Central Financial Control complaints

Dear Ms. Lozano: This letter is being sent in response to your communication to the Business Consumer Alliance, regarding the patient responsibility assigned to you by your insurance provider. VHS Harlingen Hospital makes every effort to provide excellent customer service and to meet the needs of our patients. Our records indicate that Cigna was provided as your insurance carrier at the time of service. Total charges were $5,781.00. A reduction in the amount of $4,140.21 was applied to your account. Cigna processed your claim, made a payment in the amount of $45.23 and assigned $1,595.56 as your patient responsibility. No patient payments have been received for this account. The remaining balance on your account is $1,595.56. VHS Harlingen Hospital does not determine the amount of your co-insurance, deductibles, co-pays, etc… All amounts are determined by the contract you have with your insurance provider and it is ultimately the responsibility of the patient to know if their deductible has been met. Please contact your insurance carrier directly if you have any questions about the patient responsibility assigned to your account. Enclosed please find a copy of the Patient Requested Charge Review Findings showing no changes, or $0.00 in changes, for each of your line items as they were determined to be services rendered to you and billed correctly. Additionally, we have included a copy of your Itemized Statement. The process for assigning a level of care to an emergency room visit, is assigned by the attending physician. Emergency room charges are calculated and determined by presenting problem, interventions/procedures, mode of arrival, assessments and disposition. If you have questions or concerns relating to the level of care determined by the attending physician, please request a copy of your medical records or contact them directly. Additionally, your communication to the Better Business Bureau mentioned you had refused to take a 25mg dose of diphenhydramine. Our records indicate the dose was administered and is documented in your medical records. Please contact the facility should you need to request a copy of your medical records. We hope to have addressed your concerns to your satisfaction. We understand that medical billing can be difficult and we are here to help. If you have any questions or additional concerns regarding this hospital bill, please feel free to contact our billing office at (800) 346-0775.

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We have provided the relevant documents showing all amounts and forwarded it to your BBB complaint which was launched in tandem with this complaint. VHS Harlingen Hospital does not determine the amount of your co-insurance, deductibles, co-pays, etc… All amounts are determined by the contract you have with your insurance provider and it is ultimately the responsibility of the patient to know if their deductible has been met. Please contact your insurance carrier directly if you have any questions about the patient responsibility assigned to your account.

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