Garcia's Lawn Care

After a thorough review of the account notes I have determined that Mr*** is correctBoth he and his attorney provided both his automobile insruance and his health insurance informationUnfortunately, due to an error on our part, the auto insurance was billed but amount they did not pay was
not then billed to the health insuranceEffective today (10/8/15) the remaining balance has been cancelled from collections and any negative credit reporting will be reversed if it has occuredThe amount outstanding for services on 3/26/have been written off leaving a zero balance

Dear Sirs, I respectfully ask that our patient contact me directly at *** *** *** so that I may gather some additional information about the nature of her concern. Sincerely, Joe D***Customer Support ManagerProvidence health and Services

Complaint: ***I am rejecting this response because:
I
recently received a letter from Providence, which stated that the company decided to upheld the decision to deny the reinstatement of the policyThe fact still stands that Providence accepted my payment of $on May 4, Providence did not inform me that my policy was cancelled, and finally is still holding the $paymentFrom my perspective Providence accepted payment but did not provide services
Sincerely,*** ***

Dear Sirs,
Thank you for your communication of this concernOur patient had requested a review of the Level of Care assigned and the subsequent charges resulting from a visit to our Hospital Emergency Room in May Our clinicians have reviewed the Emergency Room visitBased on their review, the level of care originally assigned (4) has been adjusted to a Level of Care Our patient will receive an updated billing statement reflecting the revised level of careIn addition, as previously communicated to our patient, as a courtesy , we have adjusted to a $balance charges for Providence supplied radiology services that were a part of our patient’s May Hospital Emergency Room visit
If our patient has any questions about the Level of Care review, we respectfully ask that she contact our Providence Little Company of Mary (San Pedro) Hospital at 310-514-
We also ask that our patient please disregard their 1/8/Providence billing statement, as an updated statement will be generated and mailed to our patient
Providence sincerely apologizes to our patient for any inconvenience in their resolution of their concernPlease let me know if you need anything additionalSincerely Joe D*** Providence Health and Services

Dear Sirs, Thank you for your notification of this patient concern We have reviewed the account of the patient and found he was quoted an incorrect amountWe are sorry for this error and we will honor the quoted amount given at the time of serviceAn adjustment has been placed on his
account to now reflect the quoted amount.We apologize for any inconvenience to our patient in their resolution of this matter. Please let me know if you need anything further Joe D***Customer Support ManagerProvidence Health and Services

Dear Sirs,
Thank you for your communication to us on this patient concernWe have reviewed our patient’s account and spoke to our patient by phone on February 24, 2017.During the call we notified our patient that their Providence Health and Service account for this date of service has been
adjusted to a $balance and notification has been made to Health Services Asset Management that this account is fully resolvedWe will place a $balance statement in the mail to our patient for their records
We are sorry for any inconvenience and apologize to our patient for the delay in the resolution of this matter
Please let us know if you need anything else
Sincerely,
Joe D***
Customer Support Manager
Providence Health and Services

Sirs, Thank you for forwarding this concern to our Customer Support DepartmentUpon review of our patient's account and their feedback contained in the complaint, Providence has made the decision to adjust the entire disputed amount to a $amountAs of 8/14/2015, the date of service in question reflects a $balance.On 8/14/2015, I called the number listed for our patient to inform them of this resolution, however, I had to leave a message on their voicemail asking they return my callUnfortunately I have not heard back.I will place an itemized billing statement in the mail to our patient for their records.Our patient is free to contact me directly if they should have any additional questions.Thank you for giving us the opportunity to resolve this complaint. I apologize for any inconvenience in resolving this concern.Sincerely,Joe D***Customer Support ManagerProvidence Health and Services*** *** ***

Dear Sirs, Thank you for your notification of this concernWe have reviewed our patient's account and spoke with our patient by phone on March 29, 2017. Our patient was concerned that our Physician was unable to control his bleeding and that he was charged for Emergency Room
services although he had to be referred to another facility to ultimately control the bleeding. A clinical review of the Emergency Room visit was conducted by our hospital Quality Management staffBased on their review, care was determined to be appropriate. In addition, we requested a review of the level of services provided during his visit. That review resulted in a lowering of the level by one and in a lowering of charges for the services provided by $We have resubmitted this claim to our patient's insurance provider where it is still currently in processWe understand our patient's concern that he should not be charged for procedures which he felt did not workHowever, we did explain that it is correct to charge for procedures performed even if they do not work.During the call we did ask what would make this right with himUnfortunately, our patient said there was nothing further he wished to discuss with our representative at this time.As mentioned, our patient's balance is still in process with his insuranceOnce insurance processing is completed, we are still happy to work with our patient to resolve this concern and repectfully ask that he contact our representative at 215-6847. Please let me know if you need anything further. Sincerely, Joe D***Customer Support ManagerProvidence Health and Services

Dear Sirs,Thank you for your communication on this patient concernWe have reviewed our patient's account and spoke with them on February 15, Our patient has an insurance carrier that while in-network, pays a set amount per service and unfortunately we would not know those amounts prior
to any services renderedOur represenative did reach out to our patient's insurance carrier on their coverage and was able to review this information with our patientWe were also able to provide information on obtaining price quotes for future services from Providence Hospitals and ClinicsAs a resolution, we did place an adjustment of $on our patient's account for the date of service in question, bringing that balance to $Our representative also assisted in setting up a payment plan for our patient's other dates of service.We believe our patient's concern is resolvedWe do apologize for any inconvenience in their resolution of this matter.Please let me know if you need anything further. Sincerely, Joe D***Customer Support Manager Providence Health and Services

Complaint: ***I am rejecting this response because: I partially except the responseI would still like the level charge to be adjustedI was not in severe conditionPer the Master list of Charges, I was charged for a top level visitI was not in critical condition and the top level charge was not justifiedPlease adjustAlso, I was charged the standard rate for the Urine test, not the outpatient chargeCan you please adjust as well
Thank you!

Revdex.com:I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meSincerely, *** ***

Dear Ms***, In response to your inquiry into the patient concern brought forth by the husband of our patient *** ***We have thoroughly reviewed the concerns for date of service 6/23/and I am happy to clarify the situationThe husband and wife called the clinic at 11:AM on 6/23/
requesting a same day appointment for the wifeMost clinics have a few same day appointments however those are usually filled first thing In the morningThe nurse was correct to refer the patient to be seen in the IC due to all appointments being filled In the clinicWhen a clinic has no appointments available, referring patients to the IC is standard practiceAccording to the phone note in Epic, the husband was adamant that his wife needed to be seen in the clinic and he suggested that the clinic cancel another patient's appointment to accommodate his wifeHe was informed that we are unable to do that and again It was recommended the patient be seen at the IC or ED and he refusedThe husband's Inappropriate behavior escalated on the phone to the point that the nurse felt It was necessary to discontinue the callThe complaint also mentions issues around prescribing medicationsThe nurse was attempting to get more information from the husband or patient regarding patient symptomsThe regular PCP was not in the clinic and a covering provider who has never seen the patient would need more information before randomly Issuing a prescriptionThe best scenario would be to see the patient but no appointments were available so the patient was referred to the IC or EDA patient appointment was made for the next day and the wife (our patient) apologized for the husband's behavior

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

Upon review of the patient dispute it has been confirmed that the patient balance with Swedish Mill Creek is $0. As suggested by the patient, the balance has been resolved through insurance payment, partial financial assistance in addition to patient payment. Further investigation
established that the outstanding balance is related to her Emergency Room Physician’s statement. Ms*** can contact Eastside Physicians at to discuss her outstanding balance as related to the physician’s services

Dear Sirs,
I spoke with Ms *** on January 18th, to let her know that we had received her concern and that a billing specialist was reviewing her account and would follow up with her. On January 18th, our representative did call the phone number provided on the Revdex.com form and left a
voicemail message with her name and direct phone number with a request for Ms *** to call usUnfortunately, we have not heard back from Ms ***. Once we connect with Ms ***, we are happy to work with her to resolve her concernWe respectfully ask that she call the representative at the number provided in the voicemail message
Sincerely,
Joe D***
Customer Support Manager
Providence Health and Services

Dear Sirs, Thank you for forwarding the concern of our patientWe have reviewed their accountOur patient had notified us of their care concern and a clinical review was performed of the services provided which found that care was appropriateHowever, we do understand our patient's concern
and have made an adjustment to his original date of service to bring that patient balance to $as requested. We have sent an email to our patient via MyChart with this adjustment information.We hope this resolves their concern and we apologize for any inconvieience to our patient. Please let me know if you need anything else. Sincerely, Joe D***Providence Health and Services

Upon review of the disputed account, it has been determined that the patient had made the required payments at the time the account had been transfered to collections; although, he had been delinquent at one time. The account has been canceled at the collection agency and a representative will
contact the patient to reinstate the payment plan

Revdex.com:I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meThank you for helping to resolve this issueI was told he called and left a message but my wife accidentally erased his message, pressed the wrong buttonShe did and does apologizeI was waiting for him to call back.Sincerely, *** ***

Sirs,Thank you for forwarding this complaint for our reviewIn our attempts at phone contact, we and our patient have unfortunately have missed each other's calls.I apologize to our customer for any delay and thank them for their patience as we work to resolve this customer
concern.Sincerely,Joe D***Customer Support ManagerProvidence Health and Services

Complaint: ***I am rejecting this response because: I was talking to the billing officeThey admitted it was their mistake and tried to re-bill *** and told me that I didn't owe anymore than I paid and that I was paid in fullThen they said they could re-bill ***Quit returning my phone calls and just sent me a billPersonally I call it being a crook and lying to me.Sincerely,Todd F*