Complaints

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• Initial Complaint

  Date:01/11/2023

  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.

  Both my Daughter and I went to Dimitri Dermatology several months ago for a routine office visit regarding skin rash. See were billed for a procedure outside our normal office copay. The procedure is to shine a fluorescent light on you for 10 seconds. We did not agree to this and thought it was simply part of our office visit. This is a scam!!!!!!

  

  Business Response

  Date: 02/03/2023

  Dear BBB,

  First, I apologize for just now getting back to you regarding this complaint.  The first month of each year is very busy for me and my assistant has been out ill.

   

  ******************************************* had a visit and signed the procedure consents to have the two (2) procedures performed on 2/18/2021 (see attached signed consent form).  

  On 7/9/2021, his daughter, *******************************, also came to the ****** and received procedures in which she also signed the consent forms (see attached signed consent form).  
  
  

  Charges & BCBS of La. Payments for Date of Service 2/18/2021 RE: *****************************:

  We billed an Office Visit, CPT Code ***** = Billed $225, BCBS allowed $91.81, BCBS paid $61.81, we wrote off $133.19 and $30 copay is patient's responsibility per the insurance plan with BCBS of La. 

  We billed procedure of Fluorescent Light Photo Chemotherapy with UVB, CPT Code ***** = Billed $150.00, BCBS allowed $88.23, BCBS paid $58.23, we wrote off $61.77 and $30 copay is patients responsibility per the insurance plan with BCBS of La. 

  We billed procedure of Chemical Cautery, CPT Code ***** = Billed $125.00, BCBS allowed $69.08, we wrote off $55.92 and $69.08 is patient's responsibility per the insurance plan with BCBS of La.

   

  Charges & BCBS of La. Payments for Date of Service 2/18/2021 RE: *******************************

  We billed an Office Visit, CPT ***** = Billed $225.00, BCBS allowed $85.60, BCBS paid $55.60, we wrote off $139.40 and $30.00 copay is patient's responsibility per the insurance plan with BCBS of La.

  We billed procedure of Injection into Skin Lesion, CPT Code ***** (for cyst) = Billed $125.00, BCBS allowed $47.23, we wrote off $77.77 and $47.23 copay is patient's responsibility per the insurance plan with BCBS of La.

  We billed procedure of Kenalog Injection (cyst), CPT Code J3301 = Billed $15.00, BCBS allowed $1.46, BCBS paid .43 cents, we wrote off $13.54 and $1.03 copay is patient's responsibility per the insurance plan with BCBS of La.

  We billed procedure of Chemical Cautery (local infection of skin), CPT Code ***** = We billed $125.00, BCBS allowed $70.24, we wrote off $54.76 and $15.48 copay is patient's responsibility per the insurance plan with BCBS of La.

  We billed procedure of Ultraviolet Light Therapy (Puritis), CPT Code ***** = Billed $75.00, BCBS allowed $18.15, BCBS paid $15.62, we wrote off $56.85 and $2.53 copay is patient's responsibility per the insurance plan with BCBS of La. 

   

  ******************** called our billing department on 11/16/2022 and stated he refuses to pay his balance of $89.08.  He has been sent 8 statements in total.  Unfortunately, if he doesn't pay towards his balance or pays his balance in full by 3/01/2023, we will have no other alternative but to send his account to a ****************** The only amount ******************** has paid since 2/18/2021 was his Office Visit Copay of $30.00.  Remaining balance as of today, 2/03/2023 is $89.08.

   

  When ******************** called about his bill on 11/16/2022, he also discussed his daughters balance of ********************************  He stated he refuses to pay the balance of $120.43.  Eight (8) statements have been sent in total. Unfortunately, if this account does not get paid towards or paid in full by 3/01/2023, we will have no other alternative but to send this account to a ******************  The only amount paid on this account was the $30.00 copay at time of visit.

  If our billing was a "scam", BCBS of La. would not have paid our claims or given any "allowed" amounts from our charges.  We do not fraudulently bill.  It seems ******************** would have contacted you before 1/2023 if he thought both him and his daughter was scammed at the doctor's ****** being their visits were on 2/1/2021 and 7/9/2021. He doesn't need to pay the medical bills in full.  He can pay something each month towards them to avoid being sent to the ******************  We always work with our patients regarding their medical bills.  

   

  I can be of any further assistance, please do not hesitate to notify me.

   

  Respectfully,

   

  *********************, General Manager

  C/O Dimitri Dermatology

  2104 *********************, #A

  *******, ********* 70460

  DL: **************

  Direct Fax: **************

  **********************************************