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Good morning Ms. [redacted],
Thank you for the opportunity to review Janine [redacted]’s complaint sent to our attention. My office along with the clinical and administrative oversight have reviewed Ms. [redacted]’s complaint.
After completing a detailed review of Ms. [redacted]’s concerns, it was determined, that...

the care and services provided were medically appropriate and within the standard of care for the history and symptoms presented. During her visit, there were some additional medical concerns (outside of her insurance carrier’s definition of wellness visit that are not covered) identified by Ms. [redacted]. Therefore, a treatment plan was discussed/reviewed by the doctor and additional screenings were performed; all of which generated additional charges. It was determined that the care was appropriate and charges are valid; and the request for reimbursement and waiver of charges is denied.
We regret the circumstances described and apologize if any miscommunication caused Ms. [redacted] concern and dissatisfaction. I encourage her to contact the Business Services Department at 858.784.5645 to assist with applying with financial assistance or financial relief if needed. 
[redacted]
Patient Relations, Scripps Medical Foundation

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