ComplaintsforBeavercreek Chiropractic Clinic / First Team Medical Clinics

• Initial Complaint

  02/08/2023

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  this complaint is about the billing from First Team Medical. I went for chiropractic visits in fall 2021. Initially, they made me pay cash for the first two visits because they didn't know or believe that my insurance would cover it!!!! who ever heard of such a thing. They did find out that my insurance did pay those 2 visits and they did pay me back the $110 that they forced me to pay at end of those 2 visits. My insurance company processed ALL the 4 visits and submitted the the authorized payment amounts to first Team Medical in the fall of 2021. I owed them zero! in Fall 2022, I got a bill from them for $15. This was an amounts noted as "discounted" by my insurance company in my documented claim information. I called First Team Medical several times to discuss and get fixed but the person in charge of that is never available. I did leave a message and stated as such. I called about a month later to follow up and still they were showing the $15 owed. I did not owe them the $15 and restated to the person that answered the phone that it was discounted by my insurance company. Now, this week of Feb 7, 2023, I get another bill from First Team Medical but it says I owe them $275 and that I'm 121 days in arrears, past due, and to pay immediately!!! How in the world did it go from an already WRONG $15 owing to another WRONG $275 owed!!! I owed them ZERO. I have the claims numbers and the dates of payment and amounts paid to First Team Medical from my insurance provider. Oddly, those payments add up to $275. Did they send this erroneously billing error to the Credit Bureau?? Obviously, this is some problem with this provider and their understanding of insurance and I am very tired of talking to the wind. I can't get resolution with a place that seems to be having difficulties.

  Business response

  02/20/2023

  The patient has insisted that she pays nothing at time of service or after. After claims were processed the ending balance showed that she was responsible for $275.00. When patient called to discuss she was told she was going to be transferred and she declined and said she would file with BBB. I tried to call patient several times with no response. I was unable to leave a message. We had no email address on file and when I received the complaint I sent an email to the email address on the complaint. I asked the patient to send a copy of proper paperwork from insurance (reimbursement account) that shows how much was paid and when it was paid and who got the payment. She could email, mail, or fax it to me. I did call her insurance and went over the claims with them and they came out with the same conclusion. Her deductible had not been met and the balance was the responsibility of the patient. We took our discounts as per our contract agreement with the insurance but the balance has not been taken care of. We would like to rectify this matter as quickly as possible. No information has been sent to credit bureau. If patient can provide documents from the insurance showing that we received payment we will adjust the account accordingly, otherwise, another billing will go out to her giving her an opportunity to pay the balance before we send to collections.

  Customer response

  02/22/2023

  
  Complaint: ********
  
  I am rejecting this response because the information you needed WAS attached to the complaint!!!!!  It should be crystal clear to you.  It has the claim numbers, amounts, and dates you were paid totalling $275!!!    I have a Health Reimbursement account that pays which ALSO goes towards my deductible.   I explained this to you initially and I thought you understood after the first 2 visits and you received the money from my insurance company because IF YOU RECALL, YOU PAID ME BACK THE $110 YOU FORCED ME TO PAY AT THOSE VISITS BECAUSE YOU DIDN'T TRUST MY INSURANCE.  If you called my insurance you are NOT understanding something.   AGAIN, look at the attachment that were sent in my initial complaint!!!!!   I had called about this issue 4 or 5 times LAST YEAR trying to get the $15 owed you stated WRONGLY that I owed which somehow turned into $275!!!!   

  WHY DO I HAVE TO SAY THING OVER AND OVER AGAIN TO YOU.   THIS IS WHY I finally went to the BBB.   do you not remember or understand anything?
  
  Sincerely,
  
  ****** *****

  Business response

  02/23/2023

  I have attached the claims as were available on the insurance portal and have highlighted areas to show what the insurance is stating. Total charges for 5 visits $396.00 and we had to take discounts totaling $121.00 leaving $275.00 unpaid charges. Claims clearly show that 5 visits @$55.00 each is the Member's Responsibility, I, once again, called the insurance company today and discussed this situation with another representative. Again, the same conclusion was met. $275.00 of these claims went toward the patient's deductible and the member is responsible for the charges. The representative went even further to help me by giving a phone number to call. This number would get me to someone who oversees the HRA accounts. I did call and I am waiting for documentation to be sent, since I was unable to get what is needed from the patient. We REQUIRE original documentation not retyped information. Unfortunately, I will have to wait on the insurance company to contact me or send me the documentation before this issue can be resolved.

  Customer response

  03/03/2023

  Again, they were paid.   

  
  

  
  

  Claim Number Claim Status Date of Service Date Processed Amount Submitted Amount Pending Amount Paid

  ********* Processed 11/12/2021 11/23/2021 $108.00                     $0.00 $55.00

  ********* Processed 10/29/2021       11/23/2021 $168.00                     $0.00           $110.00

  ********* Processed 10/29/2021 11/18/2021 $168.00                     $0.00 $0.00

  ********* Processed 10/22/2021        11/24/2021               $60.00                      $0.00 $55.00

  ********* Processed 10/22/2021       10/28/2021 $60.00                     $0.00 $0.00

  ********* Processed 9/29/2021 10/6/2021 $60.00                     $0.00 $55.00

                             Total                                                                                    $624.00                     $0.00          $275.00

  
  

  
  

  Above is straight from my insurance company claim data.    Is this not clear enough?     I don't know who she is talking to but obviously, First Team Med should have computer access to confirm this info besides talking to someone!!!

  
  

  I have heard United Health Care changed their process and sometime in 2022 I heard from another provider that they started paying with virtual credit cards.    However, since these are from 2021, I don't know if they were paid with these virtual credit cards.

  
  

  NEVER THE LESS, this is their job to figure out.     Again, as I had said, they were paid, she confirmed it in the beginning as I stated in my complaint.   I was given $110 in cash to  repay me for having to pay initially cause they didn't trust my insurance.    Do they not remember this???    this place is scarey.

  
  

  thank you!!!!

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