SimonMed Imaging, Inc.

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted]2, and find that this resolution would be satisfactory to me.  I have received the refund last week. I really appreciate the response after a long time dealing with this issue. 
Regards,
[redacted]

I will investigate this complaint.

Revdex.com Serving...

Central                                    �...⇄ November 11, 2016 4428 N 12th St, Phoenix, AZ 85014
213 Grove Ave, Prescott, AZ 86301
350 W 16th Street, Suite 205, Yuma, AZ 85364
602-464-1721 | 928-772-3410 | 928-919-7940
arizonaRevdex.com.org
 
RE: Complaint ID#: [redacted]
 
Dear Sir or Madam:
 
We sincerely apologize for the billing confusion surrounding the time of service payment for Mrs. [redacted] at SimonMed Imaging. We wish every patient to have a pleasant experience with our company and we strive to attain that with every visit.
 
We have reviewed and investigated the complaint and have confirmed that the credit card used at time of service was refunded on 11/11/2016 in the amount of $217.71. Our records indicate that the patient paid $467.71 at TOS and her out-of-pocket responsibility was $250.00 for her exam.
 
Using state-of-the-art information systems, we can estimate what is due and collect appropriately at time of service. The amount can only be an estimate since the deductible changes with every new service provided to a patient. Typically, our systems provide an extremely accurate amount due.
 
Again, we sincerely apologize for the frustration surrounding the time of service payment for Ms. Wolt’s recent exam with us and ultimately, our patients care and satisfaction is our top priority. We hope Ms. [redacted] is pleased with this outcome and considers SimonMed for future imaging services.
 
 
Sincerely,
 
 
 
 
Carley R[redacted]
Compliance Specialist
[redacted]
[redacted]

Revdex.com Serving...

Central                                    �...⇄ November 10, 2016 4428 N 12th St, Phoenix, AZ 85014
213 Grove Ave, Prescott, AZ 86301
350 W 16th Street, Suite 205, Yuma, AZ 85364
602-464-1721 | 928-772-3410 | 928-919-7940
arizonaRevdex.com.org
 
RE: Complaint ID#: [redacted]
 
Dear Sir or Madam:
 
We sincerely apologize for the confusion in billing surrounding the amount due for Mr. [redacted] recent exam at SimonMed Imaging. We wish every patient to have a pleasant experience with our company and we strive to attain that with every visit.
 
We have reviewed and investigated the complaint and our records indicate that the claim was processed out of network for the exam dated 8/17/16. At this time, we have placed a call out to the insurance company to obtain further information on why this claim was processed out of network. Once we have additional information regarding this, a second response will be promptly submitted.
 
Again, we apologize for the confusion surrounding the amount due for Mr. [redacted] recent exam at SimonMed Imaging. We are working to ensure this is promptly resolved for Mr. Scott. Ultimately, our patients care and satisfaction is our top priority.
 
 
Sincerely,
 
 
 
 
Carley R[redacted]
Compliance Specialist
[redacted] [redacted]
Scottsdale, AZ 85251

12/15/2016 -Patients credit card has been credited $290.73.  Please allow 3-5 days for this to reflect in the patient bank account.

I am another customer of SimonMed who has had many billing issues with them. I changed my insurance information with the local office on Val Vista in Gilbert, AZ at the beginning of the year. On two occasions I received bills and robocalls regarding an unpaid balance. After many phone calls to them and my insurance company, they had sent the bills to my old insurance company. On the third occasion THEY did not send the proper billing information to the correct insurance company so my insurance denied payment. Again many phone calls to correct the problem.

My doctor sent me to Simon Med to get a ultrasound and diagnostic mammogram, I waited over 2 hours before I was seen. The procedure took about 45 min. Then I received a call back telling me the ultrasound should have been done on both [redacted] and the results that were submitted were inconclusive. So, I had to schedule another ultrasound, to get the same work done again. This time the entire procedure took over 2 hours. Then the Dr. Said I should get an mri. I schedule that and do my prep, no caffeine etc. To receive a call the evening before telling me that it needs to be rescheduled. I rescedule, no mention about lmp needing to be within 7-14 days, so get to my appointment after no food or caffeine to be told I can't do it and have to reschedule again. For such a delicate situation, this entire process has been handled terribly. I'm so frustrated and angered by the entire thing that I would never recommend Simon Med.

on 11-23-2016 a check was sent out to patient at:
[redacted]
[redacted]
*
In the amount of $357.00

All staff in Mesa Greenfield office are very unprofessional. I would never recommend this office to anyone. They are incompetent.

Revdex.com Serving...

Central                                    �...⇄ February 23rd, 2016 4428 N 12th St, Phoenix, AZ 85014
213 Grove Ave, Prescott, AZ 86301
350 W 16th Street, Suite 205, Yuma, AZ 85364
602-464-1721 | 928-772-3410 | 928-919-7940
arizonaRevdex.com.org

RE: Complaint ID#: [redacted]

Dear Sir or Madam:

We sincerely apologize for the error in billing surrounding the time of service payment for Mr. [redacted] at SimonMed Imaging. We wish every patient to have a pleasant experience with our company and we strive to attain that with every visit.

We have reviewed and investigated the complaint and have confirmed that there was a refund mailed out on Monday, January 23rd 2016, for the amount of $135.

Using state-of-the-art information systems, we can estimate what is due and collect appropriately at time of service. The amount can only be an estimate since the deductible changes with every new service provided to a patient. Typically, our systems provide an extremely accurate amount due.

An attempt has been made to reach out to Mr. [redacted] regarding his recent experience to personally apologize for what has happened. We hope Mr. [redacted] is pleased with this outcome and considers SimonMed for future imaging services.


Sincerely,




Carley O’L[redacted]
Operations Specialist
[redacted]

There seems to have been a breakdown in communication regarding this credit, and I am sorry for all of the frustration it has caused.  I confirmed that the card was refunded for the full amount ($123.73) today, October 6th.  Please allow 3-5 business days for this to reflect to your bank...

account.  If it is not received within this time frame, please notify me at ###-###-####.Thank you, Amy Z[redacted]Privacy Officer

Revdex.com Serving...

Central                                    �...⇄ August 8, 2016 4428 N 12th St, Phoenix, AZ 85014
213 Grove Ave, Prescott, AZ 86301
350 W 16th Street, Suite 205, Yuma, AZ 85364
602-464-1721 | 928-772-3410 | 928-919-7940
arizonaRevdex.com.org
 
RE: Complaint ID#: [redacted]
 
Dear Sir or Madam:
 
We sincerely apologize for the confusion in billing surrounding the recent exam Mr. [redacted] had at SimonMed Imaging. We wish every patient to have a pleasant experience with our company and we strive to attain that with every visit.
 
We have reviewed and investigated the complaint and have confirmed that there were in fact two different exams performed. However, as a courtesy, as of 8/8/16, we have written off the cost of one of the MRI’s due to the misunderstanding.
 
Again, we apologize for the confusion surrounding Mr. [redacted]’s recent visit with SimonMed Imaging. We hope Mr. [redacted] is pleased with this outcome and considers SimonMed for future imaging services.
 
 
Sincerely,
 
 
 
 
Carley O’L[redacted]
Compliance Specialist
[redacted]
[redacted]

[redacted]  [redacted]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted] and find that this resolution would be satisfactory to me.  I will wait until for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]

November 23, 2016
 
 
 
Revdex.com
1010 E Missouri Ave,
Phoenix, AZ 85014
 
 
RE:  Complaint ID #[redacted]
 
To Whom it May Concern:
 
I have investigated the complaint from Mr. [redacted] and it appears that he was initially quoted for a different CPT code which explains the high dollar amount difference. Due to this, we will be honoring the original quoted price of $237.66 for the exam.
 
We sincerely apologize for the confusion and any frustration that may have resulted from this. Ultimately, patient care and satisfaction is our top priority. We hope Mr. [redacted] is pleased with this outcome and considers using SimonMed Imaging for future services
 
Sincerely,
 
 
 
 
Carley R[redacted]
Compliance Specialist
6900 E. Camelback Road, #700
Scottsdale, AZ  85251
###-###-####
[redacted]

Revdex.com Serving...

Central                                    �...⇄ June 15, 2016 4428 N 12th St, Phoenix, AZ 85014
213 Grove Ave, Prescott, AZ 86301
350 W 16th Street, Suite 205, Yuma, AZ 85364
602-464-1721 | 928-772-3410 | 928-919-7940
arizonaRevdex.com.org
 
RE: Complaint ID#: [redacted]
 
 
Dear Sir or Madam:
 
We sincerely apologize for the confusion in billing surrounding [redacted]’s recent exam at SimonMed Imaging. We wish every patient to have a pleasant experience with our company and we strive to attain that with every visit.
 
We have reviewed and investigated the complaint and have confirmed with the insurance company that the claim was denied in error and reprocessed on 6/2/16. We were informed the insurnae made a payment on 6/13/16 and the patient’s total responsibility is $40. Once we receive the insurance payment, a new bill will be promptly mailed to Mr. [redacted].
 
Again, we apologize for the confusion surrounding Mr. [redacted]’s recent visit with SimonMed Imaging. We hope Mr. [redacted] is pleased with this outcome and considers SimonMed for future imaging services.
 
 
Sincerely,
 
 
 
 
Carley O[redacted]
Operations Specialist
6900 E Camelback Rd Ste. #700
Scottsdale, AZ 85251
Tell us why here...

Just spoke to patient.  This has been refunded and resolved.  Please let the Revdex.com know. Thank you,   [redacted] SimonMed Imaging Privacy Officer & Compliance Assistant

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me.  I will wait until for the business to perform this action and, if it does, will consider this complaint resolved.
This whole experience has been unpleasant and avoidable.  I will no longer be using Simon Med Imaging for anything, and have notified my doctor of my decision, and why.
Thank you Revdex.com, for resolving this for me.  The credit was posted to my [redacted] on 10/14/2015.  I have no doubt that if I had not contacted the Revdex.com, I would still be chasing this credit. 
Regards,
[redacted]

Mr. [redacted],I do not show your balance as $78.43, your current balance is $8.72.  We will adjust the remaining co-insurance balance of $8.72 as a courtesy, but please understand that you never owed the $78.43 as you originally anticipated.  I apologize for the confusion and hope to have...

resolved this matter to your satisfaction.Sincerely,[redacted]

I have received documentation from SimonMed today, 8/10/16. 
Per the response from SimonMed to the Revdex.com, I was to see a credit to my credit card account within 3-5 days as of 8/5/16. As of end of business today, 8/10/16, there is NO CREDIT to my account, nor any credit PENDING.
Also, in the documents sent to me, it shows (3) claims with James M[redacted] (209) with the service date 5/26/16, that payments have been processed by insurance (see SimonMed_Doc). When I went on my insurance website and looked at my claim summary, I saw that SimonMed issued a duplicate claim for James M[redacted] (209) for $2127.12 8/8/16. This was already processed as part of another claim that totaled $4,414.84. (See attached James M[redacted] doc).
Why are they trying to process that amount again if they say that all claims are processed and balance is $0? 
To close this dispute, this is what I need to see happen:
1. On the SimonMed Patient History Report, all claims for service date 5/26/16 need to show processed/paid in full with United Health Care and my account at $0 balance. 
2. I need to see the credit due to me on my credit card processed.

My doctor ([redacted].) sent me to Simon Med in Mesa/Greenfield for an x-ray when his office x-ray tech was ill. His office forwarded ALL my information, including the specifics of my workmans comp. I arrived at 9:00 a.m., (there were 3 patients in the waiting room), and told them that my doctor had sent me. They asked my name, and had my file right there. The receptionist asked for an insurance card, and a picture I.D., and gave me a form to fill out. I sat there for an HOUR, and ONE patient was called back during that time. By that time, another 8 or 9 people were waiting as well. Finally, the receptionist called me, and said that she was waiting for my insurance authorization. I told her that this was a workmans comp claim, (which was right in front of her), and she slapped me with an attitude, asking me why I had bothered giving her my insurance card. I replied, "because you ASKED me for it!" She (obviously disgusted with me) told me that it was going to take awhile to look into it. I asked for my license and insurance card back, and left. I went back to my doctors office, and told them what had happened, and we decided I would go elsewhere for my x-ray. Simon Med had all my comp information, and rather than doing her JOB, and looking at the info my doctor sent, she tried to make ME sound like the incompetent it. THAT made me angrier than losing an hour of my life waiting for a simple elbow x-ray.