Complaints

This profile includes complaints for Pacific Medical, Inc.'s headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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  Pacific Medical, Inc.

  PO Box 149 Tracy, CA 95378-0149

• 

  Pacific Medical, Inc.

  1700 N Chrisman Rd Tracy, CA 95304-9314

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

• Initial Complaint

  Date:05/27/2024

  Type:Product Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I HAVE RECIVED A BILL FOR CRUTCHES THAT I HAVE NEVER RECIVED BY A DOCTOR THAT I HAVE NEVER HEARD OF . SOUNDS LIKE A FROUD TO ME.CLIENT AACT NO ******** INVOICE #CO14-SAC7721572-1

  Business Response

  Date: 05/28/2024

  Good morning, 

   

  I have spoken with the patient and this matter has been resolved. 

   

  Thank you

• Initial Complaint

  Date:05/07/2024

  Type:Billing Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I recently received a vague letter threatening debt collection for a balance of $107.85 and a late fee of $25 for some unexplained service occurring on 2/25/2023. I received phone calls from this company in the past, but they were flagged by my system as scam calls, which I accepted due to the lack of explanation on their part. I have tried to contact them multiple times to get to the bottom of this (both before and after they sent this letter), but they have not answered. The account number associated with the letter is ********.

  Business Response

  Date: 05/20/2024

  Good afternoon, 

   

  I have spoken with this patient and the matter has been resolved. 

   

  Thank you

  Customer Answer

  Date: 05/20/2024

   
  Better Business Bureau:
  
  I was contacted by a representative of the business who offered to write off my charges after I relayed the full scope of my complaint. This resolution is satisfactory to me.
  

• Initial Complaint

  Date:04/24/2024

  Type:Sales and Advertising Issues
  Status:

  UnresolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I went to urgent care for a torn achilles and they fitted me with an aircast ****** boot. The price of the boot on amazon is around $90, but they charged me $300 for it. This is a complete cash-grab driven by greed. Pacific Medical is taking advantage of unsuspecting people in times of need, and they need to bring prices in-line with what the actual market price of goods is. For comparison, the crutches they billed me for were a decently fair price of around $40, but it seems they practice price gouging for unsuspecting customers for other specialized ********************** devices. Without insurance "negotiation", the prices are even higher - $400 for the boot and $60 for the crutches. I fully expect a price adjustment to a reasonable price and partial refund to my payment method. Pacmed is in the business of extracting the maximum amount of money from unsuspecting customers, not in the business of helping people like they should be.

  Business Response

  Date: 05/02/2024

  Good afternoon, 

  Pacific Medical, **** bills insurances per ******** and CMS guidelines. The amount owed was applied to the patient's deductible, per their insurance coverage and is the patients' responsibility. Should you have any further questions or concerns please feel free to contact me directly. 

  Best regards, 

  ***********************

  Pacific Medical, Inc.

  **********************

  Customer Answer

  Date: 05/02/2024

  I am rejecting this response because:

  The amount charged for the walking boot orthotic is ridiculous and in no way reflective of market prices. The same boot is $90 on Amazon but you billed $400 originally to the insurance which was adjusted down to $300. A 200+% markup above the retail price is absolutely absurd and reflects either an extremely inefficient business or pure greed. Even a 50% markup would be high, but would be more believable given that you probably have a very inefficient business. I believe at least a $100-200 refund for the $300 I paid for the boot is in order and would be fair and reasonable.

  
  

• Initial Complaint

  Date:03/11/2024

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  On Thursday February 1 2024 I went to urgent care in ********** after I injured my right knee during a sport activity. Following a recommendation from the physician there, a nurse fitted me with a simple hinged knee brace. They didn't know the price of the brace, but since I have used braces before and given the simple construction of the brace, I imagined it to be around $100. Therefore, I agreed to pay the bill in case the insurance won't covered it. However, I just received the bill from Pacific Medical. They charged $675 for this simple brace!!! This is outrageous. There is no world in which a brace like this should cost as much. I googled similar orthopedic braces and the top price that I could find for the same construction was $80. More complicated braces where at the $200 range at the most. There markup is simply infuriating! My insurance already paid about half of it ($353.35) and got billed for the rest $321.65. I called to complain about the outrageous mark up but they shut me down that 'this is the price.' Since the insurance already paid way over market price, I don't think I should pay anymore.

  Business Response

  Date: 03/22/2024

  Hello, 

  Insurance did not pay on the claim, they took a contractual adjustment (provider write-off) in the amount of $353.35. and applied the balance of $321.65 to the members deductible which is patient responsibility. We will offer a discount to $250.00 as a onetime goodwill adjustment, I have made the adjustment on the account in question. Should you have any further questions or concern please feel free to contact me directly. 
  

  Thank you, 

  ***********************

  Pacific Medical, Inc. 

  **********************

• Initial Complaint

  Date:02/15/2024

  Type:Service or Repair Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I was issued a post surgical boot from my foot surgeon *****************. The boot was issued in his office, but provided by Pacific Medical. I received a bill for ****** which did not include a payment from my insurance. I contacted the insurance company and was told that Pacific Medical had billed for a boot for a flat foot condition, not a post operative one. I contacted Pacific Medical which requires very long hold times and explained. They said they would rebill. The next month I got the same bill so I contacted them again. This employee was very rude and told me its not their problem and I just had to pay the bill. I called again the next day and talked to someone else and they said they'd look into it. Another month, another bill. I called billing at the surgeons office and was told that they had coded correctly for a post surgical boot when they sent it to Pacific Medical and they were nice enough to call on my behalf. After thirty minutes of waiting they left a detailed message with the correct code, so I was hopeful that the issue would be resolved. But, I have now received another bill with an additional ***** late fee. I called and after a 41 minute hold, left a message again. I also emailed. I don't know how else to get this resolved. I don't feel that I should have to pay what my insurance will cover at one hundred percent because they can't get the correct code sent in. Any help would be appreciated.

  Business Response

  Date: 02/15/2024

  Good afternoon, 

  I am looking into this and will get back to the patient by the end of the week or early next week at the latest. I have requested additional information from the field, what I have here is insufficient, but I do believe the item should be covered from what I can see, barring any policy exclusions that I am unaware of. The claim will be appealed once I receive further documentation. Should you have any questions or concern please feel free to contact me directly. 

  Best, 

  ***********************

  Pacific Medical, Inc. 

  ********************** 

  Customer Answer

  Date: 02/15/2024

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to my concern, and find that this resolution is satisfactory to me.
  
  

• Initial Complaint

  Date:02/14/2024

  Type:Customer Service Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  08/30/2023 was date of transaction. Cant find out what medical provider sent bill to Pacific Medical *** Called multiple times and got no response Can you help me find provider that Pacific medical ***. received the bill from?Also the penalty is 2.5 times the bill. Is this legal?I will pay the $35.77 hoping that you can get me the information

  Business Response

  Date: 02/15/2024

  Good morning, 

  I spoke with the patient this morning and this matter has been resolved. 

  Thank you, 

  ***********************

  Pacific Medical, Inc. 

   

   

   

  Customer Answer

  Date: 02/15/2024

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to my concern, and find that this resolution is satisfactory to me.
  
  

• Initial Complaint

  Date:02/05/2024

  Type:Sales and Advertising Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I went to the ** for pain on my foot on 12/07/2023. They deemed that I needed a post op shoe. Later on my insurance informed me that Pacific Medical *** had try to process a claim using the wrong code for the item and Anthem obviously rejected the claim. I put my health concierge to work on this and she clearly explained to them that they need to use the correct code for the insurance or waive the charges. Weeks later I receive a predatory call followed by an email to pressure me to pay the $38 that the boot costs. Pacific Medical tried to use the excuse that Anthem refused the claim because the device is not covered which is an absolute lie. The explanation of benefits clearly states that the wrong code was used yet Pacific Medical resorts to pressure tactics to make you cough up the money. I explain to them that they need to use the right code or waive the charge as my health concierge has already explained. After that I even got an email from them discussing the code they used and still stating that this is my responsibility. To Pacific Medical, it is not my responsibility that your company is so incompetent that can't use the right code to bill your products. Additionally, it is not my responsibility if you can't get your s*** together and need to resort to the use of predatory tactics both in the **, over the phone and over email.

  Business Response

  Date: 02/07/2024

  Good afternoon, 

   

  I have reviewed the account in question and unfortunately the item is simply not covered by the patient's insurance (see attached EOB). We cannot change a code in order to get paid for obvious reasons. The patient also signed a Patient Product Agreement accepting financial responsibility should an item not be covered. (see attached PPA). I have waived the $25.00 late fee which would have appeared on the March statement, and we will accept the outstanding balance of $38.00 as payment in full. Please make this payment as soon as possible to avoid any further late fee charges. Should you have any further questions or concerns please feel free to contact me directly. 

  Thank you, 

  *********************** ********************

  Pacific Medical, Inc. 
  

   

  Customer Answer

  Date: 02/07/2024

  I attached my explainations of benefits in where anthem states ************ on this claim have been denied because the provider billed using a procedure code that it not on the fee schedule. The member is not responsible for this amount". So clearly something is off between Pacific Medical *** and Anthem. Maybe you should look into that.

  Business Response

  Date: 02/07/2024

   

  Anthem is unaware that you signed the Patient Product Agreement accepting financial responsibility for the item in question if denied by insurance. Had you not signed the agreement you would not be financially responsible for the denied claim. 

  Thank you, ****
  

  Customer Answer

  Date: 02/08/2024

  Right, so that comes back to my original statement on how Pacific Medical uses shady business practices to get people's money. Put an agreement in front of a patient in the middle of an ER when they are worried about their health issue, get them to sign and then ransack their money. The absolute patient forward way to do things. Why make money in a responsible way when you can just trap them to sign in a vulnerable state so you can profit of the situation. Good thing that ***************** wants to follow up on how my experience was at their ER. For sure they will hear about this experience. 

  Business Response

  Date: 02/08/2024

  Unfortunately, we cannot help that the item in question is not covered by your insurance, we also cannot supply free goods and services. your Dr. prescribed the item, we did not, we only provided the item your Dr. felt necessary to aid in your recovery. While most items prescribed are covered benefits, some items are not covered by insurance and become the patient's responsibility. 

  Customer Answer

  Date: 02/08/2024

  That doesn't change the fact that Pacific Medical engages in shady business practices as well as predatory calls and emails to their customers. There must be a reason why you only have one star in BBB and most complains kinda fall onto the same ************. You can use as many excuses as you want to justify your shady business practices if that makes you feel better but it won't change the matter of the fact. If the business practices followed by Pacific Medical were good practices with the patients in mind you would have glowing reviews.

• Initial Complaint

  Date:12/20/2023

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  On February 17 2023 I received care from ********************* at an urgent care in Tahoe ********** for a skiing accident (concussion + fractured arm). I was concussed and had zero memory of my treatment at the urgent care, but I later was able to get a bill from ********************* and pay for it with my insurance.Months later, I get a bill in the mail from Pacific Medical **** a company who provided my sling, for $23. At this point I've apparently racked up a separate $25 late fee. If it was possible to pay up front I would have just paid $23 at the urgent care with a credit card. This billing practice is predatory and designed to force consumers into ridiculous late fees that cost more than the actual bill.I then called Pacific Medical to try to pay my bill. After a few days of not answering I got on the phone with a representative. I asked her if I could give her my insurance information to see if we could file a claim and have my insurance pick up some of the cost. She told me that the $23 was their "cash price", and if I tried to see if my insurance would cover it and the insurance would not, then the rate for the service would 6x to $145!! That is, I was given a price, but if I filed a claim with my insurance and the insurance would not pay the full amount, they would retroactively 6x the bill that I was given for literally no reason. It has to be against the law to 6x a bill retroactively just because a patient tried to pay another way, that way would not work, and they tried to pay the original way.Now I am scared to ask my insurance to pick up the tab because this predatory company will stick me with even more fees and end up charging me almost 8x what I could've just paid with a credit card at the urgent care.

  Business Response

  Date: 12/21/2023

  Hello, 

   

  I have spoken with the patient, this issue has been resolved. 

   

  Thank you, 

  ***********************

  Pacific Medical, Inc. 

• Initial Complaint

  Date:12/18/2023

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I received a knee brace from Renown Medical Group and was billed $67.38 sometime around January/February 2023 from Pacific Medical, Inc. for the brace. I paid the bill in full on April 23, 2023. Despite paying the bill, I continued to received statements from Pacific Medical, Inc. for two months before calling to tell them it was already paid. I spoke to a man named *********************** who claimed to be in charge of the department. I emailed him a screenshot of my payment being made to the company via the company website, as well as a copy of my bank statement (all information blacked out besides the Pacific Medical charge) to prove the company that the bill was in fact paid out of my bank account. Vishal reassured me that it would be taken care of and that the statements should stop coming and to disregard them until they stop. It has now been 8 months of trying to contact them again to tell them the statements haven't stopped coming, instead they're now on red paper telling me my account is seriously delinquent. Despite several calls over the last 6 months, I cannot get ahold of anyone from Pacific Medical and no on has returned any of my voice messages. I would like them to acknowledge my payment made to them and stop sending my statement for a bill I already paid, and already proved that I paid. I do not want anything going to collections that shouldn't be and I do not want this to create further problems in the future.

  Business Response

  Date: 12/21/2023

  Hello, 

   

  This account has been marked as paid in full, should you have any other questions or concerns please feel free to contact me directly. 

  Thank you, 

  ***********************

  Pacific Medical, Inc. 
  

• Initial Complaint

  Date:12/18/2023

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I was double billed for a medical device. I paid cash for the device at *************** my insurance (Tricare) was billed, and then I was sent a bill. I have tried to contact Pacific Medical **** for over a week to speak with a representative unsuccessfully. It goes voice mail every time. I have left messages and no call is returned. I even tried the Espaola extension and that extension just hangs up on me. I received only 1 bill from them and it states it is overdue and penalties have been applied and will be sent to collections.

  Business Response

  Date: 12/20/2023

  Good morning, 

   

  I have reached out to the patient and am waiting to hear back. 

   

  Thank you, 

  ***********************

  Pacific Medical, Inc.