Complaints

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:04/25/2024

  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.

  8/24/2022 Insurance paid $171.86 8/24/2022 I was billed and I paid $215.00 Two years later, company has changed hands and they are now trying to bill me an additional $60 on 2/13/2024. My FSA from 2 years ago is closed out. My taxes are paid. I paid everything I was billed two years ago. Can they "invent" a new charge and try to make me pay it two years later? I tried calling and writing a letter but they didn't respond.

  Business Response

  Date: 05/28/2024

  Here is our business statement for ID#********

   

  ******************************* was seen by *********************************** 8/24/2022. His insurance Health First Health Plans applied a copay of $40.00 to his visit and did not cover the refraction charge. The refraction charge is denied as a benefit exclusion. I spoke to *** today 5-24-24 REF# ********-084202 to verify this.  They do give an allowable for this service of 23.14.  I corrected this posting today and his correct balance for this date of service is $43.14. 

   

  We original posted Health First payment on 11-12-22 but failed to transfer the patient balance to him until 2-13-24.  Auto posting will at times leave patient balances pending the insurance instead of the patient.  So as the staff work pending old claims/AR they found his balance was still sitting on as pending insurance when it should have been transferred to the patient to be billed out. This is why he just got a statement February of 2024.  
  
  

  ****** did call our office and left a voicemail on 2-26-24 inquiring about his balance. This was emailed out to my staff, I do not see a reply or any notes that my staff called him back. For this and the late billing I do apologize. 

   

  However, I do not see a payment made to us by ****** in the amount of $215.00.  I do have a payment of $20.00, ***** 0525 made on 8/24/22.  This payment was put towards his $40.00 copay leaving his balance as $43.14.  I faxed you a copay of his payment and the itemized ledger for his date of service 8/24/2022.  

   

  Please let us know if there is anything else we can do to help resolve this. 

   

   

  Thank You,

  
  

  *****************************
  Billing Supervisor

  Customer Answer

  Date: 05/31/2024

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