First, let me explain that dealing with the insurance company in question is extremely time comsuming and they are most uncooperative. I offer that observation only to help explain why this matter has been outstanding for so long
The financial arrangement at the time of service between the
patient and the physician was not communicated to Spectracell. The typical financial arrangement for a patient with insurance is that the patient is responsible for an up-front co-payment and Spectracell will accept what is paid by the insurance company. In this instance, the physician did not pass on to Spectracell the required up-front copayment. The physician has acknowledged this error and has agreed to be responsible for that amount ($130.00)
Secondly, the insurance company in question finally acknowledged to us that the patient had been paid $related to our claim for services. That amount is due to Spectracell and remains the responsibility of the patient as the patient was paid by their insurance company
Spectracell has adjusted our records as of today to reflect the correct amount due from the patient - $
Sincerely,
*** *** ***
Revdex.com:
I received the check on 1/24/
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me
This is the same patient complaint about the same issue as last week.
The money not originally forwarded from the physician ($130) has now been collected from the physician.
The money paid to the patient by their insurance company, [redacted], ($182.99) for our services is due from the...
patient.
The delay in sending a bill ocurred because it took us a year and a half to find out that [redacted] had paid the patient.
Attached is a copy of the patient's statement that I printed today reflecting the correct money due Spectracell. If, in the interim, the patient received another bill reflecting a total of $312.99 due it was because the statement was sent BEFORE the physican made their recent payment of $130.
Spectracell will continue to pursue the amount of $182.99 paid directly to the patient for our services.
Revdex.com:
This letter is to inform you that Spectracell Laboratories, Inc. has carried out to my satisfaction the resolution it proposed for my complaint, filed on 2/12/2015 11:44:01 AM and assigned ID [redacted].
Regards,
Revdex.com:
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.
According to my doctor's office, [redacted], Spectracell Client Account # [redacted], AND Spectracell Client Account Rep. Alan Ross, I do not owe anything. I was spontaneously billed in error one year after my lab tests and one year after I paid in full the first time. I told Spectracell this the first time I paid my bill and was being billed in error and I have been continually harassed by collection letters and phone calls with them trying to collect from me while I have been cooperating with the Spectracell Billing Representatives requests as they have muddled their way through this issue. It seems very much like a scam or a very poorly run billing department. I have had to track down information from my insurance company back form 2013 even though they weren't ever involved in the process. I have had to track down the cashed check from my bank on 2 different occasions from June 2014 to the present day while Spectracell reps are non-responsive and cannot find previous submitted data. I think most people would have just given up and paid you which is what I suspect is going on. An easy way to make revenue, even though it is illegal. My doctor's office has contacted your client services and they have found my account balance to be zero at this time. Why am I getting a response from the VP of Finance telling me that they kindly reduced my payment from $155 to $45 when the charge is NOT VALID??? I am so baffled by this scenario. To resolve this issue, I request that the VP of Finance give client services a call, (or walk over to their cubicles) and reference client account #[redacted] and pull up my account and reconcile his calculation with theirs. If that doesn't solve the issue, please call my doctor's office, [redacted]. They are well aware of this scenario and can walk you through it.
Regards,
[redacted]
I have no additional facts to add to this claim. The patient did not appreciate that we voluntarily reduced our price to $45 so their is nothing further I can do.
The problem originates with [redacted] and their refusal to share claim payment information with the provider of services. The issue that the patient's physician did not pay has been acknowledged by the physican and resolved.
The patient's position at this point is that they should make a PROFIT from ordering laboratory services from our company. The patient received and cashed a check from [redacted] that was payment for our services.
The balance will remain $182.99 and collection efforts will continue until the patient pays the amount they received from [redacted] for our services.
We apologize for the confusion over multiple draws with this patient.
For the first date of service, 6/7/13, no payment has been received for the service that was performed, a MTHFR genetics test. We billed the patient $155 for this date of service and later, on 2/5/15 voluntarily reduced our...
bill to $45. That amount is still outstanding.
For the redraw for the LPP+ test which ocurred on 6/19/13, we billed the patient $155 and we were paid in September 2013. That accession has a balance of zero.
So, in summary, we are still due $45 from this patient for the service performed on 6/7/13.
William P[redacted]
VP-CFO
First, let me explain that dealing with the insurance company in question is extremely time comsuming and they are most uncooperative. I offer that observation only to help explain why this matter has been outstanding for so long
The financial arrangement at the time of service between the
patient and the physician was not communicated to Spectracell. The typical financial arrangement for a patient with insurance is that the patient is responsible for an up-front co-payment and Spectracell will accept what is paid by the insurance company. In this instance, the physician did not pass on to Spectracell the required up-front copayment. The physician has acknowledged this error and has agreed to be responsible for that amount ($130.00)
Secondly, the insurance company in question finally acknowledged to us that the patient had been paid $related to our claim for services. That amount is due to Spectracell and remains the responsibility of the patient as the patient was paid by their insurance company
Spectracell has adjusted our records as of today to reflect the correct amount due from the patient - $
Sincerely,
*** *** ***
Revdex.com:
I received the check on 1/24/
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me
I apologize for the delay in your refund. The check was issued yesterday.
William [redacted]
VP-Chief Financial Officer
This is the same patient complaint about the same issue as last week.
The money not originally forwarded from the physician ($130) has now been collected from the physician.
The money paid to the patient by their insurance company, [redacted], ($182.99) for our services is due from the...
patient.
The delay in sending a bill ocurred because it took us a year and a half to find out that [redacted] had paid the patient.
Attached is a copy of the patient's statement that I printed today reflecting the correct money due Spectracell. If, in the interim, the patient received another bill reflecting a total of $312.99 due it was because the statement was sent BEFORE the physican made their recent payment of $130.
Spectracell will continue to pursue the amount of $182.99 paid directly to the patient for our services.
Revdex.com:
This letter is to inform you that Spectracell Laboratories, Inc. has carried out to my satisfaction the resolution it proposed for my complaint, filed on 2/12/2015 11:44:01 AM and assigned ID [redacted].
Regards,
Revdex.com:
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.
According to my doctor's office, [redacted], Spectracell Client Account # [redacted], AND Spectracell Client Account Rep. Alan Ross, I do not owe anything. I was spontaneously billed in error one year after my lab tests and one year after I paid in full the first time. I told Spectracell this the first time I paid my bill and was being billed in error and I have been continually harassed by collection letters and phone calls with them trying to collect from me while I have been cooperating with the Spectracell Billing Representatives requests as they have muddled their way through this issue. It seems very much like a scam or a very poorly run billing department. I have had to track down information from my insurance company back form 2013 even though they weren't ever involved in the process. I have had to track down the cashed check from my bank on 2 different occasions from June 2014 to the present day while Spectracell reps are non-responsive and cannot find previous submitted data. I think most people would have just given up and paid you which is what I suspect is going on. An easy way to make revenue, even though it is illegal. My doctor's office has contacted your client services and they have found my account balance to be zero at this time. Why am I getting a response from the VP of Finance telling me that they kindly reduced my payment from $155 to $45 when the charge is NOT VALID??? I am so baffled by this scenario. To resolve this issue, I request that the VP of Finance give client services a call, (or walk over to their cubicles) and reference client account #[redacted] and pull up my account and reconcile his calculation with theirs. If that doesn't solve the issue, please call my doctor's office, [redacted]. They are well aware of this scenario and can walk you through it.
Regards,
[redacted]
Revdex.com:
This letter is to inform you that the complaint filed on 1/21/2015 7:58:47 PM and assigned ID [redacted] has been resolved.
Regards,
I have no additional facts to add to this claim. The patient did not appreciate that we voluntarily reduced our price to $45 so their is nothing further I can do.
The problem originates with [redacted] and their refusal to share claim payment information with the provider of services. The issue that the patient's physician did not pay has been acknowledged by the physican and resolved.
The patient's position at this point is that they should make a PROFIT from ordering laboratory services from our company. The patient received and cashed a check from [redacted] that was payment for our services.
The balance will remain $182.99 and collection efforts will continue until the patient pays the amount they received from [redacted] for our services.
We apologize for the confusion over multiple draws with this patient.
For the first date of service, 6/7/13, no payment has been received for the service that was performed, a MTHFR genetics test. We billed the patient $155 for this date of service and later, on 2/5/15 voluntarily reduced our...
bill to $45. That amount is still outstanding.
For the redraw for the LPP+ test which ocurred on 6/19/13, we billed the patient $155 and we were paid in September 2013. That accession has a balance of zero.
So, in summary, we are still due $45 from this patient for the service performed on 6/7/13.
William P[redacted]
VP-CFO