Prohealth Corp.

Revdex.com: I have reviewed the response made by the business in reference to complaint ID# [redacted] , and have determined that my complaint has NOT been resolved because: ProHealth's last message acknowledges receipt of my paymentsThose payments CLEARLY denote the dates of service to which they should applyAs such, the question remains as to why I am still being billed for services for which ProHealth has now acknowledged receipt of payment.This matter cannot be resolved until ProHealth properly applies the payments they've received from me to the dates of service for which they correspond.Thank you[redacted] In order for the Revdex.com to appropriately process your response, you MUST answer the question above Sincerely, [redacted] ***

Revdex.com: I have reviewed the response made by the business in reference to complaint ID# [redacted] , and have determined that my complaint has NOT been resolved becauseThe provider was never clear at the time of the visit what the charges would be to my health provider If I had known that the provider would charge my health care provider $for a five minute office visit with a doctor who barely spoke English, I would have waited to go to my primary care provider the next morning.I had used this care provider previously and had not been billed $for the treatment In order for the Revdex.com to appropriately process your response, you MUST answer the question above Sincerely, [redacted]

The patient has a 90/plan with their insurance carrier. Therefore , the bill should not be in any way a surprise as they will always be responsible for the co insurance per the plan that they have. It is not something that is in our control we need to adhere to the explanation of
benefits. They are not being charged anymore than the carrier indicated and it is the 10%. There will be no adjustment made as it is not warranted

There is no refund due to the patient. His insurance carrier processed this claim in network towards his deductible. We collected only what the carrier stated was the patient responsibility. If patient calls his carrier, they will confirm that this was processed in network and that
this amount was his responsibility

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 and the matter has been
resolved.Dear Revdex.com staff, My name is *** *** I opened the complaint ID ***,the company against which the complaint had opened contacted me yesterday by mail and solved the issue probably after you have submitted the request to them.Thank you for your help
Sincerely,
*** ***

Revdex.com:At this time, I have not been contacted by Prohealth Corp. regarding complaint ID ***.Sincerely,*** ***

Tell us why here...We have no record of either payment or receipt of copies of cancelled checks. If patient would send those to me directly by email if possible ,I can further investigate, but at this point I cannot do anything about the bill

Refund request had been made, final paperwork was completed and check is being cut and mailed today

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 and the matter has been resolved
Sincerely,
*** ***

We have researched our files and find that the doctor in the urgent care center responded appropriately and took all available steps to resolve the problem the patient presented with including the recommendation that he follow up with a specialist.  Balance due is the patient responsibility as...

per his insurance carrier.  He did pay a $50 copay , the insurance did not reimburse the amount stated by the patient, but did pay according to our contract and the remaining balance is patient responsibility per the carrier.

Policy for no show fee is posted at the front desk and is stated  in the automated reminder call.  We understand that sometimes patients cannot call and will therefore as a one time courtesy adjust this balance.

We will make the necessary adjustment to post the payments to the dates that were indicated on the check, regardless of that the patient still owes the amount stated and needs to make payment for balance due, that has not changed only the dates the money is owed for.  Once the changes have been made we will forward a new statement to the patient  and expect payment within 30 days

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

I have attached ProHealth’s most recent statement to this email. Once again, they are billing me for services for which I’ve previously submitted payment.In addition to the ProHealth statement, you’ll find cancelled checks attached confirming ProHealth has been paid for the dates of services listed on the statement.
Sincerely,
[redacted]

The refund was sent to finance on 11/**/15 after documented  call was received on 11/**/15  .  The check has been cut, check # [redacted] in the amount of $413.44 and will go out in the mail today.

Account has been reviewed.  Patient did make a copay on dos as he states.  Insurance has not fully processed the claim and the copay was applied to the open item.  Copay has been moved to the processed procedure and currently patient balance is zero.  Message was left for the...

patient to call office so we could inform him , and a letter will be sent out today as well.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

 My policy covers some items 100%, others 90%.  Knowing this I specifically asked about out of pocket expenses before my elective surgery.  I had no way of knowing how or what they would bill.  I was told Pro Health always checks with patients' insurance prior to procedures and patients are ALWAYS notified when out of pocket money are involved.  I was reassured I would be notified BEFORE my surgery if any deductible, co-insurance, any out of pocket expenses were involved and I wasn't.  When speaking with two representatives from their billing department, both apologized, said I should have been notified and one said she didn't know how I "fell through the cracks" and wasn't notified. A significant amount of money was billed yet they take no responsibility for their costly mistake.  Pro Health's response does not address my complaint. Pro Health should take responsibility for their employees mistake.  I shouldn't have to pay because their employee didn't do their job.
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Revdex.com:
I have...

reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

ProHealth's last message acknowledges receipt of my payments. Those payments CLEARLY denote the dates of service to which they should apply. As such, the question remains as to why I am still being billed for services for which ProHealth has now acknowledged receipt of payment.This matter cannot be resolved until ProHealth properly applies the payments they've received from me to the dates of service for which they correspond.Thank you.[redacted]
 
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved becauseThe provider was never clear at the time of the visit what the charges would be to my health provider.  If I had known that the provider would charge my health care provider $500.00 for a five minute office visit with a doctor who barely spoke English, I would have waited to go to my primary care provider the next morning.I had used this care provider previously and had not been billed $500.00 for the treatment.
 
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Review: Went to ERDox in [redacted] with a sinus infection. Saw a doctor who barely spoke English for 5 minutes who prescribed 5 days of anti-biotics. I was later billed $500 for the visit, 400 dollars more than any other previous visit.Desired Settlement: Partial refund of $300

Business

Response:

There is no refund due to the patient. His insurance carrier processed this claim in network towards his deductible. We collected only what the carrier stated was the patient responsibility. If patient calls his carrier, they will confirm that this was processed in network and that this amount was his responsibility.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved becauseThe provider was never clear at the time of the visit what the charges would be to my health provider. If I had known that the provider would charge my health care provider $500.00 for a five minute office visit with a doctor who barely spoke English, I would have waited to go to my primary care provider the next morning.I had used this care provider previously and had not been billed $500.00 for the treatment.

In order for the Revdex.com to appropriately process your response, you MUST answer the question above.

Sincerely,

Review: ON 6/**/2014, I called the [redacted] and requested a printout of my account, n/o [redacted], #[redacted]Desired Settlement: 1. completion of billing/payment request made via phone on 6/*/2014.

2. apology fro not providing the above. after 3 weeks have elapsed.

Consumer

Response:

At this time, I have not been contacted by Prohealth Corp. regarding complaint ID [redacted].

Sincerely,