This letter is in response to the complaint that The Revdex.com received from [redacted] ***,ID [redacted] , regarding services/customer service from Piedmont Community Health Plan (Piedmont) Piedmont reviewed the complaint, notes, and recorded phone calls relative to this memberDue to the sensitivity of the information and HIPP A privacy rules, Piedmont cannot provide detailed information to The Revdex.comHowever, Piedmont's Customer Service Manager, [redacted] ***, will be contacting Ms [redacted] to discuss the situation and answer any questions and concerns she has specific to this complaint and the service she received Thank you Sincerely, [redacted] Director, Operations, Compliance & Security
I have reviewed the response offer made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below As far as my complaint with PCHP, yes, I received their response My concern is, they have not met what I've asked for at all The vendor ( [redacted] Health) has taken a loss, but PCHP has still refused to count any of the money that I have paid this year towards this year's deductible Being as I'm paying this year, regardless of when the claim was made, it was adjusted this year and asked to pay the remains in this year, so I still respectfully request the money count towards this year As they are still not meeting that request, I am unable to accept their response They have not even offered a compromise [redacted] ***
I have reviewed the response offer made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below I was contacted by both the vendor, [redacted] , and the insurance company, PCHP I am dissatisfied with the insurance company, PCHP They offered no resolution whatsoever They contacted me to notify me that [redacted] did not respond in a timely manner and then PCHP refused to work with or adjust this year's deductible and max out of pocket amountDue to the fact they are able to make adjustments for their benefit OUTSIDE of the year in which claims were made, they should likewise be able to make the same adjustments for the customer outside of the claim year They retracted the amount owed for the claim in January 2014, leaving me with the bill to be paid in 2014, but they refuse to allot the amount paid for this year's deductible or out of pocket maximum The purpose of a deductible is to give a reasonable and accountable (planned for amount) for the customer to pay within twelve calendar months To ask me to be prepared to pay the remaining claim adjusted in January in addition to any additional bills for this year is outside the bounds of reasonable Besides the fact, the money is paid in 2014, the money should count for PCHP refuses to acknowledge the impossibility of billing for the past in the present while only applying it in the past, therefore effecting the ability to pay other present deductibles and out of pocket expenses Contact was made with [redacted] who referred me to the director of her dept, [redacted] *** Regards, [redacted] ***
This letter is in response to the complaint that The Revdex.com received from [redacted] ***,ID [redacted] , regarding services/customer service from Piedmont Community Health Plan (Piedmont) Piedmont reviewed the complaint, notes, and recorded phone calls relative to this memberDue to the sensitivity of the information and HIPP A privacy rules, Piedmont cannot provide detailed information to The Revdex.comHowever, Piedmont's Customer Service Manager, [redacted] ***, will be contacting Ms [redacted] to discuss the situation and answer any questions and concerns she has specific to this complaint and the service she received Thank you Sincerely, [redacted] Director, Operations, Compliance & Security
I have reviewed the response offer made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below As far as my complaint with PCHP, yes, I received their response My concern is, they have not met what I've asked for at all The vendor ( [redacted] Health) has taken a loss, but PCHP has still refused to count any of the money that I have paid this year towards this year's deductible Being as I'm paying this year, regardless of when the claim was made, it was adjusted this year and asked to pay the remains in this year, so I still respectfully request the money count towards this year As they are still not meeting that request, I am unable to accept their response They have not even offered a compromise [redacted] ***
I have reviewed the response offer made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below I was contacted by both the vendor, [redacted] , and the insurance company, PCHP I am dissatisfied with the insurance company, PCHP They offered no resolution whatsoever They contacted me to notify me that [redacted] did not respond in a timely manner and then PCHP refused to work with or adjust this year's deductible and max out of pocket amountDue to the fact they are able to make adjustments for their benefit OUTSIDE of the year in which claims were made, they should likewise be able to make the same adjustments for the customer outside of the claim year They retracted the amount owed for the claim in January 2014, leaving me with the bill to be paid in 2014, but they refuse to allot the amount paid for this year's deductible or out of pocket maximum The purpose of a deductible is to give a reasonable and accountable (planned for amount) for the customer to pay within twelve calendar months To ask me to be prepared to pay the remaining claim adjusted in January in addition to any additional bills for this year is outside the bounds of reasonable Besides the fact, the money is paid in 2014, the money should count for PCHP refuses to acknowledge the impossibility of billing for the past in the present while only applying it in the past, therefore effecting the ability to pay other present deductibles and out of pocket expenses Contact was made with [redacted] who referred me to the director of her dept, [redacted] *** Regards, [redacted] ***