my reply, "uhhhh... how 'bout NO?!"
----- Original Message -----
From: T****
Date: Thursday, January 28, 2010 3:23 pm
Subject:
To: kelley******@shaw.ca
Hi Kelley,
Sorry I haven't got back to you sooner, I wanted to go through your chart and make sure that we are all on the same page. I have calculated both cycles and have figured out that according to your stimulation you actually did use the Puregon 300 IU. We had missed it on your receipt but have gone through the calculations thoroughly to make sure. Unfortunately, this does happen and we do not notice it until we write an insurance letter. I don't want to be a pest but the accounting department is pressuring us. I can attach the calculations for you. I have done them twice to make sure my brain works.
T****
T****
Clinical Coordinator
Victoria, BC V8X 5J2
(250) 704-**** ext 3/(250) 704-**** Fax
t**********@********fertility.com
--Message Attachment--
From: kelley******@shaw.ca
To: t**********@victoriafertility.com
CC: wonderbread @ work
Date: Thu, 28 Jan 2010 21:45:10 -0800
Subject: puregon
Hi T****:
Thank you for the reply, I was actually starting to wonder what I had to do to get some resolve. I had asked for an official receipt in October and was told to expect one in two week's time. After 6 weeks had passed, I then received a phone call telling (not asking) that my credit card was going to be charged the amount of the Puregon *note we NEVER paid by credit card so they didnt have our # for PRECISELY this reason - horray for forsight*. When I asked for clarification the person was unable to provide any insight and I was told I needed to speak with you. I left a message (after being disconnected and having to call back) but my call was never returned.
We then received a bill in the mail marked "PAST DUE" and upon receipt I called again. Again speaking with accounting and again being told that I needed to speak with you. I left another message and I appreciate your getting back to me now.
My point is that it has taken an awfully long time for us to scratch the surface of this issue and while I do appreciate your message, I still don't feel comfortable that we have been accurately billed.
I have every vial and every needle and can account for every pill that I have taken, as such I would like to receive an itemized and detailed account that proves the accounting error.
We were not permitted to leave the clinic without paying for our medications. I am not denying that there was a final stim that involved Puregon as your investigation into my chart would surely support however, as I have explained in every conversation with the clinic on this matter, we simply used what we had on hand.
I suspect the clinic's accounting error lies in the fact that the Puregon that I used for my final stim was, as I have been trying to express, from the existing Puregon I had on hand. If you will recall, you and I had a conversation regarding the fact that each vial of Puregon contains 400 IU and with each 300 IU injection it results in 100 IU of viable medication considered "waste". Instead of disposing of the medication, I kept mine refrigerated. When faced with what was inevitably our final stim, I asked if there was any reason that I couldn't simply use the remaining 100 IU x 3 from the "waste" medication. By drawing up three 100 IU units into a subQ needle and then injecting it myself, instead of using the auto inject pen, it would negate the purchase of more medication. I was told that if I was comfortable with the calculation and extracting the Puregon that there was no reason not to use what we had on hand. Therefore, instead of purchasing the Puregon we purchased subcutaneous needles.
So yes, I'm sure our records would indicate a dosage of medication that normally would involve a final purchase of Puregon to support the stim, but as I have noted here, and explained during each of my telephone conversations with the clinic, we did not purchase drug as we already had it on hand and had approval to use it as stated above.
Meanwhile it has been in excess of 12 weeks since we attended the clinic and we are still without a receipt that we can forward to our insurance company to claim our many thousands of dollars worth of expenses.
I look forward to your reply and appreciate your assistance in this matter.
Sincerely,
Kelley ******
