Pro Edge Outfitters

From: Revdex.com of Metro Washington DC<[redacted]>Date: Fri, Sep 2, 2016 at 8:17 AMSubject: Fwd: You have a new message from the Revdex.com of Metro Washington DC & Eastern Pennsylvania in regards to your complaint #[redacted].To: [redacted] <[redacted]>---------- Forwarded message ----------From: [redacted] <[redacted]>Date: Thu, Sep 1, 2016 at 8:55 PMSubject: Re: You have a new message from the Revdex.com of Metro Washington DC & Eastern Pennsylvania in regards to your complaint #[redacted].To: Revdex.com <[redacted]>Good evening. I apologize but I was not aware that I needed to do anything to close the case. Please note that I am 100% completely satisfied with the resolution & we can consider this case closed. Thank you.

To Whom It May Concern:This letter is in response to the complaint sent to you by our patient, [redacted], who was treated at [redacted] Campus on October 31, 2015. Vireo Emergency Physicians mailed a statement of account as a result of this visit in the amount of $638.20, understand from...

reading the complaint that Mr. [redacted] was disputing the amount due.Mr. [redacted]'s insurance carrier, [redacted] processed the claim and made a payment of $187.04 and a patient co-insurance amount of $46.76. The insurance carrier shows the amount of $638.20 as not covered. As a nonparticipating provider we do reserve the right to bill the patient. Some insurance carriers will pay out-of-network claims, as in-network, when the patient is having a true emergency situation, e.g. injuries, or if high level care needed. This will depend on the insurance policy.Our office did receive Mr. [redacted]'s letter and we resubmitted the claim to [redacted] in the hopes they would reprocess our claim. We received a denial stating the claim was denied as a duplicate. Mr. [redacted] can contact his insurance carrier and submit a formal appeal. [redacted] may reprocess the claim so their member isn't held responsible. Mr. [redacted] states that he contacted our office and left messages in a general delivery mailbox; unfortunately, our office does utilize a mailbox system. We have live agents available from 9:00am-7:00pm.I realize the sensitivity with this type of situation, and for this reason, as a onetime courtesy I have adjusted the patient's balance. Mr. [redacted]'s account now reflects a zero balance. I apologize for any inconvenience. Should you have any questions or concerns please feel free to call me at ###-###-####.We hope this letter provides some resolution to the matter.Very Yours,Leah F[redacted] Patient Service Supervisor