Dandridge Water

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. I have yet to receive the refund.
Regards,
[redacted]

Complaint: [redacted]
I am rejecting this response because:
I still have not seen the refund check as promised December 8th. Do I pursue this through your office or with the company directly?Thank you[redacted]
Regards,
[redacted]

Dear [redacted]According to [redacted], she was paying on a monthly basis since April of 2016 and the account was turned over to collections on 7/25/16.We've investigated her concerns and found [redacted] contacted our Customer Service Department on 3/10/15.  Unfortunately, at that time there was...

no discussion on how this claim would be paid.  Our payment plan process relies on the patient requesting a payment plan and the account being set up.  [redacted] was paying on a monthly basis but we did not set the account up to recognize this.  Once the last notice was generated and there was a balance due the system automatically referred the invoice to collections.We've removed invoice # [redacted] from collections.  The balance of $127.76 has been placed on a $100.00 a month payment plan.  [redacted] should expect to receive a bill in the next couple days.  Please assure her that her credit has not been affected.  Sincerely, Maegan M[redacted]

Dear Ms. [redacted]:Upon receipt of your email we contacted Mr. [redacted] insurance and verified they denied test code [redacted] as benefits max was reached for the time period.  This means too many of these tests were done within a specific time period which is not covered by his insurance.  The...

reference number given by his insurance for our call is [redacted]  We had billed Mr. [redacted] insurance in April 2014 under the incorrect insurance identification number that was provided to us by the referring physician.  We obtained the correct id # in February 2015 and resubmitted the charges to [redacted] for processing and they responded in April 2015 informing us of Mr. [redacted] responsibility. Sincerely,[redacted]Patient Advocate

Upon review I found we submitted the charges for services performed 7/1/15 to [redacted] and it was rejected on 7/14/15 due to an invalid date of birth.  We did a search in our system for prior services and found [redacted]  We submitted the claim to that provider...

and it was rejected as well due to the identification number was not found.  On 8/1/16 the invoice was assigned to on of our agencies for recovery.  ON 8/8/16 [redacted] informed us that the charges should be covered by [redacted] and [redacted] was his primary insurance.  We informed him via email at that time that [redacted] denied the claim.  On 8/23/16 he left a voicemail regarding the same concerns.  His call was returned leaving a message advising him that he needed to contact [redacted] to determine if he was covered by them on the date of service and verify they have the correct date of birth on file as they are rejecting the claim.  Sincerely,Maegan M[redacted]

The results were sent to the physician's interface electronically at 5:42am on 12/28/16.  They had and have the ability to print them.

Complaint: [redacted]
I am rejecting this response because: That's interesting because the collection agency had my correct address and its funny they managed to get me a letter and the only way they could have got my address is from your organization.  I personally think your business is lying about its collection practices and is attempting to strong arm its customers into paying their bills by (very quickly) I might add turning them over to collection agencies.  One of your representatives I spoke with on the phone regarding this incident even acknowledged that a notice was not mailed.  Furthermore, I notice lots of similar complaints on both the Revdex.com website and [redacted].  I plan on letting my primary care provider know about this incident, hopefully his office will reconsider contracting with your organization for send out labs.  I also work in healthcare and I can guarantee I will never recommend your organization to any of my patients.  In fact, I will warn them based on my experience with your company.
Regards,
[redacted]

Dear [redacted] contacted us directly and we have resolved his billing concern.Sincerely,[redacted]

I spoke to [redacted]i yesterday and faxed her copies of the documents showing her husband ordered both the BMP and the CMP.  He may have ordered one in error, however the test was ordered and performed. Sincerely,Maegan M[redacted]

I am in receipt of your email dated 6/23/15 regarding a complaint your office received from Dr[redacted].  In order to investigate Dr. [redacted] complaint further, I will need to know the patient name's along with their dates of service where he did not receive their results in a timely...

manner.Upon receipt of this information, I will be happy to investigate further.

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.
Regards,
[redacted]

Dear Ms. [redacted]:Dr. [redacted] account is set up to receive reports via their EMR and also by mail.  We've sent another copy to the physician electronically and also faxed a copy to them.  There is nothing written on the results when they are transmitted.  The doctor has access to get...

a copy of the report at any time through their EMR. Sincerely,Maegan [redacted]

Complaint: [redacted]
I am rejecting this response because: when I signed the paper I informed the person it was not correct they told me that it was ok because they have my correct insurance information in the system and not to worry. Also I need all dates of service in the system checked to make sure it was billed because nothing should be self pay my insurance cover everything. 
Regards,
[redacted]

Our records indicate we billed the balance to [redacted] on 9/12/16 & 9/29/16.  It appears in most instances [redacted] secondary insurance is billed after the primary responds, however in a few instances the secondary information didn't come through which caused a bill to release...

to [redacted] prior to the secondary being billed.  At this time we are awaiting [redacted] response. Sincerely, Maegan M[redacted]

Please fax the request for information to Dr Sarah M[redacted] again at the correct fax number of: [redacted] This...

is a new office. The reason she did not answer as the prior practice decided to stop accepting pediatric patients. Therefor you were contacting her at the wrong number. Complaint: [redacted]
I am rejecting this response because:
Regards,
[redacted]

Dear Ms [redacted]: [redacted], Ms. [redacted]'s employer informed us on 5/17/16 that they intended to provide her with a credit with an effective date of 1/1/16. Sincerely,[redacted]

Dear Ms. [redacted]: We received Mr. [redacted] Medicare id # on Friday and the charges were submitted for processing. At this time we are awaiting their response.  Sincerely,[redacted]

Dear Ms. [redacted]: Upon receipt of your email, I contacted [redacted] to verify the status of Ms. [redacted] claim.  I spoke to [redacted] who informed me that I needed to contact [redacted] at [redacted], as they are the Third Party Administrator that processes the claims.  I contacted...

the number and spoke to [redacted] who informed me that they were not [redacted], but that they were [redacted].  Unfortunately she was unable to assist me as Ms. [redacted] plan moved to Charleston VA and I would need to call [redacted]  I called Charleston VA and spoke to Britney who was able to locate the claim but informed me that M.s [redacted] identification number changed from [redacted] to [redacted] and the group number changed to [redacted].  She was able to verify they processed the claim and Ms. [redacted] responsibility was $149.16.  We did receive her payment, therefore, I closed the balance with collections.  Please inform Ms. [redacted] to update her physician's offices with her newest insurance card that reflects the new id and group number.Sincerely,[redacted]

Complaint: [redacted]
I am rejecting this response because:Very poorly handled with no communication from customer service. My bank already accepted the check anyway. 
Regards,
[redacted]

I found there are two bills for services performed on 12/8/16.  The following is how the charges broke down and how insurance responded to each line item.Invoice [redacted]CPT     Billed Amt     Ins Paid       Ins Discount      ...

 Ded/copayment      Balance due     Patient Paid     Status    82607  $115.73       $12.19          $102.19             $1.35 $1.35     $1.35            paid82746  $113.57       $11.89          $100.36             $1.32                      $1.32            $1.32            paid__________________________________________________________________________...⇄     $229.30      $24.08        $202.55   $2.67      $2.67      $2.67 closed  Invoice [redacted] CPT        Billed Amt          Ins Paid       Ins Discount        Ded/copayment      Balance due     Patient Paid     Status    80050      $230.92           $35.77          $195.15   $0.00 $0.00      $0.00 paid80061      $141.68            $11.48          $130.20           $0.00         $0.00     $0.00 paid82977      $48.67         $1.08    $47.59   $0.00 $0.00     $0.00 paid84550      $41.10         $1.08   $40.02   $0.00 $0.00            $0.00 paid83036      $71.39       $71.39   $0.00   $0.00         $0.00     $0.00 paid83540     $36.60       $5.23   $30.79   $0.58 $0.58     $0.58 paid83550     $49.43       $49.43   $0.00   $0.00 $0.00     $0.00         paid84439     $140.61      $120.23   $20.38          $0.00 $0.00     $0.00         paid84480     $124.38     $124.38  $0.00 $0.00 $0.00     $0.00         paid85045     $32.45     $3.23  $28.86 $0.36 $0.36     $0.36         paid 85652     $35.69      $2.19  $33.26         $0.24 $0.24     $0.24         paid82306     $232.54      $0.00   $205.95          $2.66 26.61     $7.46        $19.15 due86141     $50.00       $0.00  $38.37 $1.16 11.63      $0.00        $11.63 due_____________________________________________________________________________...⇄    $1235.46    $425.49          $770.57            $5.00 $39.42        $8.64             $30.78 due