I was able to obtain a paper copy of the EOB from Aetna showing patient payment issuedApologies, the total amount payable was $Amount paid to the member was $with coinsurance responsibility of $The EOB has a check/eft trace number so if member has not received that payment from Aetna she should contact her insurance with the trace number on her EOP and Claim ID is [redacted] The current balance due is $insurance payment and $coinsurance which totals $1,
Ms [redacted] was seen and treated in the ER at Swedish First Hill on 12/05/While the ED group, Seattle Emergency Physicians, is hospital-based they are not hospital employeesSince this is a completely different tax id the ER group is responsible for their contracting separate from the facility and they do not have a direct contract with AetnaAetna initially paid $on this claim; however it was reprocessed and an additional $was paid to the patient by Aetna on 03/02/To date we have not received that additional insurance payment that Aetna sent to the patientThe only out of pocket expense for Ms [redacted] for these pro fee charges is $81.99, which is her coinsurance.Please contact me if you have any further questions or need additional information
Complaint: [redacted] I am rejecting this response because: Aetna did not agree or paid me $or what ever this business claims for the doctor servicesIf they want they would need to go to Aetna directly but I will not agree to pay for a bill $ If the doctor is a contractor and not a employee representative of swedish medical center Then the doctor and hospital mis-represented themselves when they claim they accept aetna as insurance coverage If the company claims after the fact that they do not accept aetna; that seems like internal issue not my problem Sincerely, [redacted] ***
I was able to obtain a paper copy of the EOB from Aetna showing patient payment issuedApologies, the total amount payable was $Amount paid to the member was $with coinsurance responsibility of $The EOB has a check/eft trace number so if member has not received that payment from Aetna she should contact her insurance with the trace number on her EOP and Claim ID is [redacted] The current balance due is $insurance payment and $coinsurance which totals $1,
Ms [redacted] was seen and treated in the ER at Swedish First Hill on 12/05/While the ED group, Seattle Emergency Physicians, is hospital-based they are not hospital employeesSince this is a completely different tax id the ER group is responsible for their contracting separate from the facility and they do not have a direct contract with AetnaAetna initially paid $on this claim; however it was reprocessed and an additional $was paid to the patient by Aetna on 03/02/To date we have not received that additional insurance payment that Aetna sent to the patientThe only out of pocket expense for Ms [redacted] for these pro fee charges is $81.99, which is her coinsurance.Please contact me if you have any further questions or need additional information
Complaint: [redacted] I am rejecting this response because: Aetna did not agree or paid me $or what ever this business claims for the doctor servicesIf they want they would need to go to Aetna directly but I will not agree to pay for a bill $ If the doctor is a contractor and not a employee representative of swedish medical center Then the doctor and hospital mis-represented themselves when they claim they accept aetna as insurance coverage If the company claims after the fact that they do not accept aetna; that seems like internal issue not my problem Sincerely, [redacted] ***