UC Health Longs Peak Surgery Center

University of Colorado Health strictly adheres to patient privacy laws which prevent disclosure of patient health info or billing details to a 3rd party or a public website like the Revdex.comThe hospital addresses all complaints directly with patients, and we make every effort to reach reasonable resolutions when we receive a complaint or concern from a patientA billing manager will address this complaint directly with the patient.We are continuing to follow the patient's billing complaint until it has been resolvedA letter was sent to the patient on April 20th, addressing his concerns and outlining the next steps that are being taken to resolve the billing disputeThe patient will be notified when the billing issue has been resolved He has my contact information.Donna M M***

Complaint: ***
I am rejecting this response because:I scheduled cataract surgery with Dr*** of the *** *** *** ** *** *** following his examination and adviseHe set up out patient surgery through the the Longs Peak Surgery CenterI was advised by their business department that *** ** ** would bill separate from the hospital LPSC I was advised that both were in network with my insurance company *** *** ***I thought it unusual at the time as my experience was that the Doctors office would manage insurance for both the Doctor and the hospitalI contacted LPSC and verified they were in network, but could not get a clear idea of the cost for the procedureMy understanding after speaking with the business offices for both facilities that I had a $deductible that I had to meet and that both facilities would bill my insurance, which would cover 80% and I would then owe the 20% differenceUpon arriving for surgery on 12/5/17, I was told by the hospital I had to pay $before having the procedure on the first, right eyeOn the second visit, $I was not told what this was for an assumed it would be part of my deductibleIn making inquiries with the insurance company following the procedures about the $I had already paid, the insurance people referred me back to the hospitalIt is now 1/4/and the hospital has yet to file with the insurance companyI had pulled what I thought would be suffice funds together to cover the cost, but all I have is the hospital saying a refund will be issued if applicableMy concern is that I have to pay out of pocket the bills coming in with money that the hospital should not have charged me and that I may never seePlease see *** reviews for the Longs Peak Surgery CenterDonna has reached out to me twice, noting that she is just now seeing my complaint in the first week of April and that they planned to refund what I paid up front. She also planned to file for payment of the claim. Through my employer and their contacts with the insurance provider, I was told that they had exceeded their window to make the claim, but they will file and appeal if denied. This could go on for quite some period of timeI want to keep this complaint open until this is resolved as I do not want to end up with any obligation to pay the entire claim or more then what has been paid. I told them to hold what they plan to refund until I have assurance this will not be the case. If they were to certify I will have no obligations, regardless of the claim outcome, refund the money I paid, then I would be more inclined to accept the resolution
Regards,
*** ***

Revdex.com:
I have reviewed the response made by the business, and find that this resolution is satisfactory to me
Regards,
*** ***

In response to Mr***'s request to continue to hold the complaint openMr*** was contacted on May 1, and advised that his insurance has denied the claims as untimely. No appeal will be filedWe have begun the process of refunding all monies that Mr*** paid UCHealth at his visitsOur apologies were extended for the delay in responding to his complaint and not filing the claims in a timely mannerism. Additional follwill be done on a couple of items he noted yesterday.Donna M M*** University of Colorado Escalation Specialist

***:I wanted to let you know that we are working with Mr*** to resolve his billing issue. I spoke with the patient today and will be sending him an e-mail status update of the steps that we are taking to resolve his billing issue.All of his concerns will be addressedI will
continue to monitor, as both of his visits are still pending insurance, which will take up to to days for the claims to process. There is a question about if we contacted his insurance before the procedure, which we did, but insurance is stating that we did not.He stated that he would probably provide additional feedback concerning his complaint.Thank you, Donna M*** ***Hospital Billing Escalation Specialist, Customer ServiceUniversity of Colorado Health*** * *** *** *** ***
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University of Colorado Health strictly adheres to patient privacy laws which prevent disclosure of patient health info or billing details to a 3rd party or a public website like the Revdex.com. The hospital addresses all complaints directly with patients, and we make every effort to reach reasonable resolutions when we receive a complaint or concern from a patient. A billing manager will address this complaint directly with the patient.We are continuing to follow the patient's billing complaint until it has been resolved. A letter was sent to the patient on April 20th, addressing his concerns and outlining the next steps that are being taken to resolve the billing dispute. The patient will be notified when the billing issue has been resolved.  He has my contact information.Donna M M[redacted]