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Business Profile

Medical Records

Advantum Health

This business is NOT BBB Accredited.

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Complaints

Customer Complaints Summary

  • 1 complaint in the last 3 years.
  • 1 complaint closed in the last 12 months.

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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.

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Complaint status

Complaint type

  • Initial Complaint

    Date:09/11/2024

    Type:Billing Issues
    Status:
    Unanswered
    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.
    Last year I went to the Sanitas location in Doral. After seeing the PCP, I also saw *** ***** ******** At the time, a $20 co-pay was due. A few days prior, I had visited the ER. The claim for that visit, having been processed, would have reflected that my deductible for the year was met, and that no further out-of-pocket costs were due. However, as the claim had not been processed, this was not reflected at the time of the visit with *** *******. In an effort to avoid an overpayment, and having to reach out for a refund, I explained this to the staff members, and they advised that they would go ahead and bill, if in-fact it was due. Just as I had indicated, the claim for the ER was properly processed, and the visit to *** ******* was paid at a rate of 100% of contracted costs, and no co-payment was due. However, Sanitas still went ahead and sent a bill. At that time, I went ahead and reached out, speaking to ******* ******** She advised that I should send her a copy of the Explanation of Benefits. In addition to sending this via email, I also faxed it in. In most businesses, the goal is to not give clear, concise, and definitive answers as to when something like this will receive a reply, nor to be connected with the person who ultimately has the answer. While the staff is not to blame, a better structure is warranted. One in which the individual can receive these answers, and where someone takes ownership of a problem and agrees to follow through with a follow up. Once again, I have received the same bill. Given that this is something paid to you by the insurance company, Florida Blue, Adiantum is now billing for a service that is not due. At no time was a visit rendered where a co-payment was ULTIMATELY due. Therefore, this is improper and illegal. Medical facilities are overseen by the Florida Dept of Agriculture & Consumer Services. My next step will be to contact them.

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