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Business Profile

Gastroenterologist

Elms Digestive Disease Specialists, PA
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BBB Accredited BusinessA+Rated by BBB

Complaints

Customer Complaints Summary

  • 1 complaint in the last 3 years.
  • 0 complaints 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:04/19/2023

    Type:Billing Issues
    Status:
    Resolved
    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.
    Had a colonoscopy performed on Dec. 1, 2022. The billing was sent to my Medicare account and they were paid the amount that medicare covers. However, after two visits to their billing department with my complaint, I have still not got them to accurately bill my secondary insurance (medigap, AARP Unitedhealthcare), for the remaining balance that Medicare did not pay. Four months have gone by and they still have not forwarded or billed my Medigap insurance correctly. United Healthcare sent me the following statement: "Your provider should send the Medicare statement showing how Medicare considered this charge, your plan pays benefits based on Medicare's determination".

    Business Response

    Date: 04/24/2023

    Hi !

    This is the first email that I received.  I am sorry about the issue and will send claims to UHC now with eobs from Medicare.  He never asked to speak with a manager or I would have had it addressed long ago !

     

    Jennifer 

    Administrator for Elms Digestive

    Business Response

    Date: 05/02/2023

    We sent claims certified to UHC last week - it will take 30-45 days for them to process the claims. 

    I will look at his account often and keep you posted.

    Thanks

    Customer Answer

    Date: 05/02/2023


    Better Business Bureau:

    I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. I will however keep my options open in the future if I have any problems concerning this matter and open a new complaint. The ball is now in UHC’s court to let me know if they got the correct info to settle claim. I appreciate you looking out for this matter on your end from now going forward.

    Sincerely,

    *** *****

Elms Digestive Disease Specialists, PA is BBB Accredited.

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