Vitamin Cottage Natural Grocers

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

This letter is in response to the
rebuttal filed with your office by the above named patient in regard
to a bill he received from The Cleveland Clinic. The remaining balance of $has
been referred to a collection agency due to the aging of the balance
after appearing on four patient billing statementsThe other balance
of $was paid by Mr***. We apologize if Mr*** was advised
that the visit would be billed any other way than an outpatient
facility; however there is no record of such conversationThere is
documentation that the patient was provided with notice upon checking
into the appointment regarding the way the services would be billed
Unfortunately, the way the visit was billed cannot be changed and Mr
*** is being billed according to how his insurance processed the
claim. Thank you for contacting the Financial
Ombudsman office to assist with this patient’s concernPlease feel
free to contact our office at 216-445-*** if you require any further
assistance.Best regards, *** ***Financial Ombudsman, RCMNeed
help paying your medical bills? Call or go to
www.ccf.org/financialassistance
forinformation
on our financial assistance policy

August 18, Revdex.com, Inc Euclid Ave, 4th Floor*** *** Cleveland, OH 44115RE: *** ***Complaint ID: ***CCF #***Dear *** ***,This letter is in response to a complaint filed in your
office by *** *** on August 11, 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 Mr***I understand the billing concerns have caused much unwarranted distress and difficulty.According to the complaint filed by Mr*** he states he received a bill for $for service rendered on 01/22/2016.The patient states he spoke with *** *** on 01/25/and was informed by an agent that the surgical pathology charges are covered in full.A thorough review of the above referenced account was performedMr*** was seen in Dermatology on 01/22/for a skin lesionHis concern was that it seemed to have grown in the past yearIt was agr*** during that visit that the lesion be biopsied to establish and confirm diagnosis. The patient received a bill in April and May of for $he sent a letter to dispute resolution in June stating he should not owe this balanceAccording to the notes in our system by the resolution representative agent the charge was rebilled The representative then reached out to the patient by phone, the patient advised him he could not speak until after 6:I spoke to the representative he stated he made other attempts to reach patient to no avail *** *** did reprocess the claim for Hospital Services for $on 07/11/2016.Payment made $95.92Contract adjustment $319.12 Patient liability $per the deductible.If Mr*** further disputes the balance he should consider speaking to *** *** in regard to his deductible.Once again we sincerely apologize for any inconvenience or difficulty Mr*** 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: *** ***

March 24, 2017 Revdex.comEuclid Ave, 4th FLCleveland, Ohio 44115-2408Attn: *** *** Revdex.com Complaint Number: *** Patient Name: ***, *** Patient Account # *** Dear Ms***, This letter is in response to a letter of complaint filed
with the Revdex.com by *** ***This complaint has been forwarded to the financial ombudsmen for me to review and respond backI would first like to apologize for any frustration this has caused Mr*** and appreciate the opportunity to address his complaint. Cleveland Clinic currently offers month payment plans for balances under $1,and a month payment plan on balances over $1,We have also partnered with Commerce Bank that offers month payment plans for balances between $250-$2,500, month plans for balances $2,501-$10,and month plans for balances $10,001-$50,000. Mr*** had four separate Commerce Loans set up: Amount: $1,243.51 Transaction Date: 12/5/16 $ 853.97 1/4/17 $ 67.92 1/26/17 $ 980.21 3/2/17 Even though the above amounts combined are over $2,500, because the loans were set up on separate days, they each qualified for the month termHe called to cancel his Commerce Loans on 3/15/It is our policy that once a Commerce Loan is canceled, it is no longer eligible for another Commerce LoanHe was correctly notified of this by customer service at the time of cancelation as well as when he called back on 3/20/17. Mr*** can contact me directly at 216-445-to discuss this matter furtherAnd again, I do apologize for the time and frustration this has caused him. Sincerely, Jennifer K***Financial OmbudsmanRevenue Cycle Management, CCHS Cc: ***, *** Need help paying your medical bills? Call or go to www.ccf.org/financialassistance for information on our financial assistance policy

Cleveland Clinic May 24, 2017 Revdex.com Euclid Avenue 4th Floor Cleveland OH 44115-2408 Complaint Number: *** Patient Name: *** *** CCF: *** Dear *** ***, This letter is in response to the complaint filed with your office by *** ***, with regard to his account balance with the Cleveland Clinic. After forwarding *** ***'s request to our Medical Ombudsman team for further review, I have received additional information from our Reimbursement Manager of our pharmacy departmentPer review of billed pharmacy charges, it has been determined that a credit of $should be assessed to *** ***'s account. Documentation of the actual anesthesia report has been reviewed, in addition to the medication administration recordReview of the actual anesthesia report clarified the discrepancy in what was given and what was ordered. *** ***'s account has been adjusted in the amount of $and now reflects patient's current balance of $235.33. Again, I would like to express my sincere apology for any frustration this has causedThank you for contacting the Financial Ombudsman office to assist with this patient's concernPlease feel free to contact our office at 216-445-should you require further assistance. Best regards, Sonya W*** Financial Ombudsman, RCM Need help paying your medical bills? Call or go to www.ccf.org/financialassistance for information on our financial assistance policyCc *** ***

July 15, 2016Revdex.comEuclid Avenue 4th Floor Cleveland, Ohio 44115-2408Complaint Number: ***Patient Name: *** ***Patient Account # ***Dear *** ***,This letter is in response to the complaint filed in your office by Mr*** ** *** on July
12,The complaint was forwarded to the Office of the Financial Ombudsman to review and reply to ourpatient.After review of the phone call that took place on July 12, 2016, it was explained to our patient that ifbalances that have fallen over to patient liability are not either paid in full or put on a monthly paymentplan, they will be placed with our collection agency, J.PRecovery ServiceThis is and has been thepolicy of The Cleveland Clinic for years.I understand that Mr*** was making regular payments however, if he doesn’t reach out to theCustomer Service department and officially place his balances onto a monthly payment plan, the balanceswill age as we move forward thru time and again, if not either paid in full or put onto the aforementionedpayment plan, they will be placed with the agencyThat is unfortunately, what happened in this instance.It is my suggestion that in the future and moving forward that if Mr*** is carrying a balance that islarger, that he reach out to the Customer Service team to discuss his repayment options, either a monthlypayment plan or our new Line of Credit product offered by Commerce Bank.Mr***, please accept my sincere apology for this happening and I want to assure you that J.P.Recovery service is an internal collection agency, that has a contract with The Cleveland Clinic, they donot report to the major credit bureaus and they will not impact your person credit score.Best regards,Bradley C***Bradley C***Financial OmbudsmanRevenue Cycle ManagementCc *** M***Tell us why here

I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
Regards,
*** *** This complaint is not resolved they have double billed me and have not shown the bills that were previously paid in the statements and still have not credited me for medications that were not used on me! If the medicines were not used then where are they! They are also mixing dates of service times! They are also combining services that were dated 08/08/when no surgery was conductedThey also did not provide surgical notes that were previously asked for! They refused to return calls Such As complaints filed with customer service J costel! They also have not acknowledged the calls made by *** *** fraud department! I am unable to get documents to load at this time

(The following was copy/paste by Revdex.com staff - LST)***December 7, 2017Revdex.comEuclid Avenue 4th FloorCleveland, Ohio 44115-2408Complaint Number: ***Patient Name: *** ** ***Patient Account # ***Dear *** *** This letter is in response to the complaint filed
in your office by *** ** *** on December 7th, The complaint was sent to the Financial Ombudsman department to review and responded back to you.First, I want to offer my sincere apology for any frustration Ms*** has encountered regarding her billing concernsMs*** received a phone call from a Patient Financial Advocate because she had been provided an estimate for an upcoming serviceThe purpose of the call is to educate the patient prior to the upcoming service and collect payment for the service if the patient wishes to payThe Financial Advocate also reviews outstanding balances on the accountThe billing system inadvertently flagged Ms***’ account, by time she received the phone call the service had already been completed. Again, I offer my sincere apology, if Ms*** felt that she was being harassed or that payment was being demanded by the Patient Financial AdvocateThis is not the Clinic’s practice or intentionI have contacted the Financial Advocate’s supervisor who will review and address how the call was handled and use this as a possible training opportunityThe Cleveland Clinic does understand that Ms*** time is valuable, and letting us know about her issues and concerns is always welcomed and beneficial as we continue to review all patient experiencesBest regards,Tina N***Financial Ombudsman UnitRevenue Cycle Management, CCHSCc Sandra M***

Then it appears that Marymount Hospital overall does not care that their staff is endangering patients and then writes blatant lies in their reports to 'CYA'This is a very dangerous place to go to when in needVery sadThis has been my local hospital for yrsI will never willingly go to this
facility again. Best regards

May 4th, 2017 Revdex.comEuclid Avenue 4th FloorCleveland, Ohio 44115-2408 Complaint Number: *** Patient Name: *** ***Patient Account # *** Dear *** ***, This letter is in response to a rebuttal filed in your office by *** *** on May 3rd, The complaint was sent to the Financial Ombudsman department to review and respond back to youWe have addressed all of *** ***'s concerns and we will not be addressing this again. Best Regards, Tina N*** Financial Ombudsman Unit

(The following was copy/paste by Revdex.com staff - ***)***From: *** *** ***>Date: Fri, Jul 14, at 9:AMSubject: Complaint #*** Update 7/10/17To: ***I want to provide an update regarding this case.I spoke to a *** representative today who confirmed that the charges for the date in question, 10/19/16, were in fact billed out-of-network (Call reference #***) The representative also told me that two other visits, 8/18/and 12/16/were also billed out-of-network, something that I was not previously aware of due to oversight Prior to each of these visits, we were told by the Cleveland Clinic scheduling department that they were in-network, and we confirmed this with ***.Given these new findings, I would like a hold on my entire bill/payment plan and that the charges for all three of these dates be corrected As I have already paid for these bills, at least partially, I would like a refund credited back to my account should the corrected bill reflect a negative balance and overpayment on my part.Please add this to my complaint.Thank you,*** ***

December 18, 2017 Revdex.comEuclid Ave, 4th FlCleveland, Ohio 44115-2408Attn: *** *** Complaint Number: *** Patient Name: Bethany L *** Patient Account #*** Dear Mr***, This letter is in response to
a billing complaint from Mrs*** ***, filed in your office on December 18, 2017.This 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 Mrs***The dispute the consumer has is related to the services rendered and how they were coded and billed to insurance. Patient was seen for an office visit and the charges were billed as outpatientCleveland Clinic is deemed an outpatient facility; therefore all the family health centers/doctor offices are considered extensions of the hospital itself and would be outpatientCleveland Clinic has been billing this way since and sends out at least one notice per year per patientMost large hospitals charge these facility fees and they cannot be waived if insurance deems the balance patient responsibility. Per my investigation the patient has spoken with two supervisors and has had a coding review completed on her accountThe balance due of $is patient’s responsibility and has been applied toward her deductibleThe patient has been notified by letter that Cleveland Clinic bills as outpatient hospital office visit due to the services not being rendered at our Main Campus location and she did not stay overnight in observation or admitted to the hospital Since this has been previously reviewed and no changes are applicable this will be our final review of the consumer’s dispute and she will owe the balance of $that has been applied toward her deductibleIf she wishes to further dispute this it would need to be done with her insurance company Thank you for allowing me the opportunity to investigate this concern Respectfully,Jamie ***, Financial Ombudsman 216-445-Revenue Cycle Management, CCHS Cc: ***, Bethany L Need help paying your medical bills? Call or go to www.ccf.org/financialassistance for information on our financial assistance policy

May 19, 2015Revdex.com, Inc Euclid Ave, 4th Floor*** *** Cleveland, OH 44115RE: *** *** ***Complaint ID: ***CCF ***Dear *** ***,This letter is in response to a complaint filed in your office by *** *** ***
on May 14, The complaint was sent to the Financial Ombudsman department to review and respond back to you.First I would like to offer my sincere apologies for *** ***’s concerns relating to Provider Base billing, for her visit on January 29, 2015. A thorough review of the above referenced account was performed*** *** was scheduled for an appointment on January 29, at the *** *** *** at *** HospitalThe physician *** *** saw on January 29th once practiced at the *** *** Health Center*** *** is now practicing at *** Hospital, and will no longer be treating patients in *** *** Hospital bil“Provider Base Billing” which means there are two separate charges; one for the healthcare provider and the other a facility fee to partially defray the costs of providing non-physician staff, equipment, supplies, etc *** *** was not made aware of this at the time of her appointment therefore; we’ve agreed to adjust the balance in question of $as a one-time courtesy adjustment This letter is to notify *** *** that any future visits she has at any Cleveland Clinic facility/hospital (other than ***), will bill as Provider Base Any future balances that drop to patient liability because of provider base billing, will be patient responsibility*** *** may want to choose another physician at the *** FHC to help her in defraying this cost Once again, we sincerely apologize for any inconvenience or difficulty *** *** experienced while trying to resolve this matterThank you for bringing this matter to our attention. Respectfully,*** ***Financial Ombudsman Revenue Cycle Management, CCHSCc: *** ** ***

March 19, 2016Revdex.comEuclid Avenue 4th FloorCleveland, Ohio 44115-2408Attn: *** ***Complaint Number: ***Patient Name: *** ***Patient Account # ***Dear Ms***, This letter is in response to a second complaint filed with your office by *** *** on March 11, This was sent to the Financial Ombudsman department to review and respond back to you.Mrs*** stress her disappointment that she has never received a refund from Cleveland Clinic in the amount of $after she was told it was mailed on March 3, 2016.A second review has been completed; it appears the credit of $ still appears on her accountI contacted the refund department to look into this matter and it was determined a check was sent, however they decided to stop payment on the original refund check #*** and re-issued a new check..The second refund check of $was mailed on March 18, 2016.Once again we sincerely apologize for any inconvenience the patient experienced in trying to resolve this matter and thank you for allowing us the opportunity to investigate Ms***’s concerns.Respectfully,Kathy R***Kathy R***Financial OmbudsmanRevenue Cycle Management, CCHS

March 22, 2017   Revdex.com 2800 Euclid Ave, 4th Fl Cleveland, Ohio 44115-2408 Attn: [redacted]   Complaint Number: [redacted]   Patient Name: [redacted] Patient Account #[redacted]   Dear [redacted],   This letter is in response to a complaint...

filed with your office by [redacted]. Our efforts are focused on bringing all aspects of each patient encounter to a level of World Class Care.   World Class Care includes billing the correct charges to the patient’s insurance and the billing of correct patient responsibility to the patient. In review of the patient [redacted]’s complaint regarding date of service 2/8/17, I find there is no error.   While Mr. [redacted] expresses his sticker shock regarding the prices for medical services provided on 2/8/17, The Cleveland Clinic Neurological Institute has reviewed national benchmarks, local market pricing and internal costs. Prices are in alignment with the national average for larger diagnostic centers like The Cleveland Clinic.   The outcome of the clai** for services 2/8/17, processed by the patient’s insurance [redacted], is coinsurance totaling $284.09. If Mr. [redacted] wishes to review his agreement with [redacted], I am sure his insurance representative can explain that coinsurance is his responsibility based on his insurance contract.    The Cleveland Clinic is a participating provider with [redacted]. As a par provider, we are contractually obligated to bill the patient deductible, coinsurance and copayment amounts. The Cleveland Clinic will not discount these balances.   Attached to this letter of response is Mr. [redacted]’s most recent statement. His $531.14 balance is related to 2/8/17 and other dates of service at The Cleveland Clinic. There is no billing error on this statement.   If Mr. [redacted] wishes to make timely payment for his balances, there are payment plans available through The Cleveland Clinic Customer Service Department, 866-621-6385.   In the event that Mr. [redacted] refuses to pay his accurate patient balances, after a reasonable period The Cleveland Clinic may outsource the collection of these legitimate amounts to collection agencies. If Mr. [redacted] prefers to interact with these agencies to settle his accounts, his choice to do so cannot be treated as a legitimate complaint against The Cleveland Clinic.   Thank you for allowing me the opportunity to respond to the above complaint. If you have additional questions, you may contact me directly at 216-445-6968 or by email at [redacted].   Respectfully,   Christine J[redacted] Financial Ombudsman     Cc:    [redacted] Cc:    [redacted]
         [redacted]
         [redacted]          RE: [redacted]

(The following was copy/paste by Revdex.com staff - [redacted]From: [redacted]>Date: Tue, Jul 18, 2017 at 1:59 AMSubject: Complaint #[redacted]To: [redacted],I've received the itemized bills from [redacted].  There are charges that are incorrect and [redacted] (call reference #[redacted]) has confirmed that they were billed out-of-network.Regarding the 4/21/17 visit, there is a charge of $31.00 for the venipuncture that was done with the incorrect tube, wasting the entire lab test and entire reason for the trip to Cleveland.  This was billed out-of-network as well.  This charge should be voided.  The $147.00 charge for the genetic counseling is a valid charge, but needs to be re-billed in-network.Regarding the 10/19/16 visit, there were numerous lab tests that were performed that the physician did not order:-[redacted] $80.00-[redacted] $98.00-[redacted] $125.00-[redacted] $136.00-[redacted] $129.00-[redacted] $143.00These six charges need to be voided.Only three lab tests were ordered:1.  [redacted] (also please explain why there are four charges for this test of $215.00, $215.00, $215.00, and $360.00)2.  [redacted]3.  [redacted]These three charges (and no duplicates of these charges) need to be re-billed in-network.  The Est Eval Visit Level 1 and Routine Venipuncture are also valid but need to be re-billed in-network.The [redacted] representative also told me that two other visits, 8/18/16 and 12/16/16 were also billed out-of-network.  Prior to each of these visits, we were told by the Cleveland Clinic scheduling department that they were in-network, and we confirmed this with [redacted].  I expect these visits to be re-billed correctly in-network.  As I have already at least partially paid for these bills, I would like a refund credited, should the corrected bills reflect a negative balance and prior overpayment.Until these billing issues are resolved, the Financial Ombudsman is who I need to deal with, not the Medical Ombudsman.Thanks,[redacted]

This email was forwarded to me from the Cleveland Clinic Financial Ombudsman office.  As the Medical Ombudsman, I was responsible for providing feedback to [redacted] regarding his grievance with Hillcrest Hospital.  My last conversation with him occurred on 3-30-17 at which time I...

informed him that the Cleveland Clinic could not provide a monetary adjustment to his medical bills based on a lack of evidence to his claim. I initially spoke with [redacted] on December 15 when he contacted the Ombudsman Office requesting assistance in understanding how his left hip became infected.  On the day of his arrival to the Emergency Department on 12-5, the patient reported having had a flu shot 4 hours earlier.  Prior to the flu shot, he was asymptomatic.  He had been 1 year post-operative from his left hip surgery and had no complications and was pain free.  The chills and body aches, including pain in his hip were thought to be, by both the patient and the physician,  related to a reaction to the flu shot or some other medication.  The patient was told to follow up with his primary care physician in 1 week or return to the Emergency Department if the symptoms become worse.  The patient saw his doctor 4 days later as his symptoms were worse than what had appeared in the emergency department.  Per [redacted]’s report, he was sent back to the hospital where he was treated for a strep infection- which is a blood stream infection, not a staph infection.  I investigated this concern for him by speaking with both his Infectious Disease physician, as well as his Orthopedic Surgeon.  While it certainly was suspicious that his symptoms came about after receiving the flu shot, his physicians do not believe this to be the culprit.  However, they also can’t speak to what caused the infection, either.  Had it entered in his body during his right hip surgery in October, they believe that there would be some evidence of infection of the right hip, but there was not.    According to the physicians, the patient developed a blood stream infection that settled in his prosthetic hip on the left side.  Our office documented a complaint on his behalf related to the infection, but could not identify any error in the process that would suggest a write off of his fees.  This would include his Emergency Department visit as an x-ray of his hip did not seem to be urgent at that time given that [redacted] complained of body aches all over.  Even 4 days later when he saw his primary care physician, he believed he was having a reaction to the flu shot.  Lastly, basic blood work would not have indicated the strep infection. [redacted] is aware of all of this.  We are sorry for the complications that he has experienced, but, again, there is nothing to indicate that this his infection was not community acquired. Sincerely, Becky S[redacted]Sr. Ombudsman

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and because I simply wish to be finished with this matter I will accept the response. Even so, I plan to avoid this type of issue in the future by having my healthcare provided by other organizations as much as possible.
Regards,
[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.  We did receive the check in the mail on 5/25.
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.
Regards,
[redacted]
I have read [redacted] response regarding my liability of the balance of 109.00 due, in fact I have already paid this, are they saying I have not paid.  Please make sure Ms [redacted] is aware I have paid it .  Thank you