Pretty Paws

Sent: Monday, May 16, 9:AM Subject: Revdex.com in regards to complaint # [redacted] [redacted] $We understand the frustration and are equally frustrated with the research process to confirm overpayments when an insurance company gives incorrect information at the time of service This is an important step and does take some time in most casesThe insurance carrier payment was researched and completed on 5/4/ Upon completion of this research the AP Department for the clinic sent a refund to the patient

The resolution was completed and the AP Department has approved processing for a payment by check to the patient in the amount of $

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint [Provide details of why you are not satisfied with this resolution.] Regards, This resolution as they call it will NOT be resolved until the check for is in my hand AND has cleared the bank!!! Just don"t understand what the problem is? And why can't they pick up the phone and call me and explain whats going on and keep me informedI do not believe that is asking too muchBut this company has just cooked it's goose with meNEVER AGAIN will myself or my family or anyone I know do business with this companySO NO THIS IS NOT RESOLVED YET!!!! UNTIL I GET A CHECK FOR MY REFUND IN THE AMOUNT OF AND IT HAS CLEARED THE BANK, THEN NO THIS IS RESOLVED PERIOD>

Hello, I received your letter passing on the complaint of Ms ***. She came into my shop and stated, "You choked him," and handed me a stack of papers stating she would like to hear from me buy Oct 20thHowever as early as Oct 16th, there were libelous reports that I was a
murdererI have turned this over to an attorneyShe is in receipt of an offer Thank you

Hello, I received your letter passing on the complaint of Ms ***. She came into my shop and stated, "You choked him," and handed me a stack of papers stating she would like to hear from me buy Oct 20thHowever as early as Oct 16th, there were libelous reports that I was a
murdererI have turned this over to an attorneyShe is in receipt of an offer Thank you

Prior to providing medical services our clinic contacts the
appropriate insurance company to obtain eligibility and benefit information for
the patient.  At that time the insurance company will tell us the
estimated copay/co-insurance/ deductible amount to be paid by the patient.
  In...

this patient case the insurance company paid the claim using very
different benefits than used at the time of service when they instructed the
clinic to collect the amount paid at time of service from the patient.  Unfortunately insurance
companies make incorrect payments.  If the payment made by the insurance
company does not match the information given to the clinic at time of service,
it must be fully researched.   In numerous cases the insurance carrier
will return to the medical provider and recover payments made on a case months
or even years old with instructions for the medical provider to collect
additional payment from the patient.  The medical provider must
obtain confirmation from the insurance provider regarding which amount the
patient was actually responsible to pay.  This does take some time, but is
a necessary step.

The resolution was completed and the AP Department has approved processing for a payment by check to the patient in the amount of $240.00.

Sent: Monday, May 16, 2016 9:36 AM Subject: Revdex.com in regards to complaint #[redacted]. [redacted] $202.76 We understand the frustration and are equally frustrated with the research process to confirm overpayments when an insurance company gives incorrect information at the time of...

service.  This is an important step and does take some time in most cases. The insurance carrier payment was researched and completed on 5/4/2016.  Upon completion of this research the AP Department for the clinic sent a refund to the patient.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  
[Provide details of why you are not satisfied with this resolution.]
Regards,
This resolution as they call it will NOT be resolved until the check  for 240.00 is in my hand AND has cleared the bank!!! Just don"t understand what the problem is? And why can't they pick up the phone and call me and explain whats going on and keep me informed. I do not believe that is asking too much. But this company has just cooked it's goose with me. NEVER AGAIN will myself or my family or anyone I know do business with this company. SO NO THIS IS NOT RESOLVED YET!!!! UNTIL I GET A CHECK FOR MY REFUND IN THE AMOUNT OF 240.00  AND IT HAS CLEARED THE BANK,  THEN NO THIS IS RESOLVED PERIOD>