When I tried to schedule my annual mammogram, I was required to do so with the surgeon’s office from my breast surgery last year. The office did schedule the mammogram but required me to see the surgeon after to get my results. My Aetna insurance covered the mammogram and I was also required to pay a $40.00 copay to see the surgeon. A few weeks later I got an additional charge for treatment at the Infusion Center at Bethesda Butler. When I contacted TriHealth about this charge I was told it was standard for treatment at the Infusion Center. I explained that there was no treatment, I simply met there with the surgeon. Since June, 2022 I have been trying to resolve this issue. I have sent messages to Tri Health and talked several times with billing only to get the same response, “This is the charge for treatment at the Infusion Center.” I even sent a letter to Mark Clement, President and CEO, of Tri Health and Dr. Kuritsky…neither one bothered to respond. I probably wouldn’t be so upset if this had been disclosed to me by Dr. Kuritsky’s office when they insisted that I had to see her after my mammogram. BUYER BEWARE!
While we have tried, and continue to try, to find a way to get these claims paid in a legal wayIt remains true that these services are unfortunately not covered by their insuranceChanging 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 standardsAs for the complaint against the Customer Service agent, the call has been pulled and listed to and the complaint found to be unfoundedAt no point in the call was the agent threatening, rather the accuser was actually being verbally abusive by yelling and cussing at the agentWe 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
Pursuant to a letter to the Revdex.com dated 07/28/we are in receipt of the letter regarding pregnancy and an unpaid balance with TriHealthAs the manager of the Single Billing Office, this letter was referred to meBased on the information mentioned in the dispute we do not show documentation or conversations of what is discussed or denotedThe dispute references the account being for an adult femaleHowever, our records show this is for the Newborn Baby The $and $payment amounts that are stated in the dispute must have been paid to another providerWe do not have either payment showing on this accountThis may be an issue or quote of payment to the Newborn’s mother’s physicianAs, I reviewed the account the balance that is referenced in the complaint is for the Newborn without question and not the mother’s stayPlease note that the balance of $2,was applied to the patient’s deductible and co-insurance (the newborn baby)Therefore, this is what is dueFor 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,Newborn Baby – Date of service (5-to 5/19/14) - Bethesda Acct# [redacted] - $(Flaguniben) – Date of service (5-to 5/19/14) - Bethesda Acct# [redacted] - $(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 TriHealthTherefore, 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 timeIf there is, please provide a copy of your credit report for my review
April 4, [redacted] Marketplace Resource Consultant [redacted] @cincinnati.Revdex.com.org Phone: 513-639-9122Re: Transmitted Complaint Correspondence# [redacted] To Whom It May Concern:TriHealth Incwould 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 letterIt 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 sin multiple systems as well as ineffective communication regarding such balancesSo, 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 offUpon this communication we are considering this matter addressed and concerns alleviated.We can assure you these types of issues aren't a occurrence within our organization and we want to get this resolved amicably, and as quickly as possible, for both parties involvedOur 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 wellIf 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
Hello ***,All I could get from [redacted] was the attached EOBIt shows co-insurance on the procedureHowever according to previous calls to [redacted] as well as information provided by Tri-Health there was no co-insuranceThe co-insurance as you can see was for the recovery room and for supplies used in the procedureThis should have been part of the procedure and covered at 100%.I understand that this may never be resolvedIt 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 jobIf you need a copy of the bill from TriHealth showing that this was billed as a facilities charge please let me knowI don't think that [redacted] is going to be of any additional helpI have paid the bill as they were threatening to send it to collections
Helapologize for the circumstances that have caused the delay of your refundHowever, this refund was completed on May 8th and sent to your home address in the form of a checkPlease contact Customer Service at ###-###-#### if you have any more trouble or if you have any other concerns.With Regards,Thurman ***, Supervisor: Vendor Management and Customer Service Relations
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.
[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]
[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] ***
[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 MrThurman J [redacted] and wanted to advise Revdex.com that everything is taken care of and is corrected and that he paid bill
See attached documentFebruary 10, [redacted] *** [redacted] [redacted] [redacted] Re: Transmitted Complaint Correspondence# RE: [redacted] To Whom It May Concern:TriHealth Incwould 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 owedWe are unsure as to how to respond to a diagnosis of [redacted] as this is not anywhere on this customers accountThe balances owed are, again, for the dates of service: 10/22/totaling $and 11/3/totaling $which are both owed for separate visits with DrR [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 disputeAgain, these balances are owed as dictated by the patient’s insurance company as part of their yearly deductibleTriHealth is contractually obligated to collect this balanceAny questions regarding this being applied to the deductible should be forwarded to the patient’s insurance companyAt 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 havePlease call our Customer Service team at 513-569-with additional questions and/or concerns.With Kind Regards,Tonya H***Director, Customer Service
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 againWe have followed up with you, and left a voicemail, detailing that we will certainly accept your $per month request for your payment planPlease follow back up with us at 513-569-at your earliest convenience to get this set upAgain, 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***Supervisor, Vendor Management and Customer Service Relations
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]
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 have tried to reach oUT to the woman and she rejected my call and was suposed to call back on other occasions and never didThis is what I have come to expect from the trihealth team honestly
[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 I have not been diagnosed with [redacted] ! This was a podiatrist doctor visit with DrR***! [To assist us in bringing this matter to a close, we would like to know your view on the matter.] Regards, [redacted]
While we have tried, and continue to try, to find a way to get these claims paid in a legal wayIt remains true that these services are unfortunately not covered by their insuranceChanging 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 standardsAs for the complaint against the Customer Service agent, the call has been pulled and listed to and the complaint found to be unfoundedAt no point in the call was the agent threatening, rather the accuser was actually being verbally abusive by yelling and cussing at the agentWe 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
Pursuant to a letter to the Revdex.com dated 07/28/we are in receipt of the letter regarding pregnancy and an unpaid balance with TriHealthAs the manager of the Single Billing Office, this letter was referred to meBased on the information mentioned in the dispute we do not show documentation or conversations of what is discussed or denotedThe dispute references the account being for an adult femaleHowever, our records show this is for the Newborn Baby The $and $payment amounts that are stated in the dispute must have been paid to another providerWe do not have either payment showing on this accountThis may be an issue or quote of payment to the Newborn’s mother’s physicianAs, I reviewed the account the balance that is referenced in the complaint is for the Newborn without question and not the mother’s stayPlease note that the balance of $2,was applied to the patient’s deductible and co-insurance (the newborn baby)Therefore, this is what is dueFor 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,Newborn Baby – Date of service (5-to 5/19/14) - Bethesda Acct# [redacted] - $(Flaguniben) – Date of service (5-to 5/19/14) - Bethesda Acct# [redacted] - $(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 TriHealthTherefore, 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 timeIf there is, please provide a copy of your credit report for my review
April 4, [redacted] Marketplace Resource Consultant [redacted] @cincinnati.Revdex.com.org Phone: 513-639-9122Re: Transmitted Complaint Correspondence# [redacted] To Whom It May Concern:TriHealth Incwould 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 letterIt 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 sin multiple systems as well as ineffective communication regarding such balancesSo, 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 offUpon this communication we are considering this matter addressed and concerns alleviated.We can assure you these types of issues aren't a occurrence within our organization and we want to get this resolved amicably, and as quickly as possible, for both parties involvedOur 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 wellIf 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
Hello ***,All I could get from [redacted] was the attached EOBIt shows co-insurance on the procedureHowever according to previous calls to [redacted] as well as information provided by Tri-Health there was no co-insuranceThe co-insurance as you can see was for the recovery room and for supplies used in the procedureThis should have been part of the procedure and covered at 100%.I understand that this may never be resolvedIt 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 jobIf you need a copy of the bill from TriHealth showing that this was billed as a facilities charge please let me knowI don't think that [redacted] is going to be of any additional helpI have paid the bill as they were threatening to send it to collections
Helapologize for the circumstances that have caused the delay of your refundHowever, this refund was completed on May 8th and sent to your home address in the form of a checkPlease contact Customer Service at ###-###-#### if you have any more trouble or if you have any other concerns.With Regards,Thurman ***, Supervisor: Vendor Management and Customer Service Relations
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.
[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]
[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, I would like to have my billing credited in some way to compensate for all of the problems that they have caused
[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 MrThurman J [redacted] and wanted to advise Revdex.com that everything is taken care of and is corrected and that he paid bill
See attached documentFebruary 10, [redacted] *** [redacted] [redacted] [redacted] Re: Transmitted Complaint Correspondence# RE: [redacted] To Whom It May Concern:TriHealth Incwould 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 owedWe are unsure as to how to respond to a diagnosis of [redacted] as this is not anywhere on this customers accountThe balances owed are, again, for the dates of service: 10/22/totaling $and 11/3/totaling $which are both owed for separate visits with DrR [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 disputeAgain, these balances are owed as dictated by the patient’s insurance company as part of their yearly deductibleTriHealth is contractually obligated to collect this balanceAny questions regarding this being applied to the deductible should be forwarded to the patient’s insurance companyAt 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 havePlease call our Customer Service team at 513-569-with additional questions and/or concerns.With Kind Regards,Tonya H***Director, Customer Service
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 againWe have followed up with you, and left a voicemail, detailing that we will certainly accept your $per month request for your payment planPlease follow back up with us at 513-569-at your earliest convenience to get this set upAgain, 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***Supervisor, Vendor Management and Customer Service Relations
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]
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 have tried to reach oUT to the woman and she rejected my call and was suposed to call back on other occasions and never didThis is what I have come to expect from the trihealth team honestly
[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 I have not been diagnosed with [redacted] ! This was a podiatrist doctor visit with DrR***! [To assist us in bringing this matter to a close, we would like to know your view on the matter.] Regards, [redacted]