P

P HAYDEN

4 years ago

THIS LETTER WAS SENT TO THE COLLECTION AGENCY AND ...

THIS LETTER WAS SENT TO THE COLLECTION AGENCY AND BROTMAN MED. CENTER DETAILING MY EXPERIENCE WITH THEIR FACILITY

On November 20, 2014 at approximately 0800 hrs., I spoke with you regarding a billing issue related to case . I detailed the circumstances whereby I was denied full consideration toward a 100% benefit coverage by my Medical Plan. This denial is the result of grossly inaccurate documentation by Dr. Jennifer Cariquist, treating physician in the emergency room.

On May 25, 2013, while practicing BASEBALL with my nine year old son . He was struck in the left upper quadrant (LUQ) at the lower portion of the rib cage by a line drive hit by me. He fell to the ground became pale and complained of pain from the hit. Based on the speed, relative distance (16 feet) and area of impact, I knew he needed a trauma screening. I immediately drove him to the closest medical facility for this TRAUMA related issue. Based on my medical training, I was concerned for possible internal bruising or injury to the spleen or a rare possibility for a cardiac tamponade.

He was evaluated, tested (CT scan) and released the same day. As a reference I have provided the narrative from Dr. Cariquist. The doctor inaccurately documented this as a medical related abdominal pain. As you are no doubt aware, this debt collection effort on the part of CMRE is to directly compensate Dr. Cariquist. The irony here, is that Dr. Cariquist s inadequate documentation is the result of this billing debacle. Dr. Cariquist is culpable for grossly misrepresenting the sole purpose and intent necessitating the emergency room treatment and evaluation. I have a copy of the narrative provided on page two of this document as proof.

As per our discussion, I have appealed the denial by my medical insurance plan and am confidant they will recognize the immediacy of the circumstances that led to the medical treatment and will compensate the doctors group in full. However, based on the lack of due consideration on the part of Brotman medical facility and CMRE, I am not confidant my right to have my credit rating corrected will take place.

I am extremely disappointed and disenchanted by both institutions (Brotman and CMRE). This lack of professionalism on the part of Brotman Medical Facility and the administrative/financial disinterest on the part of CMRE; in disregarding the importance and need for adequate documentation is shocking and speaks to systemic apathy. I will no longer do business with Brotman or hold them in esteem as a viable and ethical institution.

I am a resident of Culver City. As a career professional first responder and a public servant, I am all too familiar with the need for accurate documentation and customer service.

In closing this letter is placing CMRE on notice to repair my credit rating and provide a letter acknowledging the correction be provided to me as soon as the balance is paid by my insurance company

Comments:

No comments