER NAME:                        [redacted]COMPLAINT ID:                              [redacted] Dear Ms. [redacted]:            ...

          I am writing to acknowledge receipt of the May 12, 2016, correspondence you addressed to Detra D[redacted], Supervisor of the Executive Inquiries Department. This complaint was received in our office on May 18, 2016. The concerns presented by Ms. [redacted] 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, Ms. [redacted] may complete the attached HIPAA Authorization Form. Ms. [redacted], thank you for bringing this matter to our attention. Sincerely,        Diane H[redacted]Lead Client Services RepresentativeExecutive Inquiries Department [redacted]Philadelphia, PA 19103

I am writing in response to the May 2, 2016, letter to the Supervisor of the Executive Inquiries Department, Detra D[redacted], on behalf of Ms. [redacted]. Your complaint was received in our office on May 10, 2016 and concerns enrollment and billing activity.We have received the valid...

HIPAA authorization from Ms. [redacted], which lists your office as an authorized recipient of her PHI and are able to share the details about our review.The matter at hand In her correspondence, Ms. [redacted] expressed her position regarding enrollment and billing activity which has occurred on her account. As a result of the activity, improper application of premium payments and incorrect identification cards were generated.On behalf of our President and Chief Executive Officer, Mr. Daniel J. H[redacted], and our entire organization, we extend our sincere apology to Ms. [redacted] for the unacceptable level of service that she received pertaining to her experience.Please be assured that this is not indicative of the high-quality level of customer service that we strive to render to our customers and that we have taken the opportunity to provide additional training to the applicable client service team members.Our review Upon receipt of the correspondence, we reviewed all the activity on Ms. [redacted]'s policy and determined that the primary cause of the inaccuracies was an enrollment error. As a result of this error, we mistakenly applied premium payments for January, February, and March 2016 to an incorrect Preferred Provider Organization (PPO) account, as opposed to the correct Health Maintenance Organization (HMO) account for Ms. [redacted].Subsequent to the realization of the errors, we have corrected Ms. [redacted]'s enrollment records and transferred the appropriate monies to her HMO account under the proper Bill Account number [redacted]9000. The most recent premium payment for $417.34 was applied to Ms. [redacted]'s policy on April 27, 2016. As such, Ms. [redacted]'s account currently has a credit balance of $386.98. We are generating Ms. [redacted]'s June 2016 premium invoice today, and the credit balance with will be applied to the June 2016 premium. In addition, we have cancelled both the incorrect PPO policy and Billing Account number [redacted] in accordance with our revision of the issue.Ms. [redacted], we appreciate your bringing Ms. [redacted]'s concerns to our attention. If you have any additional questions regarding this matter, please do not hesitate to contact me at ###-###-####.Sincerely,Rafael P. D[redacted]Lead Client Services Representative Executive Inquiries Department

November 6, 2015Dear [redacted],I am writing to respond to your recent letter to the Manager of the Executive inquiries Department, Detra D[redacted]. The purpose of our letter is to inform you that as of October 26, 2015, our investigation is still underway regarding [redacted]'s concerns. She will...

receive a written response shortly.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 PHI for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable law. PHI is individually identifiable health information transmitted or maintained in any form or medium (including written, spoken, or electronic) related to health care, health conditions, payment for care, and identity. The written approval, called an '”authorization”, must contain certain required elements for us to consider it valid under the HIPAA Privacy rule.Should [redacted] wish to designate you/the Revdex.com to be the recipient of her PHl, please have her complete the enclosed Authorization to Release Information Form. To be considered valid, all required categories must be fully completed. The instructions are located on the back of the document. Please return the completed form to. Independence Blue Cross, Executive Inquiries Department - Tedra F[redacted], [redacted] Philadelphia, PA [redacted].[redacted], thank you for writing. If you have any additional questions, please contact me at ###-###-####. I will be happy to assist you.Sincerely,Tedra F., Specialist.Executive Inquiries

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
 Complaint: [redacted]
I am rejecting this response because: I informed Independence on two occasions in June 2016 that I was terminating my policy with them as of June 27, 2016. As of June 27, 2016 I started a new job that provided me with health care coverage so I no longer needed coverage from Independence. The $282.00 I inadvertently paid to Independence was after I informed them I was terminating my policy with them. Thus Independence still owes me $282.00. Regards, [redacted]Regards,
[redacted]

[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 [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]

I am writing to acknowledge receipt of the January 27, 2017, correspondence you addressed to Detra [redacted], Supervisor of the Executive Inquiries Department. This complaint was received in our office on February 3, 2017.The concerns presented by [redacted] 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, [redacted] must complete the attached HIPAA Authorization Form.[redacted], thank you for bringing this matter to our attention.Sincerely,Diane H[redacted], Lead Client Services RepresentativeExecutive Inquiries Department

I am writing to acknowledge receipt of the September 29, 2017, correspondence you addressed to Detra D[redacted], Supervisor of the Executive Inquiries Department.The concerns presented by [redacted] 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, [redacted] may complete the attached HIPAA Authorization Form.[redacted], thank you for bringing this matter to our attention.Sincerely,Diane H[redacted] Lead Client Services Representative

[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 [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]

Good Afternoon [redacted],The following claims have been reprocessed for [redacted].§  Claim number [redacted] for date of service October 21, 2014§  Claim number [redacted] for date of service October 31, 2014§  Claim number [redacted] for date of service November 6, 2014§  Claim number [redacted] for date of service November 11, 2014§  Claim number [redacted] for date of service November 11, 2014§  Claim number [redacted] for date of service November 24, 2014§  Claim number [redacted] for date of service December 3, 2014If you have any additional questions, please feel free contact me at ###-###-####. I will be happy to assist you.