Complaints

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• Initial Complaint

  Date:02/16/2025

  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 am being billed for services covered by my insurance. I have provided LAKESHORE ANESTHESIA PC all documents regarding my insurance which state I owe $0.00. I still received a bill for $960 that I was sent to collections for. ************* has contacted Lakeshore anesthesia PC multiple times and told them I have insurance. I was told they were investigating my claim but they instead sent me to collections. I paid $660. They want the rest of the money. I owe them nothing. They owe me $960. They are scamming me and ruining my credit and practicing bad business. ********** blue shield of Illinois states I owe them nothing. They have been called by me and ********** blue shield of Illinois multiple times yet wont reconcile the account. They are ruining my credit over $300 that I should not owe. Bad business practices.

  Business Response

  Date: 03/05/2025

  Since receiving this complaint, I have been in contact with ******* regarding the claim in question. I can understand her frustrate and am working with her to resolve the issue. She was working with our billing company, but had not been in contact with our office. Her account is no longer in collections and any adverse marks with the credit bureaus will be reversed as well.

  It is an issue with insurance. ******* has shared that her employer terminated her coverage prematurely, which caused a lapse that included the date of service. It looks as though coverage was not reinstated for the coverage dates until October 2024. I believe this contributed to the issue of the claim being denied. A denied claim is the patient's financial responsibility, which is why the statement was then transferred to her.

  The initial claim was denied due to inactive coverage on March 8, 2024. ******* set up a payment plan with us on April 18, 2024 and made subsequent payments towards the balance denied by ****. On October 31, 2024 **** confirmed that the denial was due to inactive coverage; the balance remained with the patient. The adjustment that is seen on the *** is because the allowed is $0 for that time period because the patient did not have coverage (per BCBS), this is essentially a denial from insurance. The *** shows that no payment was made by **** for this service. Per the insurance 824 the claim with **** was denied due to inaccurate insurance information,. This information has been confirmed with Allyssa multiple times.

  Now that we are aware of the lapse in coverage and backdated reinstatement, we have submitted the claim again. We will move forward after we receive their response. If they provide payment for the service, we will be refunding ******* based on her coverage and patient responsibility at that time. I will work with her to find the best way to process that refund. If they deny the claim again, I will work with her on a self-pay discount to help offset that cost.