Law Offices Of Mark D. Svejda P.C.

Due to [redacted] privacy laws, a Release of Information form must be completed by the patient authorizing Patient First to discuss specific account information with the Revdex.comDue to the absence of this release form, Patient First has contacted the patient directly via written correspondenceShould you have any questions, please feel free to contact meThank you, Melissa B [redacted] Administrative Services Coordinator Patient First [redacted] (804) 887-4095Melissa.B [redacted] @PatientFirst.Com

Due to [redacted] privacy laws, a Release of Information form must be completed by the patient authorizing Patient First to discuss specific account information with the Revdex.com. Due to...

the absence of this release form, Patient First has contacted the patient directly via written correspondence. Should you have any questions, please feel free to contact me. Thank you, Melissa B[redacted] Administrative Services Coordinator Patient First [redacted] (804) 887-4095Melissa.B[redacted]@PatientFirst.Com

I am writing in response to an inquiry placed on your behalf regarding a visit to our [redacted] center on August 31, 2016.
...

 
You presented with a form that needed completion for an, [redacted] An office visit was charged and [redacted] was completed. This is considered an administrative physical and was coded appropriately as such.
 
Upon review of your account, the charges were appropriate for the evaluation and physician’s time. A claim was filed and paid. As a one-time courtesy, I will reverse the late fee and apply a credit adjustment of [redacted]. Your balance is now zero. While the billing statements come from Patient First, the patients’ monetary responsibility is based solely on the Explanation of Benefits (EOB) from your insurance company. No other adjustments are appropriate based on contractual agreements with your participating insurance plan. 
 
Respectfully,
 
Tyler D[redacted]
Administrative Services Coordinator
(804) 822-4340
[email protected]