T L C Marine Service Inc

See Attached form.

Attached please find our acknowledgement letter and an authorization form for completion. Please let me know if you need anything.

March 12, 2015Dear [redacted]:I am writing in response to your February 6, and February 23, 2015, correspondence to [redacted], Manager of the Executive Inquiries Department. Your inquiry was written on behalf of [redacted], and is written in follow up to his initial inquiry regarding his efforts to have his policy canceled. The purpose of this letter is to explain our involvement with the cancellation of his health insurance policy, and what [redacted] needs to do to have this matter resolved.Your original inquiry was dated December 3, 2014, and included a completed Authorization to Release Information form. As a result, we are able to disclose [redacted]'s protected health information to you under the federal Health Insurance Portability and Accountability Act, known as ?????.Our review at issue is [redacted]'s continued complaint that we did not honor his repeated requests that we cancel his [redacted] HMO Silver Proactive policy effective August 1, 2014, and that we have inappropriately billed him for coverage periods beyond that date. We certainly regret his ongoing frustration, but need to reiterate that the appropriate means for [redacted] to have this matter resolved would be for him to contact Marketplace.The Marketplace will review the circumstances and will determine if [redacted]'s policy should be canceled retroactive to August 1, or not. Should the Marketplace determine that a change in the effective date of [redacted]'s cancellation is warranted, it will formally notify our plan, at which time we will comply and retroactively adjust our membership file accordingly.[redacted]'s most recent enrollment activity. Most recently, we enrolled [redacted] with a January 1, 2015, effective date. We do so following notification we received from the Marketplace on December 23, 2014. As a result of this action, [redacted] began receiving premium invoices. Based on subsequent notification we received from the Marketplace, we canceled [redacted]'s policy effective March 1, 2015.We would like to underscore that the most important step [redacted] can take to have the cancellation of his enrollment addressed and resolved properly will be for him to contact the Marketplace. Only the Marketplace can initiate the type of coverage changes – including determining cancellation dates – which [redacted] seeks. Independence Blue Cross (IBC) is unable to facilitate and/or to initiate any action on such requests, except those we receive as formal notification from the Marketplace.[redacted], thank you for bringing this matter to our attention, and for allowing us to be of assistance. We hope that the information provided clarifies what has happened with regard to [redacted]'s enrollment; why he has received premium invoices; and what he needs to do to have his policy canceled formally. Certainly, should he have additional questions about this issue, he can be reach us by contacting 1-800-ASK-BLUE.Sincerely,Yvonne P[redacted]Specialist/Executive Inquiries

Complaint ID [redacted]Dear [redacted]:                       I am writing to acknowledge receipt of the August 10, 2017, correspondence you addressed to Detra D[redacted], Supervisor of the Executive Inquiries Department. This complaint...

was received in our office on August 29, 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] may 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 in response to your March 3, 2015, correspondence to Detra D[redacted], Supervisor of the Executive Inquiries Department. Your inquiry was written on behalf of [redacted]'s mother, who contacted your office regarding her daughter’s enrollment and its impact on her ability to obtain the prescription medication she requires.Unfortunately, we have not received the completed Authorization to Release Information form that would enable us to disclose the details of our review with you. Additionally, it is important to note that our records indicate that there is no authorization on file for Ms. [redacted]’s mother to receive her protected health information either. We are therefore prohibited from disclosing any information regarding our review to you concerning this member.Rather than delay our response, please be advised that we have corresponded our findings directly to Ms. [redacted]. What we can tell you is that we provided her with a clear and favorable resolution to the concerns her mother presented.Mr. [redacted], thank you for writing. If you have any additional questions, please contact me at ###-###-####. I will be happy to assist you.Sincerely, Yvonne Pilgrim, Specialist Executive Inquiries

Today, Independence Blue Cross received the Revdex.com’s letter dated June 23, 2013, sent on behalf of  [redacted] has a plan that is governed by the Centers for Medicare and Medicaid Services. As such, we have forwarded your letter to our Medicare Member Appeals and Grievance Department for review and response. This area will contact [redacted] directly about her inquiry, as well as the results of its review.   If you have any questions, please do not hesitate to contact me. Sincerely, Detra D[redacted]Executive Inquiries SupervisorCustomer Service1901 Market Street13th floorPhiladelphia, PA 19103

This email is to acknowledge receipt of your inquiry. We 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 office. To this end, attached is a copy for you to forward to...

the member for their review/completion. Once we receive it, we will share our findings with you. In the event that we do not receive it, we will respond directly to the member. Thanks.  Reginald H[redacted]Executive Inquiries SpecialistOffice of Consumer Advocacy[redacted]Philadelphia, PA 19103P  ###-###-####  x23034  |   F  ###-###-####

Dear Mr. [redacted]:
I am writing to acknowledge our receipt of the complaint filed by [redacted]. We are currently working to resolve his concerns. Please note they we will need a completed HIPAA form which will alow our office to respond to you.
If you have any questions, please feel free to...

contact me at ###-###-####. I will be happy to assist you.
Sincerely,
Sylvia B[redacted], Specialist
Executive Inquiries

Case ID: [redacted] Customer: [redacted]  Dear [redacted]:Our Supervisor of the Executive Inquiries Department, Detra D[redacted], has requested that I acknowledge our recent correspondence regarding [redacted]. The purpose of this letter is to provide your office with an authorization...

form. Compliance with the HIPAA Privacy Rule. 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. As such, we have attachedan authorization form so that [redacted]can complete the form naming you and your office as an authorized recipient of her PHI. Upon receipt and confirming the form’s validity, we can release our findings to you about the case. Ms. [redacted], should you have any additional questions please contact me at  [redacted]. I will be glad to assist you. Sincerely,   Tedra F[redacted]Executive InquiriesExecutive Inquiry Specialist[redacted]Philadelphia, PA 19103P  [redacted]  |  F  [redacted]

[redacted]
Good evening.
I am writing to acknowledge our receipt of this inquiry. However, as the email below [redacted]'s rejection is dated November 19, 2015, it is unclear what is actually being rejected. I've called your office and left you a voicemail as well. You may call me at ###-###-#### or email me directly at [redacted].com so that we can discuss.
Regards,
Rafael *. D[redacted] Lead Client Services Representative
Executive Inquiries Department

[redacted]
Good morning.
Although we have already conversed regarding this case, I am writing to officially acknowledge the complaint. I spoke with [redacted] and received additional information yesterday. Our review is currently underway and I will provide...

your office with our response upon the conclusion of our investigation.
In the interim, should you have any questions, please contact me directly at [redacted]
Thank you.
Regards,
Rafael P. D[redacted]
Specialist
Executive Inquiries Department

Complaint: [redacted]
I am rejecting this response because:  
The letter Ms. F[redacted] attached has several factual errors.   The Claim Activity Report I received 11/16/2015 is incorrect.  Also I contacted her her on 11/19/2015 at 10:52 AM  regarding the report and left a message on her voicemail.  I also attempted to email her, however I received an auto-response email that she would be out of town until 12/1/15.  For her to state that I had not contacted her by the date of the letter is absolutely a falsehood.  Ms. F[redacted] did leave a message on  12/1/15 at 2:50PM and I returned her call at 4:45 PM and left an additional voicemail for her stating the inaccuracies on the Claim Activity Record and also moted there are numerous other issues to be addressed. This issue is not resolved and needs further work.
Regards,
[redacted]

I was forwarded the below email from Independence for Inquiry [redacted].  The specific claim in question was paid correctly according to the provider’s contract with [redacted].  If the provider disputes the rates paid, they need to contact [redacted]’s Provider Services department at ###-###-#### for further assistance with their contract. If you have any questions, please let me know. Thanks,Maureen Maureen R[redacted]Supervisor

[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]
 Complaint: [redacted]
I am rejecting this response because:they are lying about what REALLY happened.The story is as follows, so Blue Cross, get it right!After contacting the Revdex.com, I still had not received the book for weeks.  And FYI Revdex.com had not received any response from BC as well.  I went to our Reps office, complained about the issue, and the Rep contacted BC.. BC claimed they would overnight deliver with mail signature required.. HOWEVER, I never recieved the overnight delivery, and the Congressman Rep called me to see if I got it.. I did not, so the Congressman Rep AGAIN RE-CONTACED BC asking where the book was.  They finally sent it.HOWEVER,  the facts remain.  THE Revdex.com contacted BC, and Blue Cross ignored the communication completely, didn't you? It was not until I sicked the Government Rep office on BC, that BC responded.So in essence, in your world BC,  the Revdex.com is insignificant, or you would have immediately responded to the Revdex.com request, correct? I mean, why ignore them?Needless to say, if you were really concerned about me getting the book, when I initially asked TWICE in January, YOU would have overnighted it, rather than wait until forced by Government Reps.  YOUR BOOKS are shipped from MECHANICSBURG PA, TWO HOURS FROM MY HOUSE.. and yet, never come??? Mystery I dear say! hmmmI will now forever contact Gov. reps in the future, when I need BC to do the job that my premiums pay BC to do!Apparently these are the only people BC will respond to.The rating for this company should be a C+.  NO CONSUMER SHOULD HAVE TO RESORT TO COMPLAINING TO A GOVERNMENT ENTITY IN ORDER FOR A CORPORATION TO DO WHAT THEY ARE CONTRACTED TO DO!
[redacted]

Re:   [redacted] [redacted]
 
Dear Ms. [redacted]: 
I am writing to acknowledge our receipt of your February 28, 2015, correspondence to Detra D[redacted], Manager of the Executive Inquiries Department. We appreciate your writing to alert us to Ms....

[redacted]'s concern(s). 
In order to fully address the concerns you have presented, additional research is necessary. I have forwarded your correspondence to the appropriate liaison for further review.However, as you may be 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 her/his protected health information or 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 indicate that there is no authorization for you to receive this member’s PHI. As a result, we cannot disclose any information regarding our member. We ask that you have Ms. [redacted] complete the enclosed Authorization to Release Information form. In order for us to consider the authorization valid, all sections of the document must be completed. Should [redacted] require assistance, instructions for the completion of the form are located on the back of the document. When she has proved you with the completed the authorization form, to expedite our receipt, please forward it to me via email as a PDF.
If we have not received the completed autorization form by the time we have finalized our review, we will respond directly to Ms. [redacted]. 
Ms. [redacted], should we complete our review before the completed form is received, we will be required to correspond our findings directly to Ms. [redacted]. Thank you for bringing this matter to our attention and for the opportunity to address her concerns. 
Sincerely, 
 
Yvonne M. P[redacted], Specialist/Executive Inquiries 
Enclosure

[redacted]5:18 PM (17 hours ago)to me No, the complaint has not been resolved.  I received an email from the Revdex.com with a link to a letter from Blue Cross.  In the letter, Blue Cross stated that they would be sending a check for the amount in question.  I still have not received this check.

Complaint: [redacted]
I am rejecting this response because:
Regards,
[redacted] MESSAGE:Dear [redacted],I have read the response from Independence Blue Cross.  It states "[redacted] gave permission for the [redacted] to complete her Council for Affoirdable Quality Healthcare (CAQH) information and supply additional information as needed.  THIS IS THE PROBLEM!!!!!I NEVER GAVE PERMISSION FOR THIS!!!!!  I have NO IDEA how this information was changed in the CAQH website! Also, in December of 2014 Independence Blue Cross faxed a form to update our contact information.  The form was filled out immediately and faxed back the same day to the number provided.  [redacted] Hospital's information was NOWHERE on that form! My credentialing contact information in CAQH has since been corrected, however, this error has wreaked havoc for my practice and my Independence Blue Cross patients.Sincerely,[redacted], CNM[redacted]###-###-####

[redacted],
I am writing to acknowledge this complaint. We will commence an investigation and present your office with our response upon the conclusion of our review.
Sincerely,
Rafael ** D[redacted]

A HIPAA authorization form was faxed to your attention on October 13, 2016 in reference to the inquiry from [redacted]. 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. While 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 [redacted]’s complaint to your office. I mailed a response letter to the member on October 19, 2016 advising the issue has been resolved. [redacted], we appreciate your bringing [redacted]’s concerns to our attention. If you have any additional questions, please do not hesitate to contact me at ###-###-####. Jamela W[redacted]Customer Touch Point Analyst IIExecutive Inquiries1901 Market St., 13th FloorPhiladelphia, PA 19103

Our Supervisor of the Executive Inquiries Department, Detra [redacted], has requested that I acknowledge your recent correspondence regarding Mr. [redacted]. 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 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.As such, we have enclosed an authorization form so that Mr. [redacted] can complete the form naming you and your office as an authorized recipient of his PHI so that we can provide your office with our response upon the conclusion of our investigation.Ms. [redacted], should you have any additional questions, regarding this matter, please contact me at ###-###-#### and I will be glad to assist you.Sincerely,Tedra F[redacted] Lead Client Services Representative Executive Inquiries Department