Vitamin Cottage Natural Grocers

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 The response from the business is a superficial form response that does not address the primary concern, which is deliberate lack of transparency in the billing process, and after the fact presentation of extra services The appeal to purported information from other business is of course irrelevant She might as well have said I was in fact offered a discount, as her tone and dismissiveness is illustrative of the general disdain for the consumer exhibited by the Cleveland Clinic This is also not to mention that there is no explanation other that the fallacy of argumentum ad populum that even attempts to explain why a machine's less-than-one-hour use needs to be billed at more then the full replacement cost of said machine I voluntarily contacted the Cleveland Clinic to resolve my concerns, and was rejected on the phone I have now been rebuffed through the Revdex.com as well I am not sure if the woman responding to my complaint cares, has any reason to care, or has given any thought to the fact that in its stubbornness to work with me, they are guaranteeing they collect pennies on the dollar when they sell the debt to a third party collection agency Yet I am not afforded the same offer to settle immediately, even rather than in two years time This makes the refusal to deal with me look even worse Regards, [redacted]

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 The question is still NOT ANSWERED about how can you bill under a hospital tax ID when you are DEFINITELY NOT a hospital??? This NEEDS to be answered asap The charges are more with hospital and my insurance states to go to urgent care, which I did but they are billing under hospital Tax ID I want the Cleveland Clinic to reduce or remove these charges completely for the undo amount of stress this is causing me I am prepared to go further with this if need be They are avoiding the answer to my question and it is very disheartening when someone has an emergency & they have to go through this VERY UPSET AND DISGUSTED!We have been going there off and on for over plus years and ALWAYS was a med center by location but now they bill under hospital tax ID and NO WHERE NEAR A HOSPITAL Unfair practice and advertising Regards, [redacted]

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.My concern in the response is that it clearly represents the failure of the representative to review my case thoroughlyThis is a repeating event of which the most recent is the 2nd time I have had this outpatient procedure scheduled and Cleveland Clinic called me to say this was an insurance coverage issueI rescheduled my last appointment over a month ago so even if a pre-cert was required for this visit, which is was not because it was an outpatient procedure, the clinic had more than ample time to obtain the pre-certification for the current one scheduled for 4/21/My previous appointment was in early March which I rescheduled the same day to the 4/21/appointment that this issue refers toTo begin the process of gaining a pre-certification a mere days prior to the appointment which was the case for this date and days in the prior instance (they called me Thursday for an appointment scheduled on a Friday) when the clinic knows (which is confirmed in their response) that it will in fact take if needed is clearly not a customer focused processIf the person in the ombudsman office which I called had given me time to provide her this history instead of dismissing me and stating "I needed to give the financial advocate time to call me back" in a less than professional tone I might add, perhaps this situation would have been remedied without need for a complaint to be filedThere is no misunderstanding on my part on the process of pre-certification my frustration is with the unprofessional manner in which I was spoken to by the representative from the ombudsman' office who made me feel as if I was interrupting her day and the short time line that the clinic appears to be operating under to get pre-certifications doneSeems to me the system is broken that should not mean frustration for the patientThe financial office confirmed that there was no pre-certification required for my appointment as it was outpatient which it appears in both instances no one verified [To assist us in bringing this matter to a close, we would like to know your view on the matter.] Regards, Chandra Dull

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 My doctor's nurse has given me the name of Ivana B [redacted] She is a reimbursement specialistI left her a voicemail yesterday and have not received a call backI gather from the lack of assistance that the Revdex.com plans on standing idly by as I get the shaft in this matterI have seen no effort in the Revdex.com's part to resolve this matterThey are serving as nothing more than an spectator providing no input in the disputeI thought the Revdex.com was established to protect the consumerI was obviously very wrong in that assumption Regards, [redacted]

From: [redacted] < [redacted] @gmail.com>Date: Wed, Mar 30, at 7:AMSubject: Resolved.To: [redacted] My issue has been resolvedThanks for ur helpI got the refund for $ [redacted] .Sent from my [redacted] Tablet

Cleveland Clinic December 17, Revdex.com Euclid Ave 4th Floor Cleveland OH 44115-Complaint Number: [redacted] Re: [redacted] CC# [redacted] Dear Ms***, This letter is in response to the complaint filed with your office by Mr [redacted] with regard to an outstanding balance incurred at Cleveland ClinicI would first like to extend my sincere apology for any frustration this may have causedA thorough review has been completed of Mr [redacted] 's accountIt has been determined that date of service 08/21/was billed appropriately and in accordance to the medical condition and procedure noted by Mr [redacted] s physicianMr [redacted] 's procedure is billed according to the time needed to complete the procedureIn July of Mr [redacted] 's procedure was documented at minutesDuration time for both September procedures as well as August were both documented at over an hour; therefore both September as well as August were both submitted with the same procedure codeMr [redacted] 's insurance paid appropriately according to the contracted allowable amountMr [redacted] k's remaining balance of $is applying towards his yearly deductible, therefore; balance will remain patient liabilityThank you for allowing the Financial Ombudsman department to assist you and for choosing the Cleveland ClinicBest regards, Sonya W [redacted] Financial Ombudsman RCM

December 20, Revdex.comEuclid Ave, 4th FLCleveland, Ohio 44115-2408Attn: [redacted] Revdex.com Complaint Number: [redacted] Patient Name: [redacted] **Patient Account # [redacted] Dear Mr [redacted] , This letter is in response to a letter of complaint filed with the Revdex.com by [redacted] On December 19, 2017, this matter was received in the Financial Ombudsman unit for review on behalf of the Cleveland ClinicMr [redacted] was quoted $on 9/7/for [redacted] with diameter less than cm, which is CPT ***Due to infection, he did not have this performed on this date of service which is why his $pre-payment was refunded that dayInstead, he had an [redacted] of the infection (CPT ***) which ironically has exactly the same charge of $I am sorry his $pre-payment was voided vsbeing applied to the CPT [redacted] drainage procedurePlease see separate attachmentI have included the itemized breakdown of the charges to show CPT [redacted] is also $He proceeded with the excision on 11/9/He again prepaid the $for CPT [redacted] - [redacted] with diameter less than cmHowever, this time, he had CPT [redacted] performed - [redacted] with diameter 2.1-cmThis CPT carries a higher charge of $While we strive to accurately quote a procedure, occasionally a provider may perform more or less than what was quoted I can however extend a 35% discount off each charge, including the pathology chargesThis is our self-pay discount we offer when a service is either prepaid or paid within first statement cycle: Reference # [redacted] $less 35% discount ($158.20) = $293.80Reference # [redacted] $less 35% discount ($239.75) minus $patient pre-payment = $(patient $credit here transferred to Ref # below)Reference # [redacted] $less 35% discount ($24.85) minus $patient credit from above Ref # = $40.40Reference # [redacted] $less 35% discount ($60.20) = $111.80So in total, his current balance would be reduced from $to $446.00.I want to sincerely apologize for any inconvenience experienced in trying to resolve this matterWhile we cannot remove these charges because both the [redacted] in Sept and [redacted] removal in Nov were performed, we are happy to offer the 35% self-pay discount to lessen the financial burdenPlease reach out to me directly at 216-445-to make payment arrangements, or if you have any additional questions or concernsRespectfully, Jennifer [redacted] Financial OmbudsmanRevenue Cycle Management, CCHS Cc: [redacted] ** Need help paying your medical bills? Call or go to www.ccf.org/financialassistance for information on our financial assistance policy./financialassistance for information on our financial assistance policy

Good afternoon,I have attached our response to Revdex.com complaint # [redacted] .Thank you,***

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.] I don't believe there is more the Revdex.com can do to resolve this complaintI first attempted resolution through the ombudsman office, then contacted the Revdex.com in hopes of a different outcomeI am attaching the original complaint letter I sent to the Revdex.comIn there, I detail exactly what happenedThe last representative I spoke to at the Cleveland Clinic admitted their employees fell down on the jobThis certainly occurred more than several times, as you wil see from my letterIt's appalling that the Clinic will not hold themselves accountable for their mistakes and execute the appropriate actions both toward us and with their employees Thank you for all the Revdex.com did in your attempts to help Regards, [redacted] ***

This issue has been addressed with the patient We did respond to him per our process Patient has received a letter

August 10, 2016Revdex.comEuclid Avenue 4th FloorCleveland, Ohio 44115-2408RE: Complaint ID [redacted] Patient Name: [redacted] ***Patient Account: E14043017301Dear Nichole Means,This letter is in response to a complaint filed in your office by [redacted] in regard to receiving a bill with two separate large balances from the date of service 05/12/The complaint was sent to the Financial Ombudsman department to review and respond back to you.I would first like to offer my sincere apology for any frustration this may have caused Ms***I understand the billing concerns have caused much unwarranted distress and difficulty.According to the complaint filed by Ms***, she states she called customer service in June when she received a large bill for $7515.41; it appears that two charges from date of service 05/12/were never billed to her insuranceWhen Ms [redacted] received her July statement, the balance was $Unfortunately, only one of the charges from 05/12/was billedWhen Ms [redacted] called in July she was told the second charge was billed and denied by insurance was advised to call her insurance.A thorough review of the above referenced account was performedThe date of service 05/12/did have two charges, one for the professional billing of $1,692.00This was billed after the patient called in June and now paid at 100%.The second charge for hospital services totaling $2,did not initially bill in June or JulyThis was billed on August 3rd by one of our representatives and is now pending with insurance.We will reach out to the Supervisor for the representative who told Ms, [redacted] her charge of $ was denied and request additional training and coaching for the representativeOnce again, we sincerely apologize for any inconvenience or difficulty Ms [redacted] experienced while trying to resolve this issueThank you for bringing this matter to our attention.Respectfully,Kathy Reed Kathy ReedFinancial Ombudsman Revenue Cycle Management, CCHSCc: [redacted] ***

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 The Clinic Billing would not adjust the terms I feel they are establishing terms that are not able to be met They also required payment options when closing their old billing system that are different than the options they are offering now I plan to try to pay my bills within the months they are requiring I appreciate Jenny working with me and the medical team at the Clinic but feel their repayment terms suffocate the patient I wanted it to be on record I waited over hours to talk to a manager on a prior call before contacting the Revdex.com so I added a screenshot of that.This case can be considered closed but I do not agree with the terms set Regards, [redacted] ***

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.Although the credit of is appreciated, the balance in question is 535.80.None of the response addresses the fact that I was working on 1/29/and never had an appointment with [redacted] on that date in [redacted] **That charge was for a vial of allergy medicine, not a doctors visit.Also, I now have a $facility charge on my bill that came out of nowhere for 4/28/on my Cleveland Clinic billWhile I appreciate the suggestion to choose another doctor within the [redacted] ***, I will be choosing doctors outside of the Cleveland Clinic network in the future, due to these billing nightmares.If the Cleveland Clinic would like me to accept their response to this claimthey will need to credit the full in dispute and also, now, credit the add on $facility charge that magically appeared Regards, [redacted] ***

April 18, [redacted] This letter is in response to a complaint filed with your office by [redacted] This complaint was received in the Financial Ombudsman unit on April 17, We hope you find the following information to be helpful I would like to first offer my sincere apology for any aggravation this may have caused [redacted] *** I understand the billing concerns he presented in his letter of complaint are stressful The diagnosis code on the order was rejected by [redacted] ***’s insurance, and our coding reviews did support [redacted] ***’s request for a coding correction However, the corrections were never effectively communicated to [redacted] ***’s insurance I apologize for the error As a result, I will adjust the charge, and request a refund be issued to [redacted] in the amount of $395.70, which is the amount he paid toward this balance I sympathize with the frustration the patient experienced in seeking to resolve this complaintOur efforts are focused on bringing all aspects of each patient encounter to a level of World Class CareIf you have any additional questions or concerns, please feel free to call me directly at [redacted] or email me at [redacted] Respectfully, Mark [redacted] Financial Ombudsman Cc: [redacted] Tell us why here

Attached is the original response that was sent for [redacted] As I explained, no further review will be completed as the outcome will not changeThe facility she was seen at in Dec 2015, was not an Express Care Clinic at that time but was an Emergency RoomThe facility did not change over to an Express Care Clinic until Aug 2016.Patient is responsible for the balance dueShe should contact our Customer Service department to establish a payment plan

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]

September 9, Revdex.com Euclid Avenue 4th Floor Cleveland OH 44115-Complaint Number: [redacted] CCF: [redacted] Dear Ms***, This letter is in response to the complaint filed with your office with regard to Ms [redacted] ’s refund requestPer review of Ms [redacted] ’s account, it has been determined that Ms [redacted] is due a refund in the amount of $The payment submitted by Tri Care has been allocated to Ms [redacted] ’s account leaving zero patient liabilityThe refund request has been submitted to our refund department, in the amount of $Please advise Ms [redacted] to allow 10-business days to receive the requested refund.Thank you for allowing the Financial Ombudsman office to assist with this patient’s concernPlease feel free to contact our office at 216-445-should you require further assistanceBest regards, Sonya W [redacted] Financial Ombudsman RCM

March 14, Revdex.com, Inc Euclid Ave, 4th FloorNicole Means Cleveland, OH 44115RE: Nancy AW [redacted] Complaint ID: [redacted] CCF # [redacted] Dear Nicole Means,This letter is in response to a complaint filed in your office by Nancy AW [redacted] on March 8, The complaint was sent to the Financial Ombudsman department to review and respond back to you.I would like to first offer my sincere apology for any frustration this may have caused Ms [redacted] I understand the billing concerns have caused much unwarranted distress and difficultyA thorough review of the above referenced account was performedMsW [redacted] indicated in her letter that she had an EMG test on 2/3/however; it was too painful to complete the test, and states she never received a written report, therefore we should have never billed her insuranceMsW [redacted] wants the charges reversedAfter reviewing Ms [redacted] ’s concern with the coding department, all charges were billed accordingly and will not be reversed There were no errors found regarding an EMG being terminated or performed on the incorrect sideThe clinical information indicates that it was the left side where the pain and numbness were There was mention in the report of the patient’s intolerance to pain therefore the procedure was limited however; it never indicated that the procedure was terminatedThe charges in question will not be reversedThe insurance company paid in full.If the patient wishes for a copy of her medical records, she can request a copy by completing the attached medical release form I sent to her with a copy of this letter Once again we sincerely apologize for any inconvenience or difficulty MsW [redacted] experienced while trying to resolve this issueThank you for bringing this matter to our attention Respectfully,Kathy R***Kathy R***Financial OmbudsmanRevenue Cycle Management, CCHSCc: Nancy W [redacted]

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 Regards, [redacted] As was mentioned previously this complaint was wrongly sent to collections and I need to see that my credit history is not damaged and that the account is back at the clinic and that a new statement showing the changes is submitted and documented so that the debt collector will not try to sell the debt to another before this is closed out! Thank you eric shane

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 However, I fail to understand why I had to go to such extremes to have my request granted? Your business fails miserably at understanding that I am a customer and I do NOT have to choose you for my medical needs! Regards, [redacted]