ComplaintsforFairfield Healthcare Professionals, Inc

• Initial Complaint

  03/19/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I had a minor procedure at this facility on September 8 of last year. Out of the blue I received a new bill last week for $424.25. This was the first invoice, but it came as past due with a warning to pay immediately. When I called to ask what the bill was for, the agent did not know. There was no information on invoice to articulate what the charge was for or why it took 7 months to bill. I asked why it took so long and the agent said it was because of my insurance company. I asked to speak to a supervisor who then told me it was not my insurance company but they had an issue with their billing system. As a consumer, and after having already paid hundreds of dollars for this procedure, from invoices that are not clearly articulating the charges, it feels like the hospital just randomly bills us when they need money. They send an invoice out of the blue, after 7 months, with no explanation for the services being billed, and demand payment. It is extortion. Pay it or we will ruin. your credit. I am asking BBB to help intervene to get this bill waived and my account made current with zero balance.

  Business response

  05/10/2022

   

  Fairfield recognizes the complaitn ********, and below is our response. We apololgize for the deary. We had to research the account.

  The patient's claim was submitted electronically on 9/24/21. However, it initially rejected for invalid insurance information. The insurance information was corrected and rebilled on 9/29/21. The insurer, ****** ******* processed the claim on 10/7/21 and determined the patient responsibility outlined below: 

  $81.66 was applied to the deductible, $81.90 towards coninsurance, and $175.43 as a copayment for a total of $424.25. 

  After the insurer process the claim, Fairfield began sending the patient statements regarding the $424.25 balance. Fairfield sent satements on 12/30/21, 1/31/22, 3/2/22, and 4/1/22 in the amount of $424.25. Customer service received a call on 3/14/22 from the patient upset about the time frame and the amount being billed. The concern was sent to the customer service escalation team to vefify the information was correct, which it was. customer service called the patiend on 3/15/2022 but had to leave a voicemail. The patient returned the call on 3/15/22 and spoke with the patient advocate. The patient still was not happy and stated he will be writing a letter to FMC and BBB. Customer Service then received a call from th epatient on 4/28/22 where the patient requested an itemized bill be sent to the address on file. An itemized bill was sent to the address on file. The itemized bill list(s) all charges, adjustments, and payments on the account. The customer service patient advocate called the patient again on 5/3/22 an dhad to leave another voicemail due to no answer. 

  Fairfield contends all normal prcesses were folloowed, the insurance processed the claim per contract, and the balance owing, is, in fact, the balance due from the patient. They patient may call and pay the balance, set up a payment plan, or apply for financial assistance if the patient believes that they may qualify. Without payment or arrangements, the patient risks the account being subject to collection activity. 

  Thank you,

  Fairfield Medical Center and Fairfield Health Professionals.

*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. ↩