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Business Profile

Urgent Care Clinic

Patient Plus Urgent Care

This business is NOT BBB Accredited.

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Complaints

This profile includes complaints for Patient Plus Urgent Care's headquarters and its corporate-owned locations. To view all corporate locations, see

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Patient Plus Urgent Care has 8 locations, listed below.

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    Customer Complaints Summary

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

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    Submit a Complaint

    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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    • Initial Complaint

      Date:02/19/2024

      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.
      On January 28, 2024, I visited Patient Plus with the suspicion I may have had COVID. When checking in, the lady at the desk asked me to verify my insurance several times. After verification, I was told to pay $78.78 upfront before I even saw the doctor. After paying, a nurse brought me back to do the test. After receiving a negative result, I was informed that my insurance covered the test for COVID but did not cover a test for influenza, so I refused the test. I was then informed that a steroid shot would require extra payment, so I also refused the injection. I was not told of any other charges I would need to pay. However, I received a statement saying I still owe another $71.05. On the statement, I was charged for the COVID test although my insurance fully covers that. I know because I have visited Patient Plus several times before to get tested and I didn't owe anything the other times except for $50 to see the doctor. When I called Patient Plus, I was given another number to call. When I called that number, I was told that what they charged me before was only an "estimate". Why couldn't they charge me the correct amount while I was there? As I mentioned, I've been to Patient Plus a few times in the past, and I've never had an issue until now. I believe there was an error in billing, and that I was overcharged.

      Business Response

      Date: 02/20/2024

      At the time of the visit, Mr. **** paid $57.31 and $21.47.  Insurance processed it as $114.83 due for the visit itself and $35.00 due for the covid test. Since he paid $78.78 at the time of the visit, after insurance processed his claim he has a remaining balance of $71.05.

      After 2020/2021 a lot of policies stopped waiving copays/coinsurance/deductibles related to COVID  since COVID was no longer considered temporary and went to long term care. It depends on the patient-specific policy but for the visit in question, his COVID test is not covered at 100% - from looking at all of his visits his policy stopped waiving at the end of 2022 for COVID tests, which is why all other visits prior were paid at 100%. Mr. **** would be able to file a dispute with BCBS regarding how they processed the claim. We can only go by how BCBS process the claim. We have attached a copy of the Explanation of Benefits for review. 

      Customer Answer

      Date: 02/24/2024



      Better Business Bureau:

      I would like to thank Patient Plus Urgent Care for their fast response. While I understand insurance coverage has changed regarding COVID-19 testing, I was told by the receptionist that my insurance would pay for the testing. It seems we were both misinformed. Patient Plus has reached out to me through phone and email, and I have received clarification regaeding the unexpected charges.



      I have reviewed the response made by the business in reference to complaint ID 21315522, and find that this resolution is satisfactory to me.




      Sincerely,



      ******* ****

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