Complaints

This profile includes complaints for Kenneth J Galang MD, PA's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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  Kenneth J Galang MD, PA

  13710 Metropolis Ave Ste 110 Fort Myers, FL 33912-7144

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  Kenneth J Galang MD, PA

  PO Box 07382 Fort Myers, FL 33919-0382

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:01/23/2023

  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 have been going to dr ********************** for years now. And for the last two years paying each visit out of pocket as my insurance doesnt cover his visits.. I was told a little over a year ago that I had a balance. Dr ********************** a wife ***** called me after hours we went over everything and she said that in fact I dont have a a balance and it was good. So each month I have been given a receipt stating zero balance. On 12/16/22 I went to my apt like normal and Jp at the front said you have a balance and must pay half today which is 500. After going round and round I said fine here is the 500 he said oh no you have to pay 500 plus your visit of 275. I did that in total of 775. I then told him and dr ********************** I wanted to speak with bookkeeper.. I called daily for a month left several messages no response. Finally on 1/21/22 ***** called me to remind me of my appt and asked if I could come in earlier. We agreed on 1/26/23 at 320.. I asked about my bill and we spoke for awhile. She said she doesnt remember due to her brain surgeries.. she avoided answering any of my questions and the. Said I had to pay the remaining 975 to be able to have an appt.. now the month before my balance was only 500. She also told me she didnt see the 500 I just paid. She began to get rude refused to answer any of my questions said she is canceling my appt and hung up on me. If my balance was a little over a thousand the month before and I paid 500 towards it why did it go up again. She refused to answer. Not once did anyone tell me I had to pay over the phone prior to my appt until she didnt like me questioning where my money went. The type of medical problems I have I cant just stop taking my meds but I guess they dont care as long as they continue to take my money and not apply it to my balance. I have never seen such disgusting medical practice. I plan to pursues my complaints to as high as I can so no one else deals with this

  Business Response

  Date: 02/08/2023

   ******* (*****) ******** has been a patient in my clinic since 2018.  ***** at my clinic has been doing the billing in the past, but has had had severe health issues including brain surgeries.  We have recently had a new ******************************, start with our clinic and she was the one who discovered that ********** Blue Shield had reversed payments for ************************ office visits on 4/24/19, 6/24/19, 7/30/19, 8/27/19, 9/24/19, 1/6/20, and 10/12/20.  I have included 2 remittances for sevice date 4/24/19 and 6/24/19 showing $0 payment and I can get copies of the other dates.  When this was brought to our attention, it was already around December 2022.  ***** did speak to ******************** to let her know that her insurance company had reversed their payments and that the charges were now the patient's responsibility.  ***** also offered a payment plan to ********************, but she was very rude to ***** and would not listen.

  A few days later, on Jan 25, 2023, my front office staff, ****** sent me a message on *********************** chart that ******************* called and said that she had a different insurance in 2019 and 2020 and requested that we re-run the charges for that different insurance for the visits not paid.  We have a timeframe of 365 days with BCBS to file, so there is no reason to file anymore as the dates in question are more than a year ago.  

  According to our Financial Policy, a patient is responsible for balances not paid by the Insurance company.  I have included a signed copy of our Financial Policy wher ******************** agreed to pay any balances not paid by her insurance company.  

  In conclusion, ******************* is aware that she had a different insurace in 2019 and 2020 then the Insurace that was provided to us at that time.  Our charges for all the dates in question have been reversed and put to 'Patient Responsibility'.  It is now to late for our clinic to re-file the claims so the balance is the responsibility of the patient, *********************  As in may doctor's offices, we request that balances are addressed before the patient can be seen.  We were willing to work with ******************* with a payment plan. I have included a copy of the clinic's statement with her balance.

  Customer Answer

  Date: 02/09/2023

   
  Complaint: 18880420
  
  I am rejecting this response because: I did not have different insurance I had the exact same. After speaking to bcbs they informed me that dr ********************** office had filed the claims under the wrong patient id. And according to the paper given by the front office dr ********************** office was notified in 2019. I asked that they resubmit with the proper patient id and was informed they are declining to resubmit even though this was their error. They had an address from 5 years ago, the wrong date of birth too. This is so unfortunate because I absolutely love dr ********************** but the issues his staff and billing have are terrible. I was not rude when I spoke with ***** she was argumentative from the moment I mentioned my bill. She hung up on me and then sent a text that appt was canceled because I declined to pay the remainder on the phone with her. According to bcbs once submitted they will take care of them because I was covered until 9/30/2020. If there is no faults here why decline submitted the claims? I was also told by the front staff they couldnt provide me with all of the proof of declining payments 
  
  Sincerely,
  
  *******************************

  Business Response

  Date: 02/15/2023

  ******************** has been a patient at our clinic since 2018.  Up until these reversals of payment, we did get paid for the patient's visit.  Therefore, we had the correct information, date of birth and address.  It was not until 2019 and 2020 that we started getting denials.  So ******************** is incorrect in stating the problem is with the billing office and the information the office submitted.  The balances per the explanations of benefits are the patient's responsibility and she has signed a Financial agreement that she will be responsible for balances not paid by the insurance.  I have attached more documents for other days in question.  Our office will be happy to print out for ******************** the **** forms that she can submit herself to BCBS.  But she still needs to be responsible for her balances at our clinic.

   

  Customer Answer

  Date: 02/16/2023

   
  Complaint: 18880420
  
  I am rejecting this response because:
  I was told by bcbs that your office did submit claims under the wrong patient id. I had bcbs until September of 2020 so there would be no reason for denial of the proper id was used. And please tell me why would you wait three years handing me zero balance receipts each month when your office was informed in 2019 that there was an issue? I have also spoke with several other patients within your practice and they all have said the same thing. ***** tried to justify this by saying I was audited by ********* Im 40 I dont have ********* The whole thing is a mess and instead of owning your responsibility in this disaster all you want to do is blame me! What about your office staff and billing department? No one calls you back when you call they have literally ignored my calls I blocked my number they answer right away. I was blamed for being nasty and not paying my bill. Im honesty this started with your office and the lack of concern. Three years has went by and not a word. And then when I brought in the form that clearly states payment options your front staff refused to honor what your billing department had offered as a payment plan. So now Im a liar and so is bcbs? Come on there is a common denominator in all of this and it isnt me or bcbs. Attached is the payment plan that YOUR billing department offered. When I asked why they were changing the amounts and dates everyone goes quite like they forgot how to speak. 

  Sincerely,
  
  *******************************