TriHealth Inc.

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.  If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply.  Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]

See attached documentDecember 30, 2015[redacted]
[redacted]
[redacted]Revdex.com# [redacted]RE: Guarantor #[redacted]Outstanding Balance: $53.64Revdex.com# [redacted]Dear [redacted],I am writing to clarify why there is an outstanding balance shown as a facility charge on your statement for...

services rendered when you had your [redacted].  Please understand that when charges are billed for services rendered in an outpatient setting or a hospital it is shown as such on our statements as a facility charge. Given that you had a [redacted] and during such there were other findings that occurred. Your insurance paid the [redacted] at 100%, but due to the additional findings the insurance company assessed $78.64 co-insurance because the additional findings are considered diagnostic. This was due to the removal of a polyp.If you have additional questions regarding this matter please feel free to contact me.Thanks for choosing TriHealth.SabrinaSabrina C[redacted]TriHealth, Inc. Manager, SBO Customer ServiceSabrina_c[redacted]@trihealth.com[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
As I already mentioned I was already told that all I need to pay is $1500 and rest is covered, I am not sure why that is not the case after all and why this huge bill? Also I am getting a call from this unknown number [redacted]  at my work place ( three times a day ) and there is no voice mail left or nothing, I think this could be some unrelated telecommunication harassment but if it's recovery company then can you please ask them to call on my cell instead of the work number after office hours?  Appreciate your help a lot.
Regards,
[redacted]

I have receipts for co-pays and I am being told they apply the co-pay to any bill they want to and any doctor they want to. They said I haven't paid in full yet, so I have receipts for all my co-pays. They are trying to re-bill me for co-pays it was at $65 and now with the last bill it is at...

$35.

We'd like to first apologize for you're experience! This type of response is certainly not the expectation of our organization and is the opposite of our goal to put our "Patients first in all that we do". This is a mantra that we take seriously and we will put into place steps to prevent this...

situation from occurring again. We have followed up with you, and left a voicemail, detailing that we will certainly accept your $75 per month request for your payment plan. Please follow back up with us at 513-569-6117 at your earliest convenience to get this set up. Again, we apologize for the communication that wasn't reflective of our organizational mission and will use this as an education point for our staff.With Best Regards,Thurman J[redacted]Supervisor, Vendor Management and Customer Service Relations

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.  If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply.  Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]Consumer contacted Revdex.com and indicated that he did receive corrected account from Mr. Thurman J[redacted] and wanted to advise Revdex.com that everything is taken care of and is corrected and that he paid bill.

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.  If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply.  Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
[To assist us in bringing this matter to a close, we would like to know your view on the matter.]
Regards,
[redacted]I don't agree with this at all.  I know I'm not the only customer that has a hardship case and cannot send them minimum amount they have set in there procedures.  If I had not attempted to pay at all then I wouldn't have filed this complaint.Thank you [redacted]

Hello, I would like to  have my billing credited in some way to compensate for all of the problems that they have caused

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
I will pay the extra charges just to end this nonsense. This is a shameful way to treat customers/patients.
Regards,
[redacted]

April 4, 2016[redacted] Marketplace Resource Consultant [redacted] @cincinnati.Revdex.com.org Phone: 513-639-9122Re: Transmitted Complaint Correspondence# [redacted]To Whom It May Concern:TriHealth Inc. would like to take this opportunity to provide a written reply to the complaint that has been filed and is referenced within the context of this letter. It has come to our attention that one of our patients has been dealing with an unfortunate billing issue in which there was confusion as to payment plans set-up in multiple systems as well as ineffective communication regarding such balances. So, in response to this issue, a call was placed to further explain the situation, an account has been rebilled to the patient's insurance company for reimbursement, and older balances from another system have been written off. Upon this communication we are considering this matter addressed and concerns alleviated.We can assure you these types of issues aren't a normal occurrence within our organization and we want to get this resolved amicably, and as quickly as possible, for both parties involved. Our organizational mantra is "Patient's First" and this is a diction that we take seriously in all areas of our business.We trust that this response satisfies your request and hope that this letter finds you well. If you have any additional questions or concerns, please feel free to contact our Customer Service office at 513-5696117.With Kind Regards,Comuna C[redacted]Sabrina C[redacted] Manager, Customer Service

While we have tried, and continue to try, to find a way to get these claims paid in a legal way... It remains true that these services are unfortunately not covered by their insurance. Changing codes for rendered services can be seen as fraud and TriHealth is very diligent in ensuring that all medical records are accurate and all services rendered are coded and billed appropriately per ICD 10 standards. As for the complaint against the Customer Service agent, the call has been pulled and listed to and the complaint found to be unfounded. At no point in the call was the agent threatening, rather the accuser was actually being verbally abusive by yelling and cussing at the agent. We understand that this is a difficult situation for our customer and we will continue to work to the best of our abilities to come to a favorable outcome for them within the confines of the law.

See attached documentJanuary 28, 2016[redacted] 
[redacted] 
[redacted] 
[redacted]Re: Transmitted Complaint Correspondence# [redacted]To Whom It May Concern:In response to the last correspondence regarding the January 27, 2016 letter, we must admit an erroneous reply the first time this was addressed. Please accept our sincerest apologies as this wasn’t an intentional gaffe. We have put measures in place to prevent an occurrence such as this from happening again. However, the balances mentioned in the previous responses remain unchanged. In today’s changing landscape of healthcare, more financial responsibility for medical expenses is being shouldered by the consumer than ever before. When TriHealth stated $50 was owed, this was based on the information we had in regards to your co-pay. There isn’t a way for TriHealth to know what portion of your deductible has been met and that is the reasoning for balances still owed. This amount is dictated by your insurance company and we are contractually obligated to collect these balances. Unfortunately, these additional amounts, and the complaints pertaining to them, need to be addressed with your insurance company.Again, we apologize for any confusion we may have caused and hope this letter finds you well. With Kind Regards,Tonya H[redacted]Director, Customer Service

Pursuant to a letter to the Revdex.com dated 07/28/15 we are in receipt of the letter regarding pregnancy and an unpaid balance with TriHealth. As the manager of the Single Billing Office, this letter was referred to me. Based on the information mentioned in the dispute we do not show documentation or conversations of what is discussed or denoted. The dispute references the account being for an adult female. However, our records show this is for the Newborn Baby.  The $500 and $1500 payment amounts that are stated in the dispute must have been paid to another provider. We do not have either payment showing on this account. This may be an issue or quote of payment to the Newborn’s mother’s physician. As, I reviewed the account the balance that is referenced in the complaint is for the Newborn without question and not the mother’s stay. Please note that the balance of $2,372.09 was applied to the patient’s deductible and co-insurance (the newborn baby). Therefore, this is what is due. For the parent’s review I have included additional information to assist the parent with a more clear understanding of additional outstanding balances that are due and at [redacted]. Acct# [redacted] - $2,372.99 Newborn Baby – Date of service (5-16 to 5/19/14) - Bethesda Acct# [redacted] - $238.35 (Flaguniben) – Date of service (5-16 to 5/19/14) - Bethesda Acct# [redacted] - $305.76 (Flaguniben) – Date of service (3-12-14) – Class The accounts stated above which are with [redacted]. The account number on the complaint of #[redacted] is the [redacted] Collection account number that is assigned to you when they receive an account from TriHealth. Therefore, the (3) shown above are TriHealth account numbers that identify each specific date of service. [redacted]. should not have an indication on the parent or guardian’s credit bureau at this time. If there is, please provide a copy of your credit report for my review.

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.  If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply.  Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]

Hello [redacted]-I apologize regretfully for the service you have been previously provided! This is not the expectation set forth of our Team Members and is certainly not a representation of our organization's mantra of "Patient's First". I have emailed you a copy of the receipt you requested to the address provided within this complaint. I'm also more than willing to mail you a hard copy if needed. Additionally, will you also require an itemized statement reflecting the accounts this payment was applied to for your reimbursement?As for the complaint listed in the further comments portion, please contact me with any questions you may have as I can certainly speak to any payments, how they've been applied, and if there's been any mis-postings, the fixing of that error.Again, I apologize for not getting you what you needed in a quick and efficient manner, however, I can assure you that this will be utilized for better training of our staff.I look forward to speaking with you! With Kind Regards,Thurman J[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
I have not been diagnosed with [redacted]! This was a podiatrist doctor visit with Dr. R[redacted]!
[To assist us in bringing this matter to a close, we would like to know your view on the matter.]
Regards,
[redacted]

See attached documentFebruary 10, 2016[redacted] 
[redacted] 
[redacted] 
[redacted]Re: Transmitted Complaint Correspondence# RE: [redacted]To Whom It May Concern:TriHealth Inc. would like to take this opportunity to provide a written reply to the original complaint referenced in the header of this letter that has been again disputed regarding charges owed. We are unsure as to how to respond to a diagnosis of [redacted] as this is not anywhere on this customers account. The balances owed are, again, for the dates of service:  10/22/15 totaling $73.71 and 11/3/15 totaling $23.71 which are both owed for separate visits with Dr. R[redacted] and contain nothing pertaining to [redacted]. We are unsure as to where the information regarding that diagnosis has been derived, however; none of our records indicate anything relating to the [redacted] referenced in this dispute. Again, these balances are owed as dictated by the patient’s insurance company as part of their yearly deductible. TriHealth is contractually obligated to collect this balance. Any questions regarding this being applied to the deductible should be forwarded to the patient’s insurance company. At this time, we will have to consider this dispute resolved, however; we are more than welcome to work with this customer to help resolve any remaining questions he may have. Please call our Customer Service team at 513-569-6117 with additional questions and/or concerns.With Kind Regards,Tonya H[redacted]Director, Customer Service

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.  If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply.  Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]

Hello [redacted],All I could get from [redacted] was the attached EOB. It shows co-insurance on the procedure. However according to previous calls to [redacted] as well as information provided by Tri-Health there was no co-insurance. The co-insurance as you can see was for the recovery room and for supplies used in the procedure. This should have been part of the procedure and covered at 100%.I understand that this may never be resolved. It is just part of the continuing problem of over billing by hospitals and doctors and insurance companies that are far to hard to communicate with, staffed by people who are not properly trained to do their job. If you need a copy of the bill from TriHealth showing that this was billed as a facilities charge please let me know. I don't think that [redacted] is going to be of any additional help. I have paid the bill as they were threatening to send it to collections.