Tri-City Endocrinology

Revdex.comViewridge Ave #200San Diego, CA [redacted] Response to complaint # [redacted] April 22, 2015·PAGE 02The patient's main complaint is that she was overcharged for services and was not fully refundedher money fn a timely mannerShe was correctly charged by our office, and because her insurancewas so slow to process her claim, we could not know how much to refund herFortunately thisissue has been resolved and the patient has received her refund.To explain the situation, there are certain procedures that must be followed when seeing a patientwith medical insurance, and also when issuing a refundFirst, we must collect a patient'sdeductable and copayment prior to seeing themIn this patient's case, she had paid a portion of herdeductable to another physician, but her insurance had not yet updated this informationSecondly,the insurance company needs to process the claim before we can know exactly what the refuJ'l.d willbeJn this case, and many others, the insurance company did not complete the claim in the normalamount oftime (it should have cleared by March 23rd) when actually it did not clear until AprillOth, at which pofnt we were able to know what her refund would be (less her deductable andcopayment) and issue her the correct refundThis was done on April 20th.Our biller has explained these things to the patient and we sincerely apologize for any .inconvenience and distress this has caused herWe continue to try to deHver the highest qualitymedical care at reasonable rates, despite the very complex medical insurance and reimbursementarena[redacted] ***

Revdex.com4747 Viewridge Ave #200San Diego, CA 92123[redacted]Response to complaint 10 # [redacted]April 22, 2015·PAGE 02The patient's main complaint is that she was overcharged...

for services and was not fully refundedher money fn a timely manner. She was correctly charged by our office, and because her insurancewas so slow to process her claim, we could not know how much to refund her. Fortunately thisissue has been resolved and the patient has received her refund.To explain the situation, there are certain procedures that must be followed when seeing a patientwith medical insurance, and also when issuing a refund. First, we must collect a patient'sdeductable and copayment prior to seeing them. In this patient's case, she had paid a portion of herdeductable to another physician, but her insurance had not yet updated this information. Secondly,the insurance company needs to process the claim before we can know exactly what the refuJ'l.d willbe. Jn this case, and many others, the insurance company did not complete the claim in the normalamount oftime (it should have cleared by March 23rd) when actually it did not clear until AprillOth, at which pofnt we were able to know what her refund would be (less her deductable andcopayment) and issue her the correct refund. This was done on April 20th.Our biller has explained these things to the patient and we sincerely apologize for any .inconvenience and distress this has caused her. We continue to try to deHver the highest qualitymedical care at reasonable rates, despite the very complex medical insurance and reimbursementarena.[redacted]

Revdex.com4747 Viewridge Ave #200San Diego, CA 92123[redacted]Response to complaint 10 # [redacted]April 22, 2015·PAGE 02The patient's...

main complaint is that she was overcharged for services and was not fully refundedher money fn a timely manner. She was correctly charged by our office, and because her insurancewas so slow to process her claim, we could not know how much to refund her. Fortunately thisissue has been resolved and the patient has received her refund.To explain the situation, there are certain procedures that must be followed when seeing a patientwith medical insurance, and also when issuing a refund. First, we must collect a patient'sdeductable and copayment prior to seeing them. In this patient's case, she had paid a portion of herdeductable to another physician, but her insurance had not yet updated this information. Secondly,the insurance company needs to process the claim before we can know exactly what the refuJ'l.d willbe. Jn this case, and many others, the insurance company did not complete the claim in the normalamount oftime (it should have cleared by March 23rd) when actually it did not clear until AprillOth, at which pofnt we were able to know what her refund would be (less her deductable andcopayment) and issue her the correct refund. This was done on April 20th.Our biller has explained these things to the patient and we sincerely apologize for any .inconvenience and distress this has caused her. We continue to try to deHver the highest qualitymedical care at reasonable rates, despite the very complex medical insurance and reimbursementarena.[redacted]

Review: On Jan 15 2015 I went to this medical facility called [redacted] also dba Tri City Endo.[redacted] and [redacted] was told I needed to pay $139.85 by a young girl behind the counter who looked like she was straight out of high school.I told her my insurance ([redacted]) did not work that way and she said "Pay It or dont see the doctor".I wrote a check and they cashed it 2 weeks later.I was NOT supposed to be charged this amount and as a senior on a limited income,my insurance company informed me to FIGHT TO GET MY MONEY RETURNED.I was then directed by the same office to take it up with their billing person as THERE WAS NO OFFICE MANAGER! Ok so I did..their billing person is in [redacted]a and her name is [redacted] Oceanside phone number but yet she is "Supposedly" in [redacted] looked into it and said OOPS yes your right WE DO OWE you that money back.I will see to it that the accountant in [redacted] will cut you a check and you will have it by Mar.23 2015.We will call it an overcharge and if its not there by the 23rd call me.I have called everyday since the 23rd of March and this woman [redacted] Reem will not return my calls.She never answers a phone lets all calls go to Voice Mail.Ive tried being nice,angry,aggressive,passive they WILL NOT RESPOND AND THEY STILL HAVE MY MONEY..As a senior this is Elder Abuse and I am also going to file an incident report with the [redacted].. this business DO NOT CARE care about their patients..DO NOT GO TO THESE PEOPLE THEY DO NOT KEEP THEIR WORD AND THEY CANNOT BE TRUSTED!!! In all my years on this planet Ive never heard of NO OFFICE MANAGER.BEWARE BAD BUSINESS PRACTICES!!! And a Billing Nitemare!Desired Settlement: CASH orCHECK FOR MY OVERCHARGE NOW!!!!!!!!!!!!!!!!

Business

Response:

Revdex.com4747 Viewridge Ave #200San Diego, CA 92123[redacted]Response to complaint 10 # [redacted]April 22, 2015·PAGE 02The patient's main complaint is that she was overcharged for services and was not fully refundedher money fn a timely manner. She was correctly charged by our office, and because her insurancewas so slow to process her claim, we could not know how much to refund her. Fortunately thisissue has been resolved and the patient has received her refund.To explain the situation, there are certain procedures that must be followed when seeing a patientwith medical insurance, and also when issuing a refund. First, we must collect a patient'sdeductable and copayment prior to seeing them. In this patient's case, she had paid a portion of herdeductable to another physician, but her insurance had not yet updated this information. Secondly,the insurance company needs to process the claim before we can know exactly what the refuJ'l.d willbe. Jn this case, and many others, the insurance company did not complete the claim in the normalamount oftime (it should have cleared by March 23rd) when actually it did not clear until AprillOth, at which pofnt we were able to know what her refund would be (less her deductable andcopayment) and issue her the correct refund. This was done on April 20th.Our biller has explained these things to the patient and we sincerely apologize for any .inconvenience and distress this has caused her. We continue to try to deHver the highest qualitymedical care at reasonable rates, despite the very complex medical insurance and reimbursementarena.[redacted]