Walgreen Drug Store

Initial Business Response / [redacted] (1000, 5, 2016/01/21) */ 01/21/ RE: Case # [redacted] To Whom It May Concern, Our billing practice at Life Care Center of Reno is based on the benefits that we verify upon admission for each memberWe bill any co-insurance due as member responsibility based on these verified benefitsOccasionally that amount can be adjusted when the insurance company pays us and it is stated on the Explanation of Benefits that is provided to us with the paymentIn such cases we do provide a copy of the Explanation of Benefits with adjusted bill to the member In this particular case this claim has been reprocessed through the insurance company a few times, each time changing the member responsibilityEach time we billed the member according to the adjusted Explanation of BenefitsWe only bill based on what an insurance company states is the member responsibility, whether from the verified benefits upon admission or any changes reflected on the insurance company's Explanation of benefits We do apologize for any miscommunications or misunderstandingsAt Life Care Center of Reno we pride ourselves on customer servicePlease let us know if you need any more information regarding this case or our billing practicesThank you Sincerely, [redacted] Business Office Manager Initial Consumer Rebuttal / [redacted] (3000, 8, 2016/01/26) */ After my complaint to Revdex.com about an unsubstantiated additional bill from Life Care they sent attachments mailed on 1/15/which still do not PROVE their billThe 1st attachment states "Balance Due Upon Receipt of Statement" with an unexplained Balance Forward of $941.88, but it does not relate this to their last invoice for $dated 7/which we fully paid on 8/2015.The 2nd attachment shows a bill for $from [redacted] titled Explanation of Payment which does not explain anything at allIt states "Reversal of Previous Payment, Provider LifeCareDBA Wedgewood Group" but does not provide any Adjustment Reason to explain this sudden bill of $1257.23.LifeCare's job is to reconcile the bills but they want ME to do the follow upwith [redacted] (***).I did that in Dec , was told by [redacted] to appeal the bill which I did via letter on 12/22/after which I got a call from [redacted] on 1/reassuring me I have a zero balanceI emailed LifeCare about this;they ignore it and continue to bill me.Luckily yesterday I got an email and voicemail from [redacted] stating they will correct their error and reprocess the bill as a bill where I met all my deductibles and likely I will not owe anythingMy bill was erroneously billed as a bill though I was admitted in 2014.This could take up to days.Thanks so much Revdex.com for your prompt action which hastened the reply from [redacted] and LifeCare!!! Correct the bill to reflect the zero balance owed by us after our final payment of $per LifeCare's last invoice on Final Consumer Response / [redacted] (4200, 16, 2016/02/05) */ (The consumer indicated he/she DID NOT accept the response from the business.) Lifecare has NOT addressed my concerns, why they insist the member/patient is responsible for doing Lifecarfe's job of following up w/ the insurance and resolving the billing issue No value would be had by "meeting"What is needed is RESOLUTION of the problem - and that can only be done w/ proper documentation Final Business Response / [redacted] (4000, 14, 2016/02/05) */ We have addressed these concerns in our previous responsesWe would be happy to meet with the member if she would like to discuss anything furtherThank you

Initial Business Response /* (1000, 5, 2016/01/21) */
01/21/2016
RE: Case # [redacted]
To Whom It May Concern,
Our billing practice at Life Care Center of Reno is based on the benefits that we verify upon admission for each member. We bill any co-insurance due as member responsibility based on...

these verified benefits. Occasionally that amount can be adjusted when the insurance company pays us and it is stated on the Explanation of Benefits that is provided to us with the payment. In such cases we do provide a copy of the Explanation of Benefits with adjusted bill to the member.
In this particular case this claim has been reprocessed through the insurance company a few times, each time changing the member responsibility. Each time we billed the member according to the adjusted Explanation of Benefits. We only bill based on what an insurance company states is the member responsibility, whether from the verified benefits upon admission or any changes reflected on the insurance company's Explanation of benefits.

We do apologize for any miscommunications or misunderstandings. At Life Care Center of Reno we pride ourselves on customer service. Please let us know if you need any more information regarding this case or our billing practices. Thank you.
Sincerely,
[redacted]
Business Office Manager

Initial Consumer Rebuttal /* (3000, 8, 2016/01/26) */
After my complaint to Revdex.com about an unsubstantiated additional bill from Life Care they sent 2 attachments mailed on 1/15/16 which still do not PROVE their bill. The 1st attachment states "Balance Due Upon Receipt of Statement" with an unexplained Balance Forward of $941.88, but it does not relate this to their last invoice for $28.00 dated 7/2015 which we fully paid on 8/2015.The 2nd attachment shows a bill for $1257.23 from [redacted] titled Explanation of Payment which does not explain anything at all. It states "Reversal of Previous Payment, Provider LifeCareDBA Wedgewood Group" but does not provide any Adjustment Reason to explain this sudden bill of $1257.23.LifeCare's job is to reconcile the bills but they want ME to do the follow upwith [redacted]).I did that in Dec 2015 , was told by [redacted] to appeal the bill which I did via letter on 12/22/15 after which I got a call from [redacted] on 1/2016 reassuring me I have a zero balance. I emailed LifeCare about this;they ignore it and continue to bill me.Luckily yesterday I got an email and voicemail from [redacted] stating they will correct their error and reprocess the bill as a 2014 bill where I met all my deductibles and likely I will not owe anything. My bill was erroneously billed as a 2015 bill though I was admitted in 2014.This could take up to 30 days.Thanks so much Revdex.com for your prompt action which hastened the reply from [redacted] and LifeCare!!!
Correct the bill to reflect the zero balance owed by us after our final payment of $28 per LifeCare's last invoice on
Final Consumer Response /* (4200, 16, 2016/02/05) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Lifecare has NOT addressed my concerns, why they insist the
member/patient is responsible for doing Lifecarfe's job of following up w/ the insurance and resolving the billing issue.
No value would be had by "meeting". What is needed is RESOLUTION of the problem - and that can only be done w/ proper documentation...
Final Business Response /* (4000, 14, 2016/02/05) */
We have addressed these concerns in our previous responses. We would be happy to meet with the member if she would like to discuss anything further. Thank you.