Patient received statements of $342.00 in Sept, Oct, Nov & Dec 2014. No payments received so Demand Letter sent 1/22/15, showing balance due of $572.00 because the claim for DOS 9/26/14 was posted on 1/20/15.
Patient had called on 12/12/14, state:d she would pay the...
balance of $342.00 plus the $123 for the next injection on her 1/23/15 visit. Patient came in 1/23/15 and paid this $342.00 balance, elected not to receive injection due to cost.
Patient received the Demand Letter between 1/23/15 & 1/26/15.
Patient called 1/26/15, was very upset about amount due on Demand Letter. [redacted] spoke with the Patient and explained that the account balance was currently $230.00 as the $572.00 was reduced by the $342.00 payment. [redacted] explained that the new statement showing the $230 charge was not scheduled to go to the patient until 1/28/15. The $230.00 was from DOS 9/26/14 and was just received from her insurance - that is why she was not informed prior about this additional balance. Since the statement had not been created in the system, the statement balance showing was only the $342.00, which is what was the front desk quoted after checking with [redacted] in Billing. It is Billing's policy to quote account balances as shown on the most recent statement to the Patient - this is to allow Patients the time to review statement charges prior to making payment.
Patient informed [redacted] that the Patient had spoken with an attorney and was told she could sue Women's Care if we sent any more threatening letters. [redacted] explained to the patient that, when she failed to pay her balance within the 90 days outlined in the financial policy the patient had signed, a letter was generated explaining the balance due, giving options to help the patient make payment, and explaining possible consequences of nonpayment. It was not intended as a threat, merely as a demand of past due payment.
[redacted] agreed that the [redacted]ient could wait to pay the $230.00 until she had received her new statement and reviewed the charges once the new statement was generated and sent to the [redacted]ient on 1/28/15.
The DOS 9/26/14 charges were originally sent electronically to Medicare on 10/07/14. When there was no response from Medicare, the claim was sent again on 11/24/14. The claim was processed and posted in Women's Care's system on 1/20/14. Based on the EOB from Medicare, the charges were assigned to the [redacted]ient on 1/20/14. There was no exceptional delay in Medicare's processing of this claim.
Patient received statements of $342.00 in Sept, Oct, Nov & Dec 2014. No payments received so Demand Letter sent 1/22/15, showing balance due of $572.00 because the claim for DOS 9/26/14 was posted on 1/20/15.
Patient had called on 12/12/14, state:d she would pay the...
balance of $342.00 plus the $123 for the next injection on her 1/23/15 visit. Patient came in 1/23/15 and paid this $342.00 balance, elected not to receive injection due to cost.
Patient received the Demand Letter between 1/23/15 & 1/26/15.
Patient called 1/26/15, was very upset about amount due on Demand Letter. [redacted] spoke with the Patient and explained that the account balance was currently $230.00 as the $572.00 was reduced by the $342.00 payment. [redacted] explained that the new statement showing the $230 charge was not scheduled to go to the patient until 1/28/15. The $230.00 was from DOS 9/26/14 and was just received from her insurance - that is why she was not informed prior about this additional balance. Since the statement had not been created in the system, the statement balance showing was only the $342.00, which is what was the front desk quoted after checking with [redacted] in Billing. It is Billing's policy to quote account balances as shown on the most recent statement to the Patient - this is to allow Patients the time to review statement charges prior to making payment.
Patient informed [redacted] that the Patient had spoken with an attorney and was told she could sue Women's Care if we sent any more threatening letters. [redacted] explained to the patient that, when she failed to pay her balance within the 90 days outlined in the financial policy the patient had signed, a letter was generated explaining the balance due, giving options to help the patient make payment, and explaining possible consequences of nonpayment. It was not intended as a threat, merely as a demand of past due payment.
[redacted] agreed that the [redacted]ient could wait to pay the $230.00 until she had received her new statement and reviewed the charges once the new statement was generated and sent to the [redacted]ient on 1/28/15.
The DOS 9/26/14 charges were originally sent electronically to Medicare on 10/07/14. When there was no response from Medicare, the claim was sent again on 11/24/14. The claim was processed and posted in Women's Care's system on 1/20/14. Based on the EOB from Medicare, the charges were assigned to the [redacted]ient on 1/20/14. There was no exceptional delay in Medicare's processing of this claim.