The Center for Dermatology Care/Andrew Kaufman MD

I believe the patient is confused in regards to her accounts; our bookkeeping is accurate and correctAgain she has two accounts one for Center for Dermatology Care (Doctors fees) total amount that was sent to collections was $not $(this $which she speaks of is the balance on one line item not the total cost) and for Skin Surgery Center (facility charges) total amount sent to collections $92.80, total for professional and facility $not $I am also not sure where $is coming from because the balance sent to collections was $On the professional side we billed $2,for services on 06/25/surgery and $for 06/04/Consultation; these claims were split into three line items for $190,00, $1,and $Please see below a breakdown of both accounts as well as attached copies of our system breakdown and insurance explanation of benefitsI hope this helps clear up things on your endWe would be more than discuss this matter over the phone and walk her through looking at her account step by stepE [redacted] ***

Complaint: I am rejecting this response because: I am in receipt of the letter from Revdex.com quoting a message from E [redacted] of DrK [redacted] officeIn that message, a reference is made to a breakdown of both accounts and attached copies of their system breakdown and insurance explanation of benefitsThis referenced detail is what I requested in my last letter, however, there was no detail forwarded to me for my inspectionThe message from E [redacted] indicates she has justified their charges but I have yet to see a copy of this justificationI feel I’m entitled to examine the breakdown before paying the claimed balanceIs this an unreasonable expectation? I am still waiting to receive a copy of the detailed patient history breakdownRegards, B [redacted]

I believe the patient is confused in regards to her accounts; our bookkeeping is accurate and correct. Again she has two accounts one for Center for Dermatology Care (Doctors fees) total amount that was sent to collections was $237.87 not $27.54 (this $27.54 which she speaks of is the balance on one line item not the total cost) and for Skin Surgery Center (facility charges) total amount sent to collections $92.80, total for professional and facility $330.67 not $120.34. I am also not sure where $309.46 is coming from because the balance sent to collections was $330.67. On the professional side we billed $2,391.00 for services on 06/25/13 surgery and $190.00 for 06/04/13. Consultation; these claims were split into three line items for $190,00, $1,432.00 and $909.00. Please see below a breakdown of both accounts as well as attached copies of our system breakdown and insurance explanation of benefits. I hope this helps clear up things on your end. We would be more than discuss this matter over the phone and walk her through looking at her account step by step.
E[redacted]

This member has two accounts with our practice one for Skin Surgery Center chart...

$1607 Ambulatory Surgical Center (facility) 90-03[redacted]1 and the other The Center for Dermatology Care 77-0[redacted]8 chart #94**3 (professional services-office side) these are separate and identifiable practices with different National Provider Identifier and Tax Identification Numbers located on [redacted] W Hills Thousand Oaks, CA 91360. Skin Surgery Center acknowledges receipt of patient payments m on 09/02/13 for $10.00, check #1405 on 09/17/13 for $10.00 and check #1436 on 11/08/13 for $20.00 all three checks were posted and deducted from the patients account. We billed Anthem, member  insurance for $654.00 we received payment from patient insurance Anthem on 07/19/13  paying $531.20 leaving $132.80 towards patient responsibility coinsurance. Patient made three payments shown above totaling $40.00 leaving an unpaid balance on her account of $92.80.Our records show we  billed several statements to patient, first one being sent out on 08/15/13 for $132.80 which then patient paid on 09/02/13 $10.00, another statement for $122.80 went out on 09/12/13 and patient paid $10.00 09/17/13, third statement for $112.30 went out on 10/10/13 and patient sent in another payment of $20.00 on 11/08/13 leaving balance of $92,80. After that we sent three more statements on 12/19/13, 01/16/14 and 02/13/14 all for $92,80 in which the patient did not send in any further payments for Skin Surgery Center and the account was adjusted then turned over for collections.
If you should have any further questions or concerns, please do not hesitate to contact me.
E[redacted]
###-###-####

Complaint: 10604255
I am rejecting this response because:
I am in receipt of the letter from Revdex.com quoting a message from E[redacted] of Dr. K[redacted] office. In that message, a reference is made to a breakdown of both accounts and attached copies of their system breakdown and insurance explanation of benefits. This referenced detail is what I requested in my last letter, however, there was no detail forwarded to me for my inspection.
The message from E[redacted] indicates she has justified their charges but I have yet to see a copy of this justification.
I feel I’m entitled to examine the breakdown before paying the claimed balance. Is this an unreasonable expectation?
I am still waiting to receive a copy of the detailed patient history breakdown.
Regards,
B[redacted]

Review: Thank you for forwarding the Patient History Detail showing payments to Dr. A[redacted] as well as his Skin Surgery Center (also known as Center for Dermatology Care) in Thousand Oaks, California.

The billings I received from Dr. K[redacted] offices specified separate chart and account numbers differentiating the charges originating from the office and the surgical center, which are both located at the same address. It was necessary to separate the charges in order to accurately compare my payments with the combined statement you forwarded to me.

I found three payments made to the "Center for Dermatology Care" which were not credited to my account (listed below). My bank verified that each check had been cashed shortly after the issue dates.

#1401 9/2/2012 Skin Surgery Center $10.00 chart 1607

#1405 9/17/2012 Skin Surgery Center $10.00 chart 1607

#1436 11/8/2012 Skin Surgery Center $20.00 chart 1607

I do not deny that I owe a balance to Dr. K[redacted] services. The only reason I stopped making payments was because they stopped sending me Statements.

I do not understand, however, why my account was not credited for these payments made in 2012, but were cashed at that time.Desired Settlement: Please forward a copy of my updated account balance to me after the above referenced payments are deducted.

Business

Response:

This member has two accounts with our practice one for Skin Surgery Center chart $1607 Ambulatory Surgical Center (facility) 90-03[redacted]1 and the other The Center for Dermatology Care 77-0[redacted]8 chart #94**3 (professional services-office side) these are separate and identifiable practices with different National Provider Identifier and Tax Identification Numbers located on [redacted] W Hills Thousand Oaks, CA 91360. Skin Surgery Center acknowledges receipt of patient payments m on 09/02/13 for $10.00, check #1405 on 09/17/13 for $10.00 and check #1436 on 11/08/13 for $20.00 all three checks were posted and deducted from the patients account. We billed Anthem, member insurance for $654.00 we received payment from patient insurance Anthem on 07/19/13 paying $531.20 leaving $132.80 towards patient responsibility coinsurance. Patient made three payments shown above totaling $40.00 leaving an unpaid balance on her account of $92.80.Our records show we billed several statements to patient, first one being sent out on 08/15/13 for $132.80 which then patient paid on 09/02/13 $10.00, another statement for $122.80 went out on 09/12/13 and patient paid $10.00 09/17/13, third statement for $112.30 went out on 10/10/13 and patient sent in another payment of $20.00 on 11/08/13 leaving balance of $92,80. After that we sent three more statements on 12/19/13, 01/16/14 and 02/13/14 all for $92,80 in which the patient did not send in any further payments for Skin Surgery Center and the account was adjusted then turned over for collections.If you should have any further questions or concerns, please do not hesitate to contact me.E[redacted]###-###-####

Business

Response:

I believe the patient is confused in regards to her accounts; our bookkeeping is accurate and correct. Again she has two accounts one for Center for Dermatology Care (Doctors fees) total amount that was sent to collections was $237.87 not $27.54 (this $27.54 which she speaks of is the balance on one line item not the total cost) and for Skin Surgery Center (facility charges) total amount sent to collections $92.80, total for professional and facility $330.67 not $120.34. I am also not sure where $309.46 is coming from because the balance sent to collections was $330.67. On the professional side we billed $2,391.00 for services on 06/25/13 surgery and $190.00 for 06/04/13. Consultation; these claims were split into three line items for $190,00, $1,432.00 and $909.00. Please see below a breakdown of both accounts as well as attached copies of our system breakdown and insurance explanation of benefits. I hope this helps clear up things on your end. We would be more than discuss this matter over the phone and walk her through looking at her account step by step.E[redacted]

Consumer

Response:

Review: 10604255

I am rejecting this response because:I am in receipt of the letter from Revdex.com quoting a message from E[redacted] of Dr. K[redacted] office. In that message, a reference is made to a breakdown of both accounts and attached copies of their system breakdown and insurance explanation of benefits. This referenced detail is what I requested in my last letter, however, there was no detail forwarded to me for my inspection.The message from E[redacted] indicates she has justified their charges but I have yet to see a copy of this justification.I feel I’m entitled to examine the breakdown before paying the claimed balance. Is this an unreasonable expectation?I am still waiting to receive a copy of the detailed patient history breakdown.Regards,