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Women's Imaging & Wellness

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Women's Imaging & Wellness Reviews (2)

We are in receipt of your letter regarding a complaint made regarding billing issuesThis email is in response to this complaint ID ***
At Solis Mammography, creating an exceptional patient experience is of the upmost importance to usIt’s our belief, each experience begins with the first
contact a patient has with our organization and continues through the end of the billing cycleAny concerns or complaints are taken very seriouslyWe make every effort to research and respond quickly to all concerns.In our investigation of this complaint we thoroughly researched our bill and all previous communications with the patient’s insurance carrierWe also spoke to a representative of the insurance carrier to ensure we had a full understanding of the status of the claim submitted for services rendered in April of The insurance company stated all the comments and calls that have been made by our organization regarding claim status for this account are accurately documentedThe representative reiterated the claim is denied/closed pending medical records and patient history from the patient’s primary care physicianThe insurance company has requested the records from the patient’s physician, but to date, there has been no response and the records have not been receivedWe were told the claim will be reopened once the primary care physician submits the patient’s medical records. The patient is welcome to contact me directly if there’s anything further we can assist with in getting her claim processed by the insurance company. Sincerely,DaWanda N***

This response is a start toward resolution by stating the status of the account as it has been for many months but needs to go fartherMoving the case forward requires proof of medical necessity that Solis can't produce yet hopes my OBGYN will have supporting recordsAccording to my OBGYNs office neither the insurer (BCBS) or Women's health and Imaging (Solis) has requested any documents or chartsTherefore no proof of medical necessity will be coming, the claim won't be re-opened (ever)Its been months since the mammographiesFurther waiting isn't going to bring about a solution. Here is a possible solutionTell me what documents are neededI will go to my OBGYN and request, collect and distribute them to both Solis and BCBSProof of medical necessity for diagnostic mammographies should be easyProof supporting the 3D image may be harder if its classified experimentalThe solution here is simpleIt just requires effective communicationI am trying to helpCommunicate with me and I can help.Another solution is to request the insurer re-contact the OBGYNBear in mind no request was ever received by the OBGYNDouble check contact info firstGet copies of the request or do the contacting yourselfA HIPPA release can be obtainedContinuing to wait will not resolve this case.Here is another solutionThis effort is about a few hundred dollarsThis is a minor billSolis has a contract with the insurer regarding pricing and documentationIf Solis can't produce the proof required by contract, the insurer has every right to close this case as a provider write offThis happenedProof of this is in the Revdex.com supporting documentationSolis should write this off and not balance bill the patientIts unfair and unethical to hold open an account with no time limit and against contract obligations.You have multiple avenues to move this case toward resolution and I hope you will chose oneI have re-contacted the insurer, explained the situation again, and given them your personal contact informationNo one has successfully reached the OBGYNLets work together to resolve this.
Regards,
Julie F*

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Address: 5156 Blazer Pkwy Ste 120, Dublin, Ohio, United States, 43017-7318

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