Complaint I had a procedure done in the Southaven, MS office by Dr. ***** ***** March 2014. Insurance was filed and I received the final bill in April or May of 2014. This charge was $600 plus change. I paid this amount immediately - no questions asked. Never heard another word from them until Oct. 2014 .. they said they didn't bill me correctly & therefore had submitted a new claim to my insurance company. I have gone around and around with them on this billing. Oct, Nov & Dec 2014 they sent me statements with a balance due and all three statements were different amounts. The final bill is now $47.25. I know this is a small amount but the billing error was on their part not mine. March 2015, I wrote a letter to them explaining my frustration, asked that this amount be dismissed & that I would never use this Clinic again because of this error. Never heard back until Last week. I rec'vd a collection letter stating that I had been turned over to a collection agency for $47.25.
Desired Settlement This was obviously a billing error on their part. I paid what was asked of me. How can they come back months later & decide they need more money? I want the $47.25 dismissed.
Business Response Contact Name and Title: ******* ******, CEO Contact Phone: XXX-XXX-XXXX Contact Email: ********************* This patient had procedures done and insurance was filed. Unfortunately, a mistake was made in billing out these procedures the first time it was billed to **** **. A corrected claim was sent in showing the mistake. This is something that sometimes happens and is not uncommon in all areas of healthcare. After several attempts at filing a corrected claim to **** TN, via paper work and numerous phone calls and faxes, they finally responded and made an additional payment on this patients behalf. This took **** TN over 6 months to respond. There was much effort on my offices part to get **** TN to respond. They denied our appeal due to the words corrected claim not being put on a claim properly which we disputed. This is their way of delaying payment on claims that should be paid. I have been in this industry 37 years and it is very difficult at times to get these carriers to pay claims much less pay a corrected claim to most physicians. They will find numerous ways to avoid payment if they can. I have contacted this patient and we will write off her balance not because my office did anything wrong but because I feel it will help her out and is the right thing to do. **** should have a complaint filed against them for this as they are the true culprit here.
Consumer Response (The consumer indicated he/she ACCEPTED the response from the business.) Yes I do accept the response but feel this company is still trying to lay blame elsewhere. In her very first line, she said what the problem was, a mistake was made in billing out these procedures. I am satisfied that the debt will be removed but sad that the company does not see where the true problem lies. I will not be back to this doctor due to these billings issues. Thank you
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*Medical Insurance Filing Services, Inc. is in this range.
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