This issue was brought to our attention on 9/4/and we immediately began working to get this resolved When we originally received the Explanation of Benefits from the patient's insurance company, [redacted] ***, they indicated a patient balance responsibility of $as part of the patient's co-insurance Therefore, accordingly, we moved that balance to reflect patient responsibility Shortly after 9/4/we called the patient's insurance company to verify if our claim had been processed correctly [redacted] advised that they had processed our claim incorrectly, placing $as patient responsibility which exceeded the case fee amount [redacted] is now reprocessing our claim per our request and we should receive a corrected Explanation of Benefits from them within the next 3-weeks In the meantime we regret that the patient received a call from us regarding a balance owed We have moved that balance out of patient responsibility so the patient will not receive any more calls We will wait for [redacted] to send out the corrected EOB at which time we will post to the patient's account We encourage the patient to contact their insurance company should this issue arise again Thank-you for the opportunity to serve Joe M [redacted] Manager Physiotherapy Associates - Customer Service Department
We
have reviewed *** ***'s complaint and disagree with her assessment of the
charges for March 12th. *** *** was correctly billed as follows:unit Evalunits Ther Ex (mins)unit Man Ther (mins)1 unit Ther Act (mins). Each
unit is for to minutes. As
a
courtesy to *** *** we are rebilling that day of service as follows: unit Evalunit Ther Ex unit Man TherIf
you should have any questions or require any additional information, please do
not hesitate to contact me.Regards,Maureen F*Manager Legal & Regulatory AffairsPhysio™*** *** *** *** ***Exton, PA ***P ###-###-####F ###-###-####
This issue was brought to our attention on 9/4/15 and we immediately began working to get this resolved. When we originally received the Explanation of Benefits from the patient's insurance company, [redacted], they indicated a patient balance responsibility of $340.00 as part of...
the patient's co-insurance. Therefore, accordingly, we moved that balance to reflect patient responsibility. Shortly after 9/4/15 we called the patient's insurance company to verify if our claim had been processed correctly. [redacted] advised that they had processed our claim incorrectly, placing $340.00 as patient responsibility which exceeded the case fee amount. [redacted] is now reprocessing our claim per our request and we should receive a corrected Explanation of Benefits from them within the next 3-4 weeks. In the meantime we regret that the patient received a call from us regarding a balance owed. We have moved that balance out of patient responsibility so the patient will not receive any more calls. We will wait for [redacted] to send out the corrected EOB at which time we will post to the patient's account. We encourage the patient to contact their insurance company should this issue arise again. Thank-you for the opportunity to serve.
Joe M[redacted]
Manager
Physiotherapy Associates - Customer Service Department
Thank-you for bringing this matter to our attention. We have looked in to the nature of this complaint and there is a balance owed by [redacted] in the amount of $35.00. We have received one payment from [redacted] in the amount of $35.00 which posted in January 2015, however,...
there is still another $35.00 owed. [redacted] states that she already paid this amount back in November 2014 but we do not have any record of that payment. We will contact [redacted] and request a copy of any receipt or proof she may have which shows that this was paid. Once we receive this proof we will take the appropriate action and credit her account. In the event [redacted] can not provide proof of payment we will consider the amount of $35.00 owed to us.
This issue was brought to our attention on 9/4/and we immediately began working to get this resolved When we originally received the Explanation of Benefits from the patient's insurance company, [redacted] ***, they indicated a patient balance responsibility of $as part of the patient's co-insurance Therefore, accordingly, we moved that balance to reflect patient responsibility Shortly after 9/4/we called the patient's insurance company to verify if our claim had been processed correctly [redacted] advised that they had processed our claim incorrectly, placing $as patient responsibility which exceeded the case fee amount [redacted] is now reprocessing our claim per our request and we should receive a corrected Explanation of Benefits from them within the next 3-weeks In the meantime we regret that the patient received a call from us regarding a balance owed We have moved that balance out of patient responsibility so the patient will not receive any more calls We will wait for [redacted] to send out the corrected EOB at which time we will post to the patient's account We encourage the patient to contact their insurance company should this issue arise again Thank-you for the opportunity to serve Joe M [redacted] Manager Physiotherapy Associates - Customer Service Department
We
*Manager Legal & Regulatory AffairsPhysio™*** *** *** *** ***Exton, PA ***P ###-###-####F ###-###-####
have reviewed *** ***'s complaint and disagree with her assessment of the
charges for March 12th. *** *** was correctly billed as follows:unit Evalunits Ther Ex (mins)unit Man Ther (mins)1 unit Ther Act (mins). Each
unit is for to minutes. As
a
courtesy to *** *** we are rebilling that day of service as follows: unit Evalunit Ther Ex unit Man TherIf
you should have any questions or require any additional information, please do
not hesitate to contact me.Regards,Maureen F
This issue was brought to our attention on 9/4/15 and we immediately began working to get this resolved. When we originally received the Explanation of Benefits from the patient's insurance company, [redacted], they indicated a patient balance responsibility of $340.00 as part of...
the patient's co-insurance. Therefore, accordingly, we moved that balance to reflect patient responsibility. Shortly after 9/4/15 we called the patient's insurance company to verify if our claim had been processed correctly. [redacted] advised that they had processed our claim incorrectly, placing $340.00 as patient responsibility which exceeded the case fee amount. [redacted] is now reprocessing our claim per our request and we should receive a corrected Explanation of Benefits from them within the next 3-4 weeks. In the meantime we regret that the patient received a call from us regarding a balance owed. We have moved that balance out of patient responsibility so the patient will not receive any more calls. We will wait for [redacted] to send out the corrected EOB at which time we will post to the patient's account. We encourage the patient to contact their insurance company should this issue arise again. Thank-you for the opportunity to serve.
Joe M[redacted]
Manager
Physiotherapy Associates - Customer Service Department
Thank-you for bringing this matter to our attention. We have looked in to the nature of this complaint and there is a balance owed by [redacted] in the amount of $35.00. We have received one payment from [redacted] in the amount of $35.00 which posted in January 2015, however,...
there is still another $35.00 owed. [redacted] states that she already paid this amount back in November 2014 but we do not have any record of that payment. We will contact [redacted] and request a copy of any receipt or proof she may have which shows that this was paid. Once we receive this proof we will take the appropriate action and credit her account. In the event [redacted] can not provide proof of payment we will consider the amount of $35.00 owed to us.
Joe M[redacted]
Manager
Physiotherapy Associates