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University of Colorado Medicine Reviews (40)

Hi ***, I reviewed your account and verified that it is closed with the collection agency on our end, however since you are still receiving calls I've contacted them again to ensure that [redacted] account is closed and not reported to the credit bureauI show that we posted a refund request on April 27th so you should've gone out on Friday the 13thPlease let me know if you do not receive the refund check by the end of the weekI show the amount of the check is $so if you have further questions or concerns, please feel free to contact me directly at [redacted]

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 Sincerely, [redacted]

Upon further review of your account and CU Medicine shows no record of a copay made on 06/20/After verification with the clinic, they also show no record of taking a payment of $Can you please provide a copy of your receipt to CU Medicine for research?

Initial Business Response / [redacted] (1000, 6, 2015/11/18) */ According to the explanation of benefits from the insurance company, the balance for University Physicians is correct because the patient was seen by an out of network providerPer insurance the physician is not enrolled in the EPO plan, only the PPO planUniversity Physicians tried to appeal on the patient's behalf but it was denied by insuranceIn regards to the reimbursement request, this needs to be re-directed to the hospital since University Physicians only handles accounts after they have gone through insuranceWe do not deal with anything in regards to scheduling or prior approval Initial Consumer Rebuttal / [redacted] (3000, 8, 2015/11/19) */ (The consumer indicated he/she DID NOT accept the response from the business.) I was told REPEATEDLY by [redacted] schedulers throughout this process that insurance issues were resolved and that I should expect to pay maximum out of pocket expensesI have fulfilled all my financial obligations for This is no longer my problem and I will not pay any medical bills from University Physicians University Physicians and the insurance company must have had a miscommunicationThis issue involves [redacted] schedulers and the insurance companyThis no longer involves me since I have paid all my expensesPerhaps University Physicians should be harassing the insurance company, not me If there was any doubt that I would have been expected to pay more than my out of pocket expenses, I would not have had any procedures there Stop sending me billing statements Final Business Response / [redacted] (4000, 23, 2015/12/22) */ Our supervisor, [redacted] z will be communicating with the patient via email regarding her accountThis was part of the discussion they had when they spoke on the phone on 12/14/ Final Consumer Response / [redacted] (4200, 25, 2016/01/01) */ (The consumer indicated he/she DID NOT accept the response from the business.) Not yet resolvedStill waiting

I escalated this to our insurance team who verified that [redacted] provided UPI the wrong denialAfter investigation, the balance should not be patient responsibility and UPI will have this correctedI will place the balance on hold and send the patient a statement showing a zero balance once the account has been corrected

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 The business representative, ***, contacted me and she said that the provided agreed to write off the balance due to the circumstance as described in the dispute Sincerely, [redacted]

The patient has a current balance of $and the reason why she received another statement for $is because her remaining balance of $is currently with our extended business office and that is where payment was postedOur company policy is to post any payments to the oldest balance to try to prevent the account going to collectionsWhen balances have been outstanding for more than days they transfer to our extended business office where they remain for an additional days until going to collectionsThe balance of $is still with our main office since it has not exceeded days of no paymentThe patient will not be refunded since she still has an outstanding balanceI highly suggest the patient calls to set up a payment planOur extended business office called her yesterday trying to discuss payment arrangements but she did not answer

[redacted] , University Physicians Incbilled the visit on 2/22/as a [redacted] which you indicate is how it should've been billed to [redacted] and [redacted] In regards to the 8/17/date of service, UPI billed it as the [redacted] code which you also indicate is correctIf [redacted] has not already spoken directly to the insurance team at UPI, I suggest they call them directly at [redacted] Both departments can work together towards a resolution since the billing our end matches what you indicate should've been billedThanks, [redacted]

Better Business... Bureau: I have reviewed the response made by the business in reference to complaint ID [redacted] .So basically after some deeper diving - I found out the 20.00 that was charged to my credit card was for a doctor's visit I had back on May 6th. It just happened that they charged me on the exact date that I went to the other clinic. What are the odds. As far as my grievance pertaining to the concerned co-pay, that can be resolved. My additional grievance concerning the submitting a diagnosis I wasn't treated for at the clinic to my insurance which started this whole fiasco in the first place, it is still valid. The clinic and their billing company should be communicating to make sure they submit proper insurance information. This small little thing that I went to the doctor for, turned into a life waste of many many hours spent calling and getting nowhere. Hopefully I can put this issue to bed. Thank you! [redacted]

Complaint: ***
I am rejecting this response because: Someone on the business side, however it is structured, must bear the responsibility for telling me they accepted my insurance when in fact they did notDoctor's office personnel said they accepted my insuranceIf UPI doesn't stand behind what *** tells patients then they need to reconsider their arrangementInsurers tell patients to verify coverage with the doctor's officeThey don't say, "But then double check with whatever entity sends bills for procedures carried out there." The office personnel are the public face of the business, and patients have every right to assume those personnel provide accurate and complete information about every aspect of the encounterUPI may want to hold someone's feet to the fire for this bungle, but it is not this patient's responsibility
Sincerely,
*** ***

Hi ***,I apologize that you have received the run around regarding the diagnosis codeI've reviewed your account and sent a request to have the diagnosis code changed and re-billed to your insurance companyI've placed the account on hold and I will follow up with you regarding the
determination I receive backThanks, ***

I have spoken with the patient over the phone as well as through email and let her know that we are awaiting the provider to review the accountI will follow up directly with the patient next week once I have received a response from the clinic regarding the patients concerns outlined in this dispute

***, The charge for $was for the pathologist who interpreted the specimen taken by the dermatologistWe billed it to your insurance company and they applied the full charge towards your deductibleWe sent out four statements dated 3/3/16, 4/5/16, 4/26/and 6/6/University
Physicians does not have the capability to call every patient regarding an outstanding balance nor is it our policy to make outbound callsThe statements were sent to the address on file which matches the address you submitted through this request as wellThe balance will not be recalled from the collection agency since it is a valid charge and notifications were sent out to the correct addressIf you pay the balance within the first days to *** *** ***, they will not report the debt to the credit bureau

I reviewed the account and the patient is correctShe had a balance of $from date of service 3/31/15 however she had a credit of $Part of the credit should've been moved to the outstanding balance and the patient refundedI've moved the money and requested a refund to go back to
the patient in the amount of $The refund check should be mailed next weekI will also send the patient a statement showing a zero balance

Revdex.com:
H*** at University Physicians has contacted me, pulled the bill back from collections, and is sending the bill to my correct address I'm thankful for her help This is resolved
Sincerely,
*** ***

Complaint: ***
I am rejecting this response because: What my benefits are is not the questionThe question, which only the provider can answer, is whether they take my insurance or notThey said they did, when in fact they did notThe line between UPI and *** is blurred to customers as the face that is presented to patients at visits is intertwined between the twoThe response says neither entity can know my benefits, but they do know whether they accept my insuranceIt's correct that they aren't responsible for knowing the specifics of my coverage, but they are absolutely responsible for saying accurately and truthfully whether they have a contract with the insurance company to accept the policy I haveWhich they failed to do.
Sincerely,
*** ***

I have reached out to the patient over the phone in order to address her concerns and go over the billing for her visitAt this time I have advised the patient that I need to obtain more information in order to provide her a detailed breakdown of her payment and chargesI have also provided
her my contact information to provide me the information she has received from *** ***

UPI is aware of the patients concerns and we have reissued a refund check, however due to the holidays the check will be mailed out this week

In regards to the account for your wife, we have reviewed all of the information for her visitAt this time we have not received a response from your *** insurance advising of a patient due balance above and beyond the $copay that was paid at the time of serviceOur customer service lead
did respond to the email we received in our billing questions email on November 2, Until we receive a denial or explanation of benefits from *** we are not able to advise what if any additional balance may be due

Like I stated before, when the patient called to make the appointment with the clinic she spoke with a [redacted] employee. The patient did not have any contact with University Physicians prior to her appointment and we only handle accounts after insurance processes. We cannot speak on behalf of what she was told about her insurance prior to her appointment or in the clinic. The service was rendered and balance is correct. University Physicians will not be waiving the balance.

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Address: 13199 East Montview Blvd., Aurora, Colorado, United States, 80042-1719

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