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T L C Marine Service Reviews (78)

Re: [redacted] File No: [redacted] Dear [redacted] : I am writing to acknowledge and reply to your March 11, 2015, correspondence to [redacted] , Supervisor of the Executive Inquiries DepartmentYour inquiry is written on behalf of [redacted] , who contacted your office regarding his efforts to obtain precertification approval of the device used in conjunction with a Bronchial Thermoplasty procedure [redacted] is an associate of the Independence Blue Cross Family of CompaniesAs such, I have forwarded your inquiry to our Human Resources Division for review and response We welcome the opportunity to be of assistance and thank you for bringing this matter to our attention [redacted] Sincerely, Yvonne P [redacted] , Specialist Executive Inquiries

Hello [redacted] ***, I am responding to [redacted] s latest rejection to the complaint. We are sensitive to [redacted] s situation and recognize that this is not the outcome he had expected. On November 27, 2017, [redacted] told me that he would call the performing provider... and conference me on the call—this did not happen. To date, [redacted] has not called me back as promised. At this time, we consider this case to be resolved as we do not have any additional or new information to give to [redacted] or the BBB. Lastly, once [redacted] has appointed the BBB as an authorized recipient of his personal health information, I can send you a copy of our response letter. Our response letter explains in great detail about out-of-area provider contracting and claim processing procedures. Please let me know if you require anything else. Sincerely, Tedra F [redacted] Executive Inquiries Department Executive Inquiry Specialist 1900 Market Street, 6th floor Philadelphia, PA 19103 P ###-###-#### X [redacted] | F ###-###-#### NOTICE: This email message is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.

I apologize for the delay in our response regaring [redacted] ***'s concernsI am waiting to obtain confirmation that the update has been made If you have any questions, please contact me at [redacted]

I am writing to acknowledge receipt of the October 7, 2016, correspondence you addressed to Detra D [redacted] , Supervisor of the Executive Inquiries DepartmentThis complaint was received in our office on October 21, 2016.The concerns presented by [redacted] are being reviewed, and will be addressed upon finalization of our reviewAs 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 attentionSincerely, Diane H***, Lead Client Services RepresentativeExecutive Inquiries Department Market Street, 13th FloorPhiladelphia, PA

November 9, 2015Dear [redacted] ***Our Supervisor of the Executive Inquiries Department, Detra D [redacted] , has requested that I acknowledge your recent correspondence regarding [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 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 [redacted] could 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[redacted] ***, should you have any additional questions, regarding this matter, please contact me at ###-###-#### and I will be glad to assist you.SincerelyRafael D., SpecialistExecutive Inquiries Department

RE: Member: [redacted] Revdex.com ID #: [redacted] Dear [redacted] ***, Our records indicate that there is no authorization for The Revdex.com to receive this member’s protected health information or PHIAs a result, we cannot disclose any information regarding our memberPlease complete the enclosed Authorization form and return it in the envelope providedOnce this information is received and processed, we will be able to release your PHI to your designated recipient

Good Afternoon [redacted] ***, Check number [redacted] has been issued to [redacted] in the amount of $to the member's correct mailing address: [redacted] Bristol, PA *** [redacted] should receive the check shortly If you have any additional questions regarding this matter, please feel free to contact me at ###-###-####I will be happy to assist you Sincerely, Sylvia B***, Specialist Executive Inquiries

I am writing in response to your May 2, 2016, correspondence, as well as to your May email, to Detra D [redacted] -S [redacted] , Supervisor of the Executive Inquiries DepartmentYour original inquiry was received on May 10, and was written on behalf of Ms [redacted] , who contacted your office regarding the enrollment status of her newborn daughter, as well as a claim processing issue 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 lawThe written approval, called an “authorization”, must contain certain required elements for us to consider it valid under the HIPAA Privacy ruleUnfortunately, we do not have a completed Authorization to Release Information form on file designating you/the Revdex.com as recipients of our member’s protected health informationAs a result, we are unable to disclose any information regarding our review to youHowever, you have our assurance that we have completed our review and that rather than delay our reply, we have responded directly to Ms [redacted] Ms***, we thank you for bringing Ms [redacted] ’s concerns to our attention, and for allowing us the opportunity to be of assistanceSincerely,

Good Afternoon [redacted] , I am writing to acknowledge our receipt of your recent complaint on behalf of [redacted] We are currently investigating the concerns expresssed by [redacted] Our records indicate that there is no authorization for youroffice to receive [redacted] protected health information or PHIAs a result, we cannot disclose any information regarding our memberPlease complete the enclosed Authorization form Once this information is received and processed, we will be able to release his PHI to your office Sincerely, Sylvia B***, Specialist Executive Inquiries

I am writing to acknowledge receipt of the March 27, 2017, correspondence you addressed to Detra D [redacted] , Supervisor of the Executive Inquiries DepartmentThis complaint was received in our office on April 4, The concerns presented by [redacted] are resolved, and the member has been notifiedShould you require additional information, please contact meSincerely, Kathleen L [redacted] Lead Client Services RepresentativeExecutive Inquiries

I am writing to acknowledge our receipt of the March 4, 2016, email you addressed to Detra D [redacted] -S [redacted] ,Supervisor of the Executive Inquiries DepartmentIn order to fully address the concerns you have presented, additional research is necessary I have forwarded your correspondence to the appropriate liaison(s) for further review I have reviewed the Authorization to Release Information form that accompanied your inquiry.Unfortunately, the document cannot be considered valid for two reasons: 1) the Health Plan, and 2)Member Signature sections of the form are not completed correctlyThe Health field should list thecoverage plan in question and the member written signature is requiredPlease have Ms [redacted] complete another authorization formOnce the document has been completedplease forward it to my attentionShould we finalize our review before the completed form is received,we will respond directly to Ms [redacted] Ms***, thank you for your patience while we resolve this matter.You may expect our response shortlySincerely, Yvonne MP [redacted] , Specialist Executive Inquiries

[redacted] ***, May 12, 2015Dear [redacted] ***:Our Supervisor of the Executive Inquiries Department, Detra D [redacted] - [redacted] , has requested that I respond to your May 5, 2015, correspondence regarding [redacted] The purpose of this letter is to inform your office that we have responded directly to [redacted] .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 lawThe written approval, called an “authorization', must contain certain required elements for us to consider it valid under the HIPAA Privacy rule.As we have not received an authorization form from your office with [redacted] naming you and your office as an authorized recipient of her PHI and to prevent any unnecessary delays, we have directed our response to [redacted] In our April 29, 2015, response letter, we addressed [redacted] 's concern completelyI trust that [redacted] will find that our response sufficiently resolved her concerns[redacted] ***, we appreciate your office bringing [redacted] 's concerns to our attentionI kinldy ask that you share this letter with your colleague [redacted] as we have received and responded to inquiries regarding [redacted] from [redacted] as well Regards, Rafael *D [redacted] Executive Inquiries Department Independence Blue Cross

[redacted] I am writing to acknowledge the inquiry regaridng [redacted] *** We are currently investigating [redacted] ***'s concerns and will provide our response to as expeditiously as possibleThis is not our final response We appreciate your providing the HIPAA authorization for [redacted] *** Thank you, Rafael [redacted] D [redacted] Specialist, Executive Inquiries Department

[redacted] Philadelphia, PA 19103-1480IndependenceMarch 23, 2015Mr [redacted] The Revdex.com KStreet NW, 10th Floor Washington, DC 2005-3404Re: [redacted] ***File No: [redacted] I am writing in response to your March 20, 2015, email to the Manager of the Executive Inquiries Department, Detra D [redacted] The purpose of our letter is to inform you that Mr***'s concerns have been resolved.On March 20, 2015, we notified your office that in accordance with the federal Health Insurance Portability and Accountability Act requirement, authorization was needed from Mr [redacted] to release his protected health information (PHI)As of today, we have not received the completed form.Because this letter provides general information, we are able to respond to you regarding the matter in question.Addressing his concerns Mr [redacted] contacted your office about not receiving a refund for a previous accountHe also advised that his current coverage is showing delinquent and in danger of cancellationMr [redacted] asks that we correct his account and apply his premium payments accordingly.The concerns expressed by Mr [redacted] have been addressed and the outcome is favorable to the member.(over)Mr [redacted] , if you have any additional questions, please feel free contact me at ###-###-####I will be happy to assist you.Sincerely,Sylvia B***, Specialist Executive Inquiries

I am writing in response to your March 3, 2015, correspondence to Detra D [redacted] , Supervisor of the Executive Inquiries DepartmentYour 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 youAdditionally, it is important to note that our records indicate that there is no authorization on file for Ms***’s mother to receive her protected health information eitherWe 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***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 writingIf you have any additional questions, please contact me at ###-###-####I will be happy to assist you.Sincerely, Yvonne Pilgrim, Specialist Executive Inquiries

Hi Heather, Please see the attached HIPAA Authorization form for [redacted] I will be handling this inquiryThanks,Chris H***Executive Inquiries AnalystMarket Street, Philadelphia, PA

Re: [redacted] Dear Mr [redacted] : I am writing to acknowledge our receipt of your March 3, 2015, correspondence to Detra D [redacted] , Manager of the Executive Inquiries DepartmentWe appreciate your writing to alert us to Ms ***'s concern(s) In order to fully address the concerns you have presented, additional research is necessaryI have forwarded your correspondence to the appropriate liaison for further reviewHowever, 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 lawThe 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 PHIAs a result, we cannot disclose any information regarding our memberWe ask that you have Ms*** complete the enclosed Authorization to Release Information formIn order for us to consider the authorization valid, all sections of the document must be completedShould Ms*** require assistance, instructions for the completion of the form are located on the back of the documentWhen 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*** Mr [redacted] , should we complete our review before the completed form is received, we will be required to correspond our findings directly to Ms***Thank you for bringing this matter to our attention and for the opportunity to address her concerns Sincerely, Yvonne MP [redacted] , Specialist/Executive Inquiries Enclosure

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 DepartmentThis 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 reviewAs 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***, Lead Client Services RepresentativeExecutive Inquiries Department

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