Community Health Network, Inc("Community") received your letter dated August concerning a complaint tiled by Ms [redacted] with your officeCommunity appreciates your extension of time to allow us to respond to this complaintMs [redacted] 's complaint is in regard to payment of charges incurred for services at The Endoscopy Center on 56th Street, in Indianapolis, Indiana [redacted] is one of "Community's" entities that hills for services performed at The Etidoscopy Center.Ms [redacted] 's complaint alleges she completed the monthly installment agreement with the billing servicesAfter the total charges were submitted to Ms [redacted] 's insurance carrier, [redacted] processed and paid the discounted amount of Sleaving Ms [redacted] with a balance of SPlease note the balance owed is Ms [redacted] 's contracted co-insurance with her insurance carrier, ***The first statement sent to the guarantor, Ms [redacted] , after her insurance processed and paid was dated 11/03/for the S(Exhibit A) Account notes reveal Ms [redacted] contacted [redacted] Customer Service Billing on 11/16/2015, 12/14.2015, 01/to make a $payment on each of the dates leaving a balance of SA [redacted] Customer Service Rep contacted Ms [redacted] on 01/13/to inquire if she was interested in settithe balance of Son a month!y payment planMs [redacted] agreed to a monthly payment plan of Sper month until the balance was paid in full (approximately months)(Exhibit B)The first payment of Swas received on 02/08/The second payment of Swas received on 03/09/The third payment of $was due on 04/14/2016, but was not received until 05/At this pointMs [redacted] was late with her third and fourth monthly payment and should include the fifth payment on 05/l 720lIf she had made ap3yment ofMs [redacted] would have been up-to-date with her monthly payment planHowever, on 05/19/2016, she only made a payment of $and was now two payments in arrearsMs [redacted] made another payment on 06/17/of $As a result of the delinquency, a letter was sent from [redacted] Customer Service Billing on 06/22/to notify Ms [redacted] of the arrears with her payment plan of S 104.64, and was encouraged to contact them as soon as possible (Exhibit QOn 07/07/2016, Ms [redacted] 's [redacted] account was sent to a collection agency (***) because there had not been a response from MsPatterson to the 06/22/letterAnother letter was sent from [redacted] notifying Ms [redacted] the account had been turned over to them for collection actions On 07/11/2016, Ms [redacted] made a payment of $to Med-iMs [redacted] called [redacted] Customer Service Billing on 07118/to inquire why her account was sent to collectionsMs [redacted] was advised by the Customer Service Rep her account was being reviewed by a supervisorAt that point, Ms [redacted] 's monthly payment plan had been deactivated for non-paymentShe had been notified to contact [redacted] Customer Service or her account may be turned over to a collection agencyLastly, she had been turned over to [redacted] on 07/07/for being in arrears $104.64, with a July payment due by 07/15/ Following review by a [redacted] Customer Service Billing supervisor, MsPatterson's account was returned from collections and a new monthly payment plan of $for the remaining balance, with a new due date of 08/31/was set [redacted] contacted Ms [redacted] on 07/22/to advise her the balance of was set up on a new monthly payment plan (Exhibit D) On 08/01/2016, Ms [redacted] contacted [redacted] Customer Service Billing again to check on her account balanceShe stated she had paid [redacted] the balance in full in JulyThe supervisor advised payments made to [redacted] do not reflect immediately, but come over at the end of the month, and her payment should be credited to the balance at the end of July [redacted] has received the following payments from Ms [redacted] towards her $coinsurance balance, as follows: $on 11/16/2015, 12/14/2015, and 01/11/2015; $on 02/08/2016, 03/09/2016, 05/19/and 06/17/to ***; and $on 07/11/to [redacted] for a total of $At present, there is $remaining to be paid In summary, the "installment agreement with the billing services" has not been "completed"The balance of $remains to be paid by Ms [redacted] , and Community is entitled to be paidIf Ms [redacted] would provide [redacted] Customer Service Billing with any and all copies of check or credit card payments [redacted] would review Again, thank you for your extension of time to respond to this matterIf you need further inforniation to conclude your investigation, please do not hesitate to contact me Cordially, Tonya A T [redacted] Client Services Manager
Revdex.com: I have reviewed the response I consider this complaint resolvedMy insurance provider contacted Community Health in regards to balance billing and I received a call from a supervisor, he stated he would take care of the remaining balance Regards, [redacted] ***
This letter is in response to a complaint filed with your office by [redacted] ***'Ms***' complaint is regarding billing she has received from Community Health Network (CHNw)Ms***' claimed CHNw billed her without first billing her insurance companyMs [redacted] also claimed her insurance submitted payment for $to CHNw in November After researching the events on this account, I located an electronic explanation of benefits from the patient's insurance carrier that show the claim denied as "Expenses incurred prior to coverage"The patient was then billed on 10/16, 11/13, 12/11, 1/8, and 2/On 3/4/14, the patient's father called CHNw and made a payment of $185.09, and stated his insurance company told him the amount of $was his daughter's only responsibilityCHNw did not receive the same informationOn the 3/17/14, Ms [redacted] called CHNw and spoke to a Supervisor about her experience with the billing through CHNwThe Supervisor decided to adjust the balance of $in an effort to appease Ms***This account has a zero balance at this timeIf you need further information to conclude your investigation, please do not hesitate to contact meThank you, Carol E [redacted]
Community Health Network, Inc("Community") received your letter dated May 23, concerning a complaint filed by Ms [redacted] with your officeCommunity appreciates your extension of time to allow us to respond to this complaintMs [redacted] complaint is in regard to a bill she received from Community and the balance owed by her alter her insurance carrier processed the initial billThe initial bill for services rendered by Community was $94.00, which was submitted to Medicare and processed in January with the discounted amount being $(Medicare deductible)This amount was submitted to Ms [redacted] secondary insurance Anthem Michigan and processed in January leaving the amount owed by Ms [redacted] to be $Please note the balance owed was her contracted copay with her insurance carrier, Anthem MichiganMs [redacted] paid her copay of $on 03/18/and there was a zero balance for visit dated 01/09/2013.On February 25, Anthem partially recouped $22.59, and on April 8, Anthem recouped the remaining $from their previous payment made 02/05/of $As a result of Anthem's recoupment, statements were sent out on 02/25/and 03/23/for $On 05/10/Community's insurance follrepresentatives contacted Anthem to inquire about the recoupmentValerie at Anthem was not able to provide an answer as to why because the claim was so oldValerie said she was going to get help from the recovery department and get back with CommunityMichelle M, contacted Ms [redacted] and stated a bill was sent because Anthem took back part of their payment from The balance of $rolled to collections, which Michelle told Ms [redacted] she would return because she was adjusting the recoupment balance off as a courtesy because of the age of the claim (2013)As of this writing, Community has not heard from AnthemMs [redacted] complaint also alleges a bill she received for a CT Scan on December 30, Services for the CT Scan were billed through Community Howard Regional Health (Howard")Upon review, Community billed for balances that Ms [redacted] s secondary insurance carrier deemed were paid in error, which were ultimately written off by HowardAgain, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation., please do not hesitate to contact me Sincerely, Priscilla [redacted] ***
This letter is in response to a complaint filed with your office by Ms [redacted] on 12/3/Ms [redacted] 's complaint is that Community Health Network (CHNw) billed her for services not rendered, did not resolve her dispute and subsequently referred her account to a collection agencyOn 8/6/Ms [redacted] contacted our billing office and stated she was billed excessively for procedure code when the doctor did not perform a thorough examination of her ankleThe CHNw representative sent the account to the coding department to be reviewedThe charges for the 6/16/date of service were reviewed by our coding department and an internal auditorThe review confirmed that documentation exist to support billing for procedure code 27786, the fracture fee without manipulationThe amount billed for this procedure is $This fee includes all follow up office visits regarding this specific fractureHowever, it was determined that the office visit for $should be voidedA request was sent to her insurer, [redacted] on 8/19/to recoup the payment made for the office visitThe patient's copayment responsibility for this date of service is $69.90, Ms [redacted] also requested credit for the payment she made on 7/17/This payment was for $and was posted to her 6/12/date of service, leaving her with a zero balance for the 6/12/date of serviceI have removed her account from collections and have made two attempts in the past week to notify Ms [redacted] of the action taken by CHNw as I could not confirm it she was notified at the time the investigation was completed Sincerely, [redacted] %% Read More Customer Complaints: $(function () { $('.complaint-block a[data-toggle=collapse]').click(function () { $(this).text($(this).text() == $(this).attr('data-close-text') ? $(this).attr('data-open-text') : $(this).attr('data-close-text')); }); $('.complaint-block .collapse').collapse({ toggle: }); $.each($('.complaint-block a[data-toggle=collapse]'), function (index, value) { $(value).text($(value).attr('data-close-text')); }) });
Community Health Network, Inc("Community") received your letter dated June 16, concerning a complaint filed by Ms [redacted] with your officeCommunity appreciates your extension of time to allow us to respond to this complaint.Ms [redacted] ' complaint is in regard to non-payment of charges she received from Community and other health care service providers unknown to CommunityIn her complaint, she states the amount of $4,is with [redacted] Account No, [redacted] ($4,Community Health Network, and $other providers.)Community has been in contact with [redacted] to ascertain what dates of service and amounts are included in the $4,810,total [redacted] stated Community has five (5) accounts with them included in Ms [redacted] 's stated balance, as follows: Account ID Date of Service Initial Charge Statement Dates Payments & Adjustments Amount Turned Over Current Amount Owed [redacted] 07/12/ $8, 9/9/2013,10/07/2013,11/14/2013, 12/02/ $1,112.34/$4, $3, $3, [redacted] 02/10/ $ 03/20/2014,04/17/2014, 05/15/2014, 06/12/ $ $ $ [redacted] 02/10/ $ 02/20/2014, 03/20/2014, 04/17/2014, 05/15/ $ $ $ [redacted] 03/18/ $ 04/17/2014, 03/28/2014, 06/12/2014, 07/10/ $134.12/$ $ $ The balances were owed by Ms [redacted] after her insurance carrier processed the initial billThe initial bills for services rendered by Community were submitted to Ms [redacted] 's [redacted] policy and processed with the discounted amounts being [redacted] deductiblePlease note the balance owed is her contracted deductible with her insurance carrier, [redacted] .Prior to the remaining deductibles being turned over to [redacted] for non-payment Ms [redacted] received four (4) statements to either pay the balance in total, set the balance up on an interest-free payment plan at Community, or apply and qualify for Community's Financial Assistance program.Ms [redacted] 's complaint also alleges ER Services have been combined with [redacted] Hospital, Community and Emergency of IndianapolisThis is not trueCommunity is a separate biller from [redacted] and Emergency of IndianapolisIt is possible Ms [redacted] did receive a letter from an attorney concerning her unpaid balances as Community'sbalances mentioned above, have been at [redacted] Credit since August 2014, which have not been paid [redacted] Credit has been retained by Community to collect on unpaid balances, and if necessary to obtain a judgmentCommunity is not a part of [redacted] and did not enter into any type of forgiveness program with Ms [redacted] concerning the above-referenced chargesIn summary, Community Health Network billed for balances Ms [redacted] incurred on July 18, 2013, February 10, and March 18, 2014, and is entitled to be paidCommunity believes if Ms [redacted] has a concern about her current balance, she needs to communicate with [redacted] credit.Again, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation, please do not hesitate to contact meCordially, Tonya A T [redacted] Client Services Manager
Community Health Network, Inc("Community") received your letter dated April 26,concerning a complaint filed by Mr*** *** with your officeCommunity appreciates your extension of time to allow us to respond to this complaintMr***'s complaint is in regard to
the bill he received from Community and the balance owed by him after his insurance carrier processed the initial billThe initial bill for services rendered by Community is $3,with the discounted amount being $1,201.00, thus, leaving the amount owed by Mr*** to be $2,Please note that the balance owed is his contracted deductible with his insurance carrier.On April 25,2016, Mr*** contacted Customer Service Billing regarding his balanceAt that time, he spoke with a Customer Service Representative as well as a Customer Service Supervisor ("Supervisor")The Supervisor advised ** *** that Community could not lower the balance owed by him because he had already received the contractual write-off negotiated by his insurance carrier for its members with CommunityIn response, Mr*** stated that he felt he was being punished for having insurance because Community offered a self-pay discount to patients who do not have insuranceHe requested Community to apply the same discount to his charge offered to an uninsured patient to reduce his contractual financial responsibility with his insurance carrierThe Supervisor advised Mr*** that the self-pay discount is only available to patients who do not have insurance, and as such, he is ineligible for the discountFurther, the Supervisor emphasized to Mr*** that it would be unethical to do so, and would also hinder Community's ability to negotiate with the insurance carrier(s) for their members and its patientsMoreover, the Supervisor insisted that she and Community would not participate in such a practiceIn summary, Community offers a self-pay discount to patients who do not have insurance, As such ** *** is ineligible for the selfpay discount because be has insuranceThe balance owed by him is his contracted deductible with his insurance carrier.Again, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation, please do not hesitate to contact me
Cordially,
Tonya T***Client Services Manager
The worst people work here -- My dad had to be seen by an ophthalmologist for diabetic retinopathy. It was his poor fortune that he had [redacted] Insurance, but we knew that no one in Indianapolis who could perform retinal surgery or procedures was covered. Still, in hopes to get some care, my parents called [redacted] to schedule an appointment with a specialist who would be able to do the needed procedures. We told the [redacted] representative that we were going to have to be seen by a specialist. After explaining to the representative for several minutes, she still didn't understand and got this Eye care place on the phone. In a three-way call, my parents explained to both of the other parties that what my dad need was a retinal specialist, not an eye-care clinic. Even then, both of the other representative agreed that my dad would be seen in the clinic and a referral would be made if necessary. Think this was an acceptable compromise, and that with a referral, [redacted] would budge slightly to covering the cost of the out-of-network provider, my parents went for my dad's scheduled appointment. However, when they got there, after verifying something with [redacted] over the phone for 15+ minutes, the front desk person (the same one my parents talked to on the three-way call) said they do not do the procedures that my dad needs and that my dad can't be seen! My mom comfronted her, telling her that she lied when she was on the phone with [redacted], and that they should have told us before so we would have made the 15 mile long drive in the first place.
This sort of behavior is unacceptable. It's outrageous that these know-nothing phone representatives are making specialist appointments when they have no clue what they are doing. They are toying with people's health, and in some case, their lives. We have been very disappointed with [redacted] Insurance over the past 3 months that we've had them; but i'm furious at Community Eye Care for treating customers like this.
I hope their business fails because of this poor customer service and their [redacted] staff members.
This letter is in response to a complaint filed with your office by Ms. [redacted] on 12/3/2014. Ms. [redacted]'s complaint is that Community Health Network (CHNw) billed her for services not...
rendered, did not resolve her dispute and subsequently referred her account to a collection agency.
On 8/6/14 Ms. [redacted] contacted our billing office and stated she was billed excessively for procedure code 27786 when the doctor did not perform a thorough examination of her ankle. The CHNw representative sent the account to the coding department to be reviewed.
The charges for the 6/16/14 date of service were reviewed by our coding department and an internal auditor. The review confirmed that documentation exist to support billing for procedure code 27786, the fracture fee without manipulation. The amount billed for this procedure is $913.00. This fee includes all follow up office visits regarding this specific fracture.. However, it was determined that the office visit for $138.00 should be voided. A request was sent to her insurer, [redacted] on 8/19/14 to recoup the payment made for the office visit. The patient's copayment responsibility for this date of service is $69.90,
Ms. [redacted] also requested credit for the payment she made on 7/17/14. This payment was for $23.77 and was posted to her 6/12/14 date of service, leaving her with a zero balance for the 6/12/14 date of service. I have removed her account from collections and have made two attempts in the past week to notify Ms. [redacted] of the action taken by CHNw as I could not confirm it she was notified at the time the investigation was completed.
Community Health Network, Inc. ("Community") received your letter dated August 1. 2016 concerning a complaint tiled by Ms. [redacted] with your office. Community appreciates your extension of time to allow us to respond to this complaint.
Ms. [redacted]'s complaint is in regard to...
payment of charges incurred for services at The Endoscopy Center on 56th Street, in Indianapolis, Indiana. [redacted] is one of "Community's" entities that hills for services performed at The Etidoscopy Center.Ms. [redacted]'s complaint alleges she completed the monthly installment agreement with the billing services. After the total charges were submitted to Ms. [redacted]'s insurance carrier, [redacted] processed and paid the discounted amount of S3.888.76 leaving Ms. [redacted] with a balance of S777.75. Please note the balance owed is Ms. [redacted]'s contracted co-insurance with her insurance carrier, [redacted]. The first statement sent to the guarantor, Ms. [redacted], after her insurance processed and paid was dated 11/03/2015 for the S777.75 (Exhibit A)
Account notes reveal Ms. [redacted] contacted [redacted] Customer Service Billing on 11/16/2015, 12/14.2015, 01/1112015 to make a $50.00 payment on each of the dates leaving a balance of S627.75. A [redacted] Customer Service Rep contacted Ms. [redacted] on 01/13/2016 to inquire if she was interested in setting-up the balance of S627.75 on a month!y payment plan. Ms. [redacted] agreed to a monthly payment plan of S52.32 per month until the balance was paid in full (approximately 11 months)(Exhibit B).
The first payment of S52.32 was received on 02/08/2016. The second payment of S52.32 was received on 03/09/2016. The third payment of $52.32 was due on 04/14/2016, but was not received until 05/192016. At this point. Ms [redacted] was late with her third and fourth monthly payment and should include the fifth payment on 05/l 720l6. If she had made ap3yment of5156.96. Ms. [redacted] would have been up-to-date with her monthly payment plan. However, on 05/19/2016, she only made a payment of $52.32 and was now two payments in arrears. Ms. [redacted] made another payment on 06/17/2016 of $52.32.
As a result of the delinquency, a letter was sent from [redacted] Customer Service Billing on 06/22/2016 to notify Ms. [redacted] of the arrears with her payment plan of S 104.64, and was encouraged to contact them as soon as possible (Exhibit Q.
On 07/07/2016, Ms. [redacted]'s [redacted] account was sent to a collection agency ([redacted]) because there had not been a response from Ms. Patterson to the 06/22/2016 letter. Another letter was sent from [redacted] notifying Ms. [redacted] the account had been turned over to them for collection actions.
On 07/11/2016, Ms. [redacted] made a payment of $156.96 to Med-i. Ms. [redacted] called [redacted] Customer Service Billing on 07118/2016 to inquire why her account was sent to collections. Ms. [redacted] was advised by the Customer Service Rep her account was being reviewed by a supervisor. At that point, Ms. [redacted]'s monthly payment plan had been deactivated for non-payment. She had been notified to contact [redacted] Customer Service or her account may be turned over to a collection agency. Lastly, she had been turned over to [redacted] on 07/07/2016 for being in arrears $104.64, with a July 2016 payment due by 07/15/2016.
Following review by a [redacted] Customer Service Billing supervisor, Ms. Patterson's account was returned from collections and a new monthly payment plan of $52.32 for the remaining balance, with a new due date of 08/31/2016 was set. [redacted] contacted Ms. [redacted] on 07/22/2016 to advise her the balance of 5261.51 was set up on a new monthly payment plan (Exhibit D).
On 08/01/2016, Ms. [redacted] contacted [redacted] Customer Service Billing again to check on her account balance. She stated she had paid [redacted] the balance in full in July. The supervisor advised payments made to [redacted] do not reflect immediately, but come over at the end of the month, and her payment should be credited to the balance at the end of July. [redacted] has received the following payments from Ms. [redacted] towards her $777.75 coinsurance balance, as follows: $50.00 on 11/16/2015, 12/14/2015, and 01/11/2015; $52.32 on 02/08/2016, 03/09/2016, 05/19/2016 and 06/17/2016 to [redacted]; and $156.96 on 07/11/2016 to [redacted] for a total of $516.24. At present, there is $261.51 remaining to be paid.
In summary, the "installment agreement with the billing services" has not been "completed". The balance of $261.51 remains to be paid by Ms. [redacted], and Community is entitled to be paid. If Ms. [redacted] would provide [redacted] Customer Service Billing with any and all copies of check or credit card payments [redacted] would review.
Again, thank you for your extension of time to respond to this matter. If you need further inforniation to conclude your investigation, please do not hesitate to contact me.
Cordially,
Tonya A T[redacted]Client Services Manager
Community Health Network, Inc. ("Community") received your letter dated June 16, 2016 concerning a complaint filed by Ms. [redacted] with your office. Community appreciates your extension of time to allow us to respond to this complaint.Ms. [redacted]' complaint is in regard to...
non-payment of charges she received from Community and other health care service providers unknown to Community. In her complaint, she states the amount of $4,810.40 is with [redacted] Account No, [redacted] ($4,228.92 Community Health Network, and $581.48 other providers.)Community has been in contact with [redacted] to ascertain what dates of service and amounts are included in the $4,810,40 total. [redacted] stated Community has five (5) accounts with them included in Ms [redacted]'s stated balance, as follows: Account ID Date of Service Initial Charge Statement Dates Payments & Adjustments Amount Turned Over Current Amount Owed[redacted] 07/12/2013 $8,852.00 9/9/2013,10/07/2013,11/14/2013, 12/02/2013 $1,112.34/$4,177.86 $3,561.80 $3,962.64
[redacted] 02/10/2014 $94.00 03/20/2014,04/17/2014, 05/15/2014, 06/12/2014 $22.23 $71.77 $76.74
[redacted] 02/10/2014 $327.00 02/20/2014, 03/20/2014, 04/17/2014, 05/15/2014 $221.70 $105.30 $113.24
[redacted] 03/18/2014 $375.00 04/17/2014, 03/28/2014, 06/12/2014, 07/10/2014 $134.12/$169.11 $71.77 $76.30 The balances were owed by Ms. [redacted] after her insurance carrier processed the initial bill. The initial bills for services rendered by Community were submitted to Ms. [redacted]'s [redacted] policy and processed with the discounted amounts being [redacted] deductible. Please note the balance owed is her contracted deductible with her insurance carrier, [redacted].Prior to the remaining deductibles being turned over to [redacted] for non-payment Ms. [redacted] received four (4) statements to either pay the balance in total, set the balance up on an interest-free payment plan at Community, or apply and qualify for Community's Financial Assistance program.Ms. [redacted]'s complaint also alleges ER Services have been combined with [redacted] Hospital, Community and Emergency of Indianapolis. This is not true. Community is a separate biller from [redacted] and Emergency of Indianapolis.
It is possible Ms. [redacted] did receive a letter from an attorney concerning her unpaid balances as Community'sbalances mentioned above, have been at [redacted] Credit since August 2014, which have not been paid. [redacted] Credit has been retained by Community to collect on unpaid balances, and if necessary to obtain a judgment. Community is not a part of [redacted] and did not enter into any type of forgiveness program with Ms. [redacted] concerning the above-referenced charges.
In summary, Community Health Network billed for balances Ms. [redacted] incurred on July 18, 2013, February 10, 2014 and March 18, 2014, and is entitled to be paid. Community believes if Ms. [redacted] has a concern about her current balance, she needs to communicate with [redacted] credit.Again, thank you for your extension of time to respond to this matter. If you need further information to conclude your investigation, please do not hesitate to contact me.
Cordially,
Tonya A T[redacted]
Client Services Manager
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below. I have never recieved any document reguarding a financial assistance program. And I have spoke with billing at the hospital over previous bills and all I was told was the balance and possibly working out a payment plan. When I had received the bills in the mail I had attached a letter regarding that I am out of work and I am trying to get disability so I was asking if there was anything I can do regarding my bill and all I would get is another bill. I have never been able to get a straight answer I didn't even know there was an assistant program or I would have done it because that's the last thing I want to do is leave a balance,
Regards,
[redacted]
This letter is in response to a complaint filed with your office by [redacted]'. Ms. [redacted]' complaint is regarding billing she has received from Community Health Network (CHNw). Ms. [redacted]' claimed CHNw billed...
her without first billing her insurance company. Ms. [redacted] also claimed her insurance submitted payment for $55 to CHNw in November 2014. After researching the events on this account, I located an electronic explanation of benefits from the patient's insurance carrier that show the claim denied as "Expenses incurred prior to coverage". The patient was then billed on 10/16, 11/13, 12/11, 1/8, and 2/5. On 3/4/14, the patient's father called CHNw and made a payment of $185.09, and stated his insurance company told him the amount of $185.09 was his daughter's only responsibility. CHNw did not receive the same information. On the 3/17/14, Ms. [redacted] called CHNw and spoke to a Supervisor about her experience with the billing through CHNw. The Supervisor decided to adjust the balance of $54.91 in an effort to appease Ms. [redacted]. This account has a zero balance at this time. If you need further information to conclude your investigation, please do not hesitate to contact me. Thank you,
Community Health Network, Inc. ("Community") received your letter dated May 23, 2016 concerning a complaint filed by Ms. [redacted] with your office. Community appreciates your extension of time to allow us to respond to this complaint.
Ms. [redacted] complaint is in regard to a...
bill she received from Community and the balance owed by her alter her insurance carrier processed the initial bill. The initial bill for services rendered by Community was $94.00, which was submitted to Medicare and processed in January 2013 with the discounted amount being $67.97 (Medicare deductible). This amount was submitted to Ms. [redacted] secondary insurance Anthem Michigan and processed in January 2013 leaving the amount owed by Ms. [redacted] to be $20.00. Please note the balance owed was her contracted copay with her insurance carrier, Anthem Michigan. Ms. [redacted] paid her copay of $20.00 on 03/18/2013 and there was a zero balance for visit dated 01/09/2013.On February 25, 2016 Anthem partially recouped $22.59, and on April 8, 2016 Anthem recouped the remaining $25.38 from their previous payment made 02/05/2013 of $47.97. As a result of Anthem's recoupment, statements were sent out on 02/25/2016 and 03/23/2016 for $22.59. On 05/10/2016 Community's insurance follow-up representatives contacted Anthem to inquire about the recoupment. Valerie at Anthem was not able to provide an answer as to why because the claim was so old. Valerie said she was going to get help from the recovery department and get back with Community. Michelle M, contacted Ms. [redacted] and stated a bill was sent because Anthem took back part of their payment from 2013. The balance of $22.59 rolled to collections, which Michelle told Ms. [redacted] she would return because she was adjusting the recoupment balance off as a courtesy because of the age of the claim (2013). As of this writing, Community has not heard from Anthem.
Ms. [redacted] complaint also alleges a bill she received for a CT Scan on December 30, 2014. Services for the CT Scan were billed through Community Howard Regional Health (Howard"). Upon review, Community billed for balances that Ms. [redacted]s secondary insurance carrier deemed were paid in error, which were ultimately written off by Howard.
Again, thank you for your extension of time to respond to this matter. If you need further information to conclude your investigation., please do not hesitate to contact me.
Sincerely,
Revdex.com:
I have reviewed the response I consider this complaint resolved. My insurance provider contacted Community Health in regards to balance billing and I received a call from a supervisor, he stated he would take care of the remaining balance.
Regards,
[redacted]
This letter is in response to a complaint filed with your office by [redacted] Ms....
[redacted]' complaint is regarding how her charges were billed for services provided to her by Community Health Network (CHNw). Ms. [redacted] stated she authorized CHNw to bill her auto insurance and not her personal health insurance. Ms. [redacted] contacted me on 6/23/15 as she felt her previous calls to CHNw were not handled in an appropriate manner and she wanted confirmation that the billing had been corrected. After reviewing her account, I confirmed a corrected claim had been submitted to her personal insurance to reverse the claim and refund the payment made and her auto insurance had been billed. I apologized to Ms. [redacted] for the behavior of the two CHNw employees she previously spoke to about her account. I will continue to monitor Ms. [redacted]' account until her auto insurance processes the claims and will advise Ms. [redacted] if any further information if required from her. If you need further information to conclude your investigation, please do not hesitate to contact me.
Thank you,
Carol E[redacted]
Client Services Manager
Community Health Network, Inc("Community") received your letter dated August concerning a complaint tiled by Ms [redacted] with your officeCommunity appreciates your extension of time to allow us to respond to this complaintMs [redacted] 's complaint is in regard to payment of charges incurred for services at The Endoscopy Center on 56th Street, in Indianapolis, Indiana [redacted] is one of "Community's" entities that hills for services performed at The Etidoscopy Center.Ms [redacted] 's complaint alleges she completed the monthly installment agreement with the billing servicesAfter the total charges were submitted to Ms [redacted] 's insurance carrier, [redacted] processed and paid the discounted amount of Sleaving Ms [redacted] with a balance of SPlease note the balance owed is Ms [redacted] 's contracted co-insurance with her insurance carrier, ***The first statement sent to the guarantor, Ms [redacted] , after her insurance processed and paid was dated 11/03/for the S(Exhibit A) Account notes reveal Ms [redacted] contacted [redacted] Customer Service Billing on 11/16/2015, 12/14.2015, 01/to make a $payment on each of the dates leaving a balance of SA [redacted] Customer Service Rep contacted Ms [redacted] on 01/13/to inquire if she was interested in settithe balance of Son a month!y payment planMs [redacted] agreed to a monthly payment plan of Sper month until the balance was paid in full (approximately months)(Exhibit B)The first payment of Swas received on 02/08/The second payment of Swas received on 03/09/The third payment of $was due on 04/14/2016, but was not received until 05/At this pointMs [redacted] was late with her third and fourth monthly payment and should include the fifth payment on 05/l 720lIf she had made ap3yment ofMs [redacted] would have been up-to-date with her monthly payment planHowever, on 05/19/2016, she only made a payment of $and was now two payments in arrearsMs [redacted] made another payment on 06/17/of $As a result of the delinquency, a letter was sent from [redacted] Customer Service Billing on 06/22/to notify Ms [redacted] of the arrears with her payment plan of S 104.64, and was encouraged to contact them as soon as possible (Exhibit QOn 07/07/2016, Ms [redacted] 's [redacted] account was sent to a collection agency (***) because there had not been a response from MsPatterson to the 06/22/letterAnother letter was sent from [redacted] notifying Ms [redacted] the account had been turned over to them for collection actions On 07/11/2016, Ms [redacted] made a payment of $to Med-iMs [redacted] called [redacted] Customer Service Billing on 07118/to inquire why her account was sent to collectionsMs [redacted] was advised by the Customer Service Rep her account was being reviewed by a supervisorAt that point, Ms [redacted] 's monthly payment plan had been deactivated for non-paymentShe had been notified to contact [redacted] Customer Service or her account may be turned over to a collection agencyLastly, she had been turned over to [redacted] on 07/07/for being in arrears $104.64, with a July payment due by 07/15/ Following review by a [redacted] Customer Service Billing supervisor, MsPatterson's account was returned from collections and a new monthly payment plan of $for the remaining balance, with a new due date of 08/31/was set [redacted] contacted Ms [redacted] on 07/22/to advise her the balance of was set up on a new monthly payment plan (Exhibit D) On 08/01/2016, Ms [redacted] contacted [redacted] Customer Service Billing again to check on her account balanceShe stated she had paid [redacted] the balance in full in JulyThe supervisor advised payments made to [redacted] do not reflect immediately, but come over at the end of the month, and her payment should be credited to the balance at the end of July [redacted] has received the following payments from Ms [redacted] towards her $coinsurance balance, as follows: $on 11/16/2015, 12/14/2015, and 01/11/2015; $on 02/08/2016, 03/09/2016, 05/19/and 06/17/to ***; and $on 07/11/to [redacted] for a total of $At present, there is $remaining to be paid In summary, the "installment agreement with the billing services" has not been "completed"The balance of $remains to be paid by Ms [redacted] , and Community is entitled to be paidIf Ms [redacted] would provide [redacted] Customer Service Billing with any and all copies of check or credit card payments [redacted] would review Again, thank you for your extension of time to respond to this matterIf you need further inforniation to conclude your investigation, please do not hesitate to contact me Cordially, Tonya A T [redacted] Client Services Manager
Revdex.com: I have reviewed the response I consider this complaint resolvedMy insurance provider contacted Community Health in regards to balance billing and I received a call from a supervisor, he stated he would take care of the remaining balance Regards, [redacted] ***
This letter is in response to a complaint filed with your office by [redacted] ***'Ms***' complaint is regarding billing she has received from Community Health Network (CHNw)Ms***' claimed CHNw billed her without first billing her insurance companyMs [redacted] also claimed her insurance submitted payment for $to CHNw in November After researching the events on this account, I located an electronic explanation of benefits from the patient's insurance carrier that show the claim denied as "Expenses incurred prior to coverage"The patient was then billed on 10/16, 11/13, 12/11, 1/8, and 2/On 3/4/14, the patient's father called CHNw and made a payment of $185.09, and stated his insurance company told him the amount of $was his daughter's only responsibilityCHNw did not receive the same informationOn the 3/17/14, Ms [redacted] called CHNw and spoke to a Supervisor about her experience with the billing through CHNwThe Supervisor decided to adjust the balance of $in an effort to appease Ms***This account has a zero balance at this timeIf you need further information to conclude your investigation, please do not hesitate to contact meThank you, Carol E [redacted]
Community Health Network, Inc("Community") received your letter dated May 23, concerning a complaint filed by Ms [redacted] with your officeCommunity appreciates your extension of time to allow us to respond to this complaintMs [redacted] complaint is in regard to a bill she received from Community and the balance owed by her alter her insurance carrier processed the initial billThe initial bill for services rendered by Community was $94.00, which was submitted to Medicare and processed in January with the discounted amount being $(Medicare deductible)This amount was submitted to Ms [redacted] secondary insurance Anthem Michigan and processed in January leaving the amount owed by Ms [redacted] to be $Please note the balance owed was her contracted copay with her insurance carrier, Anthem MichiganMs [redacted] paid her copay of $on 03/18/and there was a zero balance for visit dated 01/09/2013.On February 25, Anthem partially recouped $22.59, and on April 8, Anthem recouped the remaining $from their previous payment made 02/05/of $As a result of Anthem's recoupment, statements were sent out on 02/25/and 03/23/for $On 05/10/Community's insurance follrepresentatives contacted Anthem to inquire about the recoupmentValerie at Anthem was not able to provide an answer as to why because the claim was so oldValerie said she was going to get help from the recovery department and get back with CommunityMichelle M, contacted Ms [redacted] and stated a bill was sent because Anthem took back part of their payment from The balance of $rolled to collections, which Michelle told Ms [redacted] she would return because she was adjusting the recoupment balance off as a courtesy because of the age of the claim (2013)As of this writing, Community has not heard from AnthemMs [redacted] complaint also alleges a bill she received for a CT Scan on December 30, Services for the CT Scan were billed through Community Howard Regional Health (Howard")Upon review, Community billed for balances that Ms [redacted] s secondary insurance carrier deemed were paid in error, which were ultimately written off by HowardAgain, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation., please do not hesitate to contact me Sincerely, Priscilla [redacted] ***
This letter is in response to a complaint filed with your office by Ms [redacted] on 12/3/Ms [redacted] 's complaint is that Community Health Network (CHNw) billed her for services not rendered, did not resolve her dispute and subsequently referred her account to a collection agencyOn 8/6/Ms [redacted] contacted our billing office and stated she was billed excessively for procedure code when the doctor did not perform a thorough examination of her ankleThe CHNw representative sent the account to the coding department to be reviewedThe charges for the 6/16/date of service were reviewed by our coding department and an internal auditorThe review confirmed that documentation exist to support billing for procedure code 27786, the fracture fee without manipulationThe amount billed for this procedure is $This fee includes all follow up office visits regarding this specific fractureHowever, it was determined that the office visit for $should be voidedA request was sent to her insurer, [redacted] on 8/19/to recoup the payment made for the office visitThe patient's copayment responsibility for this date of service is $69.90, Ms [redacted] also requested credit for the payment she made on 7/17/This payment was for $and was posted to her 6/12/date of service, leaving her with a zero balance for the 6/12/date of serviceI have removed her account from collections and have made two attempts in the past week to notify Ms [redacted] of the action taken by CHNw as I could not confirm it she was notified at the time the investigation was completed Sincerely, [redacted] %% Read More Customer Complaints: $(function () { $('.complaint-block a[data-toggle=collapse]').click(function () { $(this).text($(this).text() == $(this).attr('data-close-text') ? $(this).attr('data-open-text') : $(this).attr('data-close-text')); }); $('.complaint-block .collapse').collapse({ toggle: }); $.each($('.complaint-block a[data-toggle=collapse]'), function (index, value) { $(value).text($(value).attr('data-close-text')); }) });
Community Health Network, Inc("Community") received your letter dated June 16, concerning a complaint filed by Ms [redacted] with your officeCommunity appreciates your extension of time to allow us to respond to this complaint.Ms [redacted] ' complaint is in regard to non-payment of charges she received from Community and other health care service providers unknown to CommunityIn her complaint, she states the amount of $4,is with [redacted] Account No, [redacted] ($4,Community Health Network, and $other providers.)Community has been in contact with [redacted] to ascertain what dates of service and amounts are included in the $4,810,total [redacted] stated Community has five (5) accounts with them included in Ms [redacted] 's stated balance, as follows: Account ID Date of Service Initial Charge Statement Dates Payments & Adjustments Amount Turned Over Current Amount Owed [redacted] 07/12/ $8, 9/9/2013,10/07/2013,11/14/2013, 12/02/ $1,112.34/$4, $3, $3, [redacted] 02/10/ $ 03/20/2014,04/17/2014, 05/15/2014, 06/12/ $ $ $ [redacted] 02/10/ $ 02/20/2014, 03/20/2014, 04/17/2014, 05/15/ $ $ $ [redacted] 03/18/ $ 04/17/2014, 03/28/2014, 06/12/2014, 07/10/ $134.12/$ $ $ The balances were owed by Ms [redacted] after her insurance carrier processed the initial billThe initial bills for services rendered by Community were submitted to Ms [redacted] 's [redacted] policy and processed with the discounted amounts being [redacted] deductiblePlease note the balance owed is her contracted deductible with her insurance carrier, [redacted] .Prior to the remaining deductibles being turned over to [redacted] for non-payment Ms [redacted] received four (4) statements to either pay the balance in total, set the balance up on an interest-free payment plan at Community, or apply and qualify for Community's Financial Assistance program.Ms [redacted] 's complaint also alleges ER Services have been combined with [redacted] Hospital, Community and Emergency of IndianapolisThis is not trueCommunity is a separate biller from [redacted] and Emergency of IndianapolisIt is possible Ms [redacted] did receive a letter from an attorney concerning her unpaid balances as Community'sbalances mentioned above, have been at [redacted] Credit since August 2014, which have not been paid [redacted] Credit has been retained by Community to collect on unpaid balances, and if necessary to obtain a judgmentCommunity is not a part of [redacted] and did not enter into any type of forgiveness program with Ms [redacted] concerning the above-referenced chargesIn summary, Community Health Network billed for balances Ms [redacted] incurred on July 18, 2013, February 10, and March 18, 2014, and is entitled to be paidCommunity believes if Ms [redacted] has a concern about her current balance, she needs to communicate with [redacted] credit.Again, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation, please do not hesitate to contact meCordially, Tonya A T [redacted] Client Services Manager
Community Health Network, Inc("Community") received your letter dated April 26,concerning a complaint filed by Mr*** *** with your officeCommunity appreciates your extension of time to allow us to respond to this complaintMr***'s complaint is in regard to
the bill he received from Community and the balance owed by him after his insurance carrier processed the initial billThe initial bill for services rendered by Community is $3,with the discounted amount being $1,201.00, thus, leaving the amount owed by Mr*** to be $2,Please note that the balance owed is his contracted deductible with his insurance carrier.On April 25,2016, Mr*** contacted Customer Service Billing regarding his balanceAt that time, he spoke with a Customer Service Representative as well as a Customer Service Supervisor ("Supervisor")The Supervisor advised ** *** that Community could not lower the balance owed by him because he had already received the contractual write-off negotiated by his insurance carrier for its members with CommunityIn response, Mr*** stated that he felt he was being punished for having insurance because Community offered a self-pay discount to patients who do not have insuranceHe requested Community to apply the same discount to his charge offered to an uninsured patient to reduce his contractual financial responsibility with his insurance carrierThe Supervisor advised Mr*** that the self-pay discount is only available to patients who do not have insurance, and as such, he is ineligible for the discountFurther, the Supervisor emphasized to Mr*** that it would be unethical to do so, and would also hinder Community's ability to negotiate with the insurance carrier(s) for their members and its patientsMoreover, the Supervisor insisted that she and Community would not participate in such a practiceIn summary, Community offers a self-pay discount to patients who do not have insurance, As such ** *** is ineligible for the selfpay discount because be has insuranceThe balance owed by him is his contracted deductible with his insurance carrier.Again, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation, please do not hesitate to contact me
Cordially,
Tonya T***Client Services Manager
The worst people work here -- My dad had to be seen by an ophthalmologist for diabetic retinopathy. It was his poor fortune that he had [redacted] Insurance, but we knew that no one in Indianapolis who could perform retinal surgery or procedures was covered. Still, in hopes to get some care, my parents called [redacted] to schedule an appointment with a specialist who would be able to do the needed procedures. We told the [redacted] representative that we were going to have to be seen by a specialist. After explaining to the representative for several minutes, she still didn't understand and got this Eye care place on the phone. In a three-way call, my parents explained to both of the other parties that what my dad need was a retinal specialist, not an eye-care clinic. Even then, both of the other representative agreed that my dad would be seen in the clinic and a referral would be made if necessary. Think this was an acceptable compromise, and that with a referral, [redacted] would budge slightly to covering the cost of the out-of-network provider, my parents went for my dad's scheduled appointment. However, when they got there, after verifying something with [redacted] over the phone for 15+ minutes, the front desk person (the same one my parents talked to on the three-way call) said they do not do the procedures that my dad needs and that my dad can't be seen! My mom comfronted her, telling her that she lied when she was on the phone with [redacted], and that they should have told us before so we would have made the 15 mile long drive in the first place.
This sort of behavior is unacceptable. It's outrageous that these know-nothing phone representatives are making specialist appointments when they have no clue what they are doing. They are toying with people's health, and in some case, their lives. We have been very disappointed with [redacted] Insurance over the past 3 months that we've had them; but i'm furious at Community Eye Care for treating customers like this.
I hope their business fails because of this poor customer service and their [redacted] staff members.
This letter is in response to a complaint filed with your office by Ms. [redacted] on 12/3/2014. Ms. [redacted]'s complaint is that Community Health Network (CHNw) billed her for services not...
rendered, did not resolve her dispute and subsequently referred her account to a collection agency.
On 8/6/14 Ms. [redacted] contacted our billing office and stated she was billed excessively for procedure code 27786 when the doctor did not perform a thorough examination of her ankle. The CHNw representative sent the account to the coding department to be reviewed.
The charges for the 6/16/14 date of service were reviewed by our coding department and an internal auditor. The review confirmed that documentation exist to support billing for procedure code 27786, the fracture fee without manipulation. The amount billed for this procedure is $913.00. This fee includes all follow up office visits regarding this specific fracture.. However, it was determined that the office visit for $138.00 should be voided. A request was sent to her insurer, [redacted] on 8/19/14 to recoup the payment made for the office visit. The patient's copayment responsibility for this date of service is $69.90,
Ms. [redacted] also requested credit for the payment she made on 7/17/14. This payment was for $23.77 and was posted to her 6/12/14 date of service, leaving her with a zero balance for the 6/12/14 date of service. I have removed her account from collections and have made two attempts in the past week to notify Ms. [redacted] of the action taken by CHNw as I could not confirm it she was notified at the time the investigation was completed.
Sincerely,
[redacted]
%%
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Community Health Network, Inc. ("Community") received your letter dated August 1. 2016 concerning a complaint tiled by Ms. [redacted] with your office. Community appreciates your extension of time to allow us to respond to this complaint.
Ms. [redacted]'s complaint is in regard to...
payment of charges incurred for services at The Endoscopy Center on 56th Street, in Indianapolis, Indiana. [redacted] is one of "Community's" entities that hills for services performed at The Etidoscopy Center.Ms. [redacted]'s complaint alleges she completed the monthly installment agreement with the billing services. After the total charges were submitted to Ms. [redacted]'s insurance carrier, [redacted] processed and paid the discounted amount of S3.888.76 leaving Ms. [redacted] with a balance of S777.75. Please note the balance owed is Ms. [redacted]'s contracted co-insurance with her insurance carrier, [redacted]. The first statement sent to the guarantor, Ms. [redacted], after her insurance processed and paid was dated 11/03/2015 for the S777.75 (Exhibit A)
Account notes reveal Ms. [redacted] contacted [redacted] Customer Service Billing on 11/16/2015, 12/14.2015, 01/1112015 to make a $50.00 payment on each of the dates leaving a balance of S627.75. A [redacted] Customer Service Rep contacted Ms. [redacted] on 01/13/2016 to inquire if she was interested in setting-up the balance of S627.75 on a month!y payment plan. Ms. [redacted] agreed to a monthly payment plan of S52.32 per month until the balance was paid in full (approximately 11 months)(Exhibit B).
The first payment of S52.32 was received on 02/08/2016. The second payment of S52.32 was received on 03/09/2016. The third payment of $52.32 was due on 04/14/2016, but was not received until 05/192016. At this point. Ms [redacted] was late with her third and fourth monthly payment and should include the fifth payment on 05/l 720l6. If she had made ap3yment of5156.96. Ms. [redacted] would have been up-to-date with her monthly payment plan. However, on 05/19/2016, she only made a payment of $52.32 and was now two payments in arrears. Ms. [redacted] made another payment on 06/17/2016 of $52.32.
As a result of the delinquency, a letter was sent from [redacted] Customer Service Billing on 06/22/2016 to notify Ms. [redacted] of the arrears with her payment plan of S 104.64, and was encouraged to contact them as soon as possible (Exhibit Q.
On 07/07/2016, Ms. [redacted]'s [redacted] account was sent to a collection agency ([redacted]) because there had not been a response from Ms. Patterson to the 06/22/2016 letter. Another letter was sent from [redacted] notifying Ms. [redacted] the account had been turned over to them for collection actions.
On 07/11/2016, Ms. [redacted] made a payment of $156.96 to Med-i. Ms. [redacted] called [redacted] Customer Service Billing on 07118/2016 to inquire why her account was sent to collections. Ms. [redacted] was advised by the Customer Service Rep her account was being reviewed by a supervisor. At that point, Ms. [redacted]'s monthly payment plan had been deactivated for non-payment. She had been notified to contact [redacted] Customer Service or her account may be turned over to a collection agency. Lastly, she had been turned over to [redacted] on 07/07/2016 for being in arrears $104.64, with a July 2016 payment due by 07/15/2016.
Following review by a [redacted] Customer Service Billing supervisor, Ms. Patterson's account was returned from collections and a new monthly payment plan of $52.32 for the remaining balance, with a new due date of 08/31/2016 was set. [redacted] contacted Ms. [redacted] on 07/22/2016 to advise her the balance of 5261.51 was set up on a new monthly payment plan (Exhibit D).
On 08/01/2016, Ms. [redacted] contacted [redacted] Customer Service Billing again to check on her account balance. She stated she had paid [redacted] the balance in full in July. The supervisor advised payments made to [redacted] do not reflect immediately, but come over at the end of the month, and her payment should be credited to the balance at the end of July. [redacted] has received the following payments from Ms. [redacted] towards her $777.75 coinsurance balance, as follows: $50.00 on 11/16/2015, 12/14/2015, and 01/11/2015; $52.32 on 02/08/2016, 03/09/2016, 05/19/2016 and 06/17/2016 to [redacted]; and $156.96 on 07/11/2016 to [redacted] for a total of $516.24. At present, there is $261.51 remaining to be paid.
In summary, the "installment agreement with the billing services" has not been "completed". The balance of $261.51 remains to be paid by Ms. [redacted], and Community is entitled to be paid. If Ms. [redacted] would provide [redacted] Customer Service Billing with any and all copies of check or credit card payments [redacted] would review.
Again, thank you for your extension of time to respond to this matter. If you need further inforniation to conclude your investigation, please do not hesitate to contact me.
Cordially,
Tonya A T[redacted]Client Services Manager
Community Health Network, Inc. ("Community") received your letter dated June 16, 2016 concerning a complaint filed by Ms. [redacted] with your office. Community appreciates your extension of time to allow us to respond to this complaint.Ms. [redacted]' complaint is in regard to...
non-payment of charges she received from Community and other health care service providers unknown to Community. In her complaint, she states the amount of $4,810.40 is with [redacted] Account No, [redacted] ($4,228.92 Community Health Network, and $581.48 other providers.)Community has been in contact with [redacted] to ascertain what dates of service and amounts are included in the $4,810,40 total. [redacted] stated Community has five (5) accounts with them included in Ms [redacted]'s stated balance, as follows: Account ID Date of Service Initial Charge Statement Dates Payments & Adjustments Amount Turned Over Current Amount Owed[redacted] 07/12/2013 $8,852.00 9/9/2013,10/07/2013,11/14/2013, 12/02/2013 $1,112.34/$4,177.86 $3,561.80 $3,962.64
[redacted] 02/10/2014 $94.00 03/20/2014,04/17/2014, 05/15/2014, 06/12/2014 $22.23 $71.77 $76.74
[redacted] 02/10/2014 $327.00 02/20/2014, 03/20/2014, 04/17/2014, 05/15/2014 $221.70 $105.30 $113.24
[redacted] 03/18/2014 $375.00 04/17/2014, 03/28/2014, 06/12/2014, 07/10/2014 $134.12/$169.11 $71.77 $76.30 The balances were owed by Ms. [redacted] after her insurance carrier processed the initial bill. The initial bills for services rendered by Community were submitted to Ms. [redacted]'s [redacted] policy and processed with the discounted amounts being [redacted] deductible. Please note the balance owed is her contracted deductible with her insurance carrier, [redacted].Prior to the remaining deductibles being turned over to [redacted] for non-payment Ms. [redacted] received four (4) statements to either pay the balance in total, set the balance up on an interest-free payment plan at Community, or apply and qualify for Community's Financial Assistance program.Ms. [redacted]'s complaint also alleges ER Services have been combined with [redacted] Hospital, Community and Emergency of Indianapolis. This is not true. Community is a separate biller from [redacted] and Emergency of Indianapolis.
It is possible Ms. [redacted] did receive a letter from an attorney concerning her unpaid balances as Community'sbalances mentioned above, have been at [redacted] Credit since August 2014, which have not been paid. [redacted] Credit has been retained by Community to collect on unpaid balances, and if necessary to obtain a judgment. Community is not a part of [redacted] and did not enter into any type of forgiveness program with Ms. [redacted] concerning the above-referenced charges.
In summary, Community Health Network billed for balances Ms. [redacted] incurred on July 18, 2013, February 10, 2014 and March 18, 2014, and is entitled to be paid. Community believes if Ms. [redacted] has a concern about her current balance, she needs to communicate with [redacted] credit.Again, thank you for your extension of time to respond to this matter. If you need further information to conclude your investigation, please do not hesitate to contact me.
Cordially,
Tonya A T[redacted]
Client Services Manager
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below. I have never recieved any document reguarding a financial assistance program. And I have spoke with billing at the hospital over previous bills and all I was told was the balance and possibly working out a payment plan. When I had received the bills in the mail I had attached a letter regarding that I am out of work and I am trying to get disability so I was asking if there was anything I can do regarding my bill and all I would get is another bill. I have never been able to get a straight answer I didn't even know there was an assistant program or I would have done it because that's the last thing I want to do is leave a balance,
Regards,
[redacted]
This letter is in response to a complaint filed with your office by [redacted]'. Ms. [redacted]' complaint is regarding billing she has received from Community Health Network (CHNw). Ms. [redacted]' claimed CHNw billed...
her without first billing her insurance company. Ms. [redacted] also claimed her insurance submitted payment for $55 to CHNw in November 2014. After researching the events on this account, I located an electronic explanation of benefits from the patient's insurance carrier that show the claim denied as "Expenses incurred prior to coverage". The patient was then billed on 10/16, 11/13, 12/11, 1/8, and 2/5. On 3/4/14, the patient's father called CHNw and made a payment of $185.09, and stated his insurance company told him the amount of $185.09 was his daughter's only responsibility. CHNw did not receive the same information. On the 3/17/14, Ms. [redacted] called CHNw and spoke to a Supervisor about her experience with the billing through CHNw. The Supervisor decided to adjust the balance of $54.91 in an effort to appease Ms. [redacted]. This account has a zero balance at this time. If you need further information to conclude your investigation, please do not hesitate to contact me. Thank you,
Carol E[redacted]
Community Health Network, Inc. ("Community") received your letter dated May 23, 2016 concerning a complaint filed by Ms. [redacted] with your office. Community appreciates your extension of time to allow us to respond to this complaint.
Ms. [redacted] complaint is in regard to a...
bill she received from Community and the balance owed by her alter her insurance carrier processed the initial bill. The initial bill for services rendered by Community was $94.00, which was submitted to Medicare and processed in January 2013 with the discounted amount being $67.97 (Medicare deductible). This amount was submitted to Ms. [redacted] secondary insurance Anthem Michigan and processed in January 2013 leaving the amount owed by Ms. [redacted] to be $20.00. Please note the balance owed was her contracted copay with her insurance carrier, Anthem Michigan. Ms. [redacted] paid her copay of $20.00 on 03/18/2013 and there was a zero balance for visit dated 01/09/2013.On February 25, 2016 Anthem partially recouped $22.59, and on April 8, 2016 Anthem recouped the remaining $25.38 from their previous payment made 02/05/2013 of $47.97. As a result of Anthem's recoupment, statements were sent out on 02/25/2016 and 03/23/2016 for $22.59. On 05/10/2016 Community's insurance follow-up representatives contacted Anthem to inquire about the recoupment. Valerie at Anthem was not able to provide an answer as to why because the claim was so old. Valerie said she was going to get help from the recovery department and get back with Community. Michelle M, contacted Ms. [redacted] and stated a bill was sent because Anthem took back part of their payment from 2013. The balance of $22.59 rolled to collections, which Michelle told Ms. [redacted] she would return because she was adjusting the recoupment balance off as a courtesy because of the age of the claim (2013). As of this writing, Community has not heard from Anthem.
Ms. [redacted] complaint also alleges a bill she received for a CT Scan on December 30, 2014. Services for the CT Scan were billed through Community Howard Regional Health (Howard"). Upon review, Community billed for balances that Ms. [redacted]s secondary insurance carrier deemed were paid in error, which were ultimately written off by Howard.
Again, thank you for your extension of time to respond to this matter. If you need further information to conclude your investigation., please do not hesitate to contact me.
Sincerely,
Priscilla [redacted]
Revdex.com:
I have reviewed the response I consider this complaint resolved. My insurance provider contacted Community Health in regards to balance billing and I received a call from a supervisor, he stated he would take care of the remaining balance.
Regards,
[redacted]
This letter is in response to a complaint filed with your office by [redacted] Ms....
[redacted]' complaint is regarding how her charges were billed for services provided to her by Community Health Network (CHNw). Ms. [redacted] stated she authorized CHNw to bill her auto insurance and not her personal health insurance. Ms. [redacted] contacted me on 6/23/15 as she felt her previous calls to CHNw were not handled in an appropriate manner and she wanted confirmation that the billing had been corrected. After reviewing her account, I confirmed a corrected claim had been submitted to her personal insurance to reverse the claim and refund the payment made and her auto insurance had been billed. I apologized to Ms. [redacted] for the behavior of the two CHNw employees she previously spoke to about her account. I will continue to monitor Ms. [redacted]' account until her auto insurance processes the claims and will advise Ms. [redacted] if any further information if required from her. If you need further information to conclude your investigation, please do not hesitate to contact me.
Thank you,
Carol E[redacted]
Client Services Manager