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:10/28/2024

  Type:Service or Repair 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.

  Dates of transaction were from June 2, 2023 through March *******. During this period I had 11 visits to see Dr. ***** *****. Each time, he would tell the receptionists how much I owed and I would pay the full amount. My insurance at the time was Humana Gold Plus and I would also pay a co-pay amount above the treatment cost for the office visit. On August 31, 2024, (14 months after the first bill) I began receiving billing statements saying I owed $150 for each of 10 appointments. The bills did not itemize or describe the services. When I contacted them, they said my insurance didn't pay because I needed authorization from my primary care provider. I had never been informed that I needed this authorization and they sent no bills for services until 14 months after the services. They neglected to deduct even the co-payments. I had been receiving services through **** *** for a number of years and had never been informed that my insurance company said I needed a new authorization for treatment. I requested itemized ********* and they later sent invoices that deducted the co-pay amounts. I paid **** *** a total of $2630 for these visits. Their latest invoices say I owe a balance of $1180 for 10 visits. If they had let me know in June 2023 that I needed a new authorization from my primary, I would have either gotten the authorization or I would not have gone back to them for services. Instead they waited for over a year to let me know my insurance didn't pay. This complaint is not against Dr. ***** but the billing services of **** *** Healing Arts. My insurance provider told me to get a back-dated referral and they may still pay the bills. However, **** ***** practice of waiting to bill 14 months after a service is extremely unethical and needs to be reported. They also need to provide the patient with an itemized billing, showing what I had paid and deducting the appropriate amounts from the bill without having to request it.

  Business Response

  Date: 10/28/2024

  Thank you for your detailed concerns. Our clinic bills on behalf of the physicians, and in this case on behalf of Dr ****** All concerns about bills should have gone to him. He is no longer at KYHAC. 

  As a clinic we will zero out all funds owed to us. If you have further concerns about bills owed to Dr ***** please contact him directly at Open Wellness.