SimonMed Imaging, Inc.

Revdex.com Serving...

Central                                    �...⇄ August 29, 2016 [redacted] | [redacted] | [redacted]
 
RE: Complaint ID#: [redacted]
 
Dear Sir or Madam:
 
We sincerely apologize for the error in billing surrounding the time of service payment for [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 has been refunded $294.91 as of 8/29/16; please allow 3-5 business days for the amount to reflect on your card. Additionally, $4.54 of the $355.02 paid at time of service was applied to a previous balance from 2015.
 
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 apologize for the confusion surrounding the time of service payment for [redacted]’s recent visit with SimonMed Imaging. We hope [redacted] is pleased with this outcome and considers SimonMed for future imaging services.
 
 
Sincerely,
 
 
 
 
Carley O[redacted]
Compliance Specialist
[redacted]
Tell us why here...

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]

This is a billing issue.....we went to the Simon Med in [redacted] and paid a $225.00 deductible ...in the meantime we had treatment done in another office and that office got their claim in first so of course the deductible came out of that visit ..not the Simon Med...well Simon Med received payment in full 100%... so you guessed it...they have OUR $225.00 and had it for OVER two months now and will NOT give it back....when we call we stay on hold for 30 minutes and when they finalllllyyyyy answer they say oh it is in processing!! OMG it is ridiculous and when we call Simon Med they say oh we are sorry we use a third party billing...well they have had our money for two months so they should pay us interest...of course last Thursday we were told it would be put back on our debit card asap...like in the next five minutes...and OF COURSE it is not!@!!! So irresponsible and unprofessional!!! We are filing a complaint with the insurance commissioner as well as the Revdex.com....

July 28, 2016
 
Ms. [redacted],
We sincerely apologize if your insurance was not contacted when questions were raised about the amount due. We have spoken with our staff to ensure in the future they are contacting the insurance company when requested by the patient. On the other hand, we do inform our patients via the "Consent to Treat" form that the amount quoted is simply an estimate. Typically, our system does provide an extremely accurate estimate.
I have confirmed with our billing team that the refund check was placed in the mail today. We apologize for any frustration that may have resulted from this and we appreciate you informing us of your experience because it allows us to view where we may improve. Ultimately, patient satisfaction is our top priority and we work hard to quickly remedy any concerns that may arise. We hope you are satisfied with the outcome of your concerns.
 
Carley O[redacted]
Compliance Specialist
6900 E Camelback Rd #700
Scottsdale, AZ 85251

I visited Simon Med in March, 2016. I had been quoted an amount of my copay and was advised they would bill me for this procedure. However, upon arrival I was told the amount changed, it was doubled and it was their policy to collect upfront. The gentleman, Sam, stated he did not know why I had not been notified but if I wanted the procedure I had to pay. He also stated he was in charge, there was no one else I could talk with until Monday and he could not provide me a copy of their policy. I inquired, how does Simon Med refund an over payment and he did not know. I just received my EOB and I was overcharged. I have left a message for their complaint department to advise an immediate refund is expected. I will not go back to Simon Med and I caution others to stay away and avoid such a negative experience.

To whom it may concern,We apologize for the time and headache caused by our errors. The patient came in July 2013, and the wrong insurance was entered ([redacted] error) which led to multiple billing errors.  I have written off this charge due to our errors. The patient came back in July...

2014 for another service, that exam was correctly billed, and the insurance processed $341.11 to the patients deductible.  Due to the inconvenience the patient experienced with the 2013 billing, I have instructed staff to write off the patients balance for the 2014 charge as well. A staff member has called and left a voicemail for the patient to call us back, so we can explain all of this.  She will not have a balance with [redacted] as of today. [redacted]Director of Business Development[redacted]SimonMed ImagingSee Tomorrow Today

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,

I've used the Avondale location multiple times every time I've used it there office staff tells me I owe some kind of fee but I usually call my insurance before I've went in to verify the coverage everything I've had was covered at 100% not sure where there getting there info on fees from but I feel as though they are scamming people most people just pay and do not check with there insurance before. At one point they were trying to get $500 out of me for something that was covered 100% and my insurance called the imaging place. Do not go on Simon imaging staff word call your insurance and verify if possible. There practice in not right and that is poor customer service.

I've been working with Simon Med since 3-22-16. I have had my appointment cancelled and reschedule twice. A reschedule attempt resulted in a "we have no record of your appointment", another reschedule was cancelled due to the machine being broken (still). I wasn't offered any other resolution or to go to another facility. When I reached out for the 5th time to call, someone came on the line and asked "what can I help you with?" I told them I was trying to reschedule again, and they put my on hold for 10 minutes then I was hung up on. I'm working under extreme pain of my lower back and I can't do anything about treatment until I get this diagnostic test completed. This is this one time- the other time they have had ultra sound techs call out and keep people waiting for hours past their schedule appointment since they have no continuity plans in place for these situations.

Do not use this business. They are a disgrace to medical diagnostic imagining.

Dear Mr. [redacted],SimonMed Imaging makes every attempt to provide correct estimates at the time of service. Unfortunately, the amount due at the time of services is just that, an estimate. We are unable to factor in such additional factors as pending claims with your carrier, etc., which...

may change the final amount due. Providing a courtesy estimate to patients is not considered fraud. We do not attempt to defraud any patients, and we are sincerely apologetic that this is your perception. As with any medical services rendered, the patient is ultimately responsible for understanding their benefits and coordinating with their insurance carrier to receive the most accurate information. If this was not understood at the time of services, we are more than willing to work with you and establish a payment plan for this date of service, which will allow you to avoid collections and detriment to your credit. Please contact me and I can assist you further.Sincerely,[redacted].SimonMed Imaging###-###-####

Dear. Mrs. [redacted],Upon review, 3 exams total were performed on dates 01/23 (chest and shoulder) and 01/26 (chest - additional imaging).  I do see the report requests additional imaging, but there are no notes or any indication that this was due to a technical error.  As a...

courtesy, I will have the chest x-ray charges from 01/23 ($38.08) pulled from the collection agency and adjusted accordingly.  If you would like a follow up statement from SimonMed Imaging reflecting the changes, please contact [redacted] in our billing office at ###-###-#### in two weeks and she will be able to send you the updated statement.Sincerely,[redacted]Privacy Officer/Compliance Specialist

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.  For your reference, details of the offer I reviewed appear below.

This is a bull crap response. Their employees specifically took more time(3 days) to clarify fees beforehand and then proceeded to assure me that $65 was what was needed. After receiving the "mysterious" bill I called and their employee on the other end even seemed confused on where the amount of $65 came from. This company is bait and hooking their customers, lying about fees so that they can bill them significantly more at a later time. A "payment plan" for fraudulent fees is not an acceptable counter. I have already paid the unjust fees to avoid credit damage. I fear I just have to bend over and take it and this company will continue to mislead their customers and unjustly steal from them. Good business ethics is just an uncommon act these days and it is unfortunate. 

Regards,

This review is for billing. I had a mammogram done in Sept.and the receptionist had all my insurance information on the referral form from my primary doctor. The exam was to be covered under a well woman exam . I have never paid anything in the past for this particular diagnostic test. I have also been using Simon med in the past. Three days ago I received a bill in the mail from Simon Med billing Dallas Texas stating that I owed $596. Bill stated that they have contacted my insurance company -the name of my insurance company was listed on the billing statement -and yet it also said that I am responsible for the balance due. The balance due that was circled in red ink was $596. I called the automated system but the only thing the system would let me do would be to pay the balance due which again was stated is $596. Being frustrated with the automatic system I called the next day to speak to a person .I was placed on hold for 10 to 15 minutes. Then when I asked about this bill and the gal looking at my records she told me that the bill was sent in error! In error! If I was a senior and I've gotten this bill I would have been nervous about not paying it and I would've paid the $596. The nerve of them to say it was sent in error. I asked to speak to supervisor but there was no one available. I then decided to call the Glendale office where this mammogram took place and asked to speak to the billing department there. I shared my story with the person I talked to and when she gave me the runaround I told her I wanted to speak to a supervisor because I thought this was truly an unacceptable statement and I was going to report them to the Revdex.com and also to the Arizona Attorney General. This looks very much like a scam just to get my $596 plus to get payment from the insurance company. I waited on the phone to speak to the supervisor who after 10 minutes and said the supervisor was unavailable and to try again the next morning. I called the next morning and spoke to a gal in billing named Megan who stated that she would get the supervisor ...again she was in a meeting and was unavailable. I was told that she would call me back -she had my cell number and I waited last night for her to call me back. No phone call.v" Very very unacceptable. I will be reporting this ,as I said, to the Revdex.com and also to the Arizona Attorney General's office. I also wrote a statement on Yelp because it doesn't seem I can get through via the phone calls.

WATCH YOUR STATEMENT!

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

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,

You stated that I would need another order from my doctor which would that not charge my INSURANCE?  I will agree to a doctors note stating he approves  and will allow the repeat ultrasound for better and more efficient results as long as there is no BILL to my insurance. It is not my insurance companies fault that your employee acted as such. And I got upset when you responded by saying she should not have snapped at my sister but she has a job to do aiming she was interrupting the exam which the exam was over when this happened making excuses for your employees actions and implying she shouldn't have been talking. That upsets me even more because she HAS A DISABILITY and she is a sweetheart but she literally CAN NOT stay silent. That doesn't mean she was being a nuisance. Would you imply that to someone who has tourrettes? And you never said YOU guys would cover the cost or said you'd be willing to redo it with my doctors permission. You said there was no proof that the ultrasound was done improperly so you'd be happy to reschedule me at another office if I got another referral from my doctor. If you would like to redo the ultrasound free of charge to me AND my insurance to correct the poor treatment we received I'll be happy to accept that but I will not agree to you billing my insurance this was because of your employees poor treatment aND behavior of you get paid twice how did you guys make anything RIGHT?  And last thing I hung up because you got an attitude with me and said you're not going to argue with me anymore because you couldn't explain to me how the procedure was done right with everything we went through.

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.

Revdex.com Serving Central                                    �...⇄ September 9, 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]
 
Ms. [redacted],
 
I have included a copy of your credit card refund receipt dated 8/5/16 in the amount of $650.68. If the amount does not reflect on your account, we suggest you follow up with your bank to assist in locating the refund.
 
At this time, we are unable to provide a Patient History Report that shows your account at a zero balance due to refunds being processed to your insurance for duplicate payments. However, we do show on both EOB’s that your responsibility is $0.
 
Again, we apologize for any frustration that may have resulted from this. We hope you are satisfied with the outcome of your concerns
 
 
Sincerely,
 
 
 
Carley O[redacted]
Compliance Specialist
[redacted]
Scottsdale, AZ 85251

Revdex.com Serving...

Central                                    �...⇄ July 6, 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 recent exam for Ms. [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 amount of $953.36 has been removed from collections and written off due to the self-pay rate payment made at time of service.
 
Again, we apologize for the confusion surrounding the payment for Ms. [redacted] recent visit with SimonMed Imaging. We hope Ms. [redacted] is pleased with this outcome and considers SimonMed for future imaging services.
 
 
Sincerely,
 
 
 
Carley [redacted]
Operations Specialist
[redacted]
Scottsdale, AZ 85251

On 08/09/2016 at 7:35a.m, I called the Arizona customer service line and was greeted by Vanessa. The representative responded to my request to update my insurance information with an elevated tone of frustration. She then proceeded to speak over me and interrupt me in mid-sentence. I was transferred to a supervisor with less attitude then the previous representative. However, this was not a positive customer experience either. The supervisor displayed an irritated tone as well, and responded to my questions with phrases such as, "like I said." There is no place to provide negative feedback or complaint on the website.