ComplaintsforSheridan Children's Healthcare Services, Inc.

• Initial Complaint

  03/15/2024

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  Service of pediatric care, for the 3 days post birth (8/13, 8/14 and 8/15 of 2023.)Primary issue is inefficient documentation procedure - resulting in customer confusion, time wasted, and the stress of financial burden for something insurance will cover.1/2/24 The 1st statement came via mail with a statement printed date of 12/22/23. The invoice showed BCBS insurance paid $0. I called BCBS to confirm why the claim was not covered, and they noted at that time that Sheridan Healthcare did not submit a W9 with the claim, and thus needed to resubmit with the following{Their W9, with written letter with the reason of why they were denied, with their Tax ID and their address}. I then proceeded to call Sheridan the same day to belay the information above, and they confirmed they understood the request and would resubmit.1/22/24 called Sheridan, they said request still pending.2/14/24 I get another invoice for full **** for 3 service dates.2/14/24 & 2/16 called BCBS to confirm if they had seen the resubmission, they confirmed no. BCBS called Sheridan directly while I was on the phone to belay the need. Sheridan confirmed both times they understood the request.3/14/24 I receive another invoice for 1:3 services, for 8/14/23 outstanding. Call Sheridan to confirm what the issue is with resubmission and we're back to square one. They noted they cannot see how the other two were resubmitted correctly or to what email/fax. They note they need the fax # which I never had to give before. 3/15/24 I call Sheridan back to give fax # and they don't even ask for it. So do they not need it? They confirm again they'll resubmit. This is 3 months of my time, and 8 phone calls in an attempt to get 1 billing service company to submit to insurance claim correctly. This is not acceptable, and am still disputing the charges in full, as BCBS has already covered the other 2 claims, and will cover this outstanding 3rd if resubmitted correctly. Sheridan Act # *******-QEVSC-69

  Business response

  03/19/2024

  Thank you for your recent letter regarding the complaint submitted to your organization by *********************************.  **************, LLC provides medical billing management services on behalf of Envisions Childrens.  As such, *************** to your inquiry on their behalf. It is our mutual goal to provide accurate and timely billing services in a satisfying manner to the patients of Envision Childrens.
  
  Our review of the patients account has resulted in these findings:
  
  The claim was processed and paid by the patients insurance on 2/24/24.
  There is $0.00 due on the patient's account.
  
  We regret for the inconvenience this has caused *********************************.  At this time, we request you close this complaint as we have resolved it in a satisfactory manner.

  Customer response

  03/19/2024

   
  Complaint: 21437037
  
  I am rejecting this response because:

  1. I called the insurance company BCBS today 3/19/2024 and they noted the claim for 8/14/2024 is still pending in their system (and has not been withdrawn or cancelled by Sheridan).  BCBS also noted the claim for 8/14/2024 is showing as resubmitted on 3/16/2024 which does not align with the response date that was shared to this complaint. There is a continued disconnect.

  2. Attached Statement from 3/5/2024, invoice #****** for Account #**************** --- I do not have any formal documentation noting that this invoice has been cancelled.

  Sincerely,
  
  *********************************

  Business response

  03/22/2024

  There is $0.00 balance due on the patient's account.  The $467.00 for 8/14/23 was adjusted as per the patient's insurance they will not pay for this date of service.  Statements were sent on 3/16/24, 3/17/24, 3/20/24 and another copy is being sent out in the next couple days.  All statements will show $0.00 balance on the patient's account.  Another way to view balance is to go online at mydocbill.com.

  Customer response

  03/25/2024

   
  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.
  
  Sincerely,
  
  *********************************

• Initial Complaint

  01/29/2024

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I received a bill in the mail from Envision Physician Services/Sheridan Childrens Healthcare Services ***** PC. It says I owe $6003.00 because my insurance didnt cover everything (but my insurance is through the VA, and I already received my bill from the VA with no veteran responsibility.) The bill includes charges for procedures that didnt even happen. I strongly believe this is a scam, especially after seeing the news article on **.com detailing a similar story. Heres that link: *****************************************************************************************************************************************.

  Business response

  02/08/2024

  Thank you for your recent letter regarding the complaint submitted to your organization by **************************  **************, LLC provides medical billing management services on behalf of Envisions Childrens.  As such, *************** to your inquiry on their behalf. It is our mutual goal to provide accurate and timely billing services in a satisfying manner to the patients of Envision Childrens.
  
  Our review of the patients account has resulted in these findings:
  
  Envision Childrens physicians rendered services for the patient at St ******* Medical Center.
  All charges have been refiled to the patient's insurance.
  The charges are pending response back from the patients insurance.
  If there are further questions please feel free to call billing office at *************.
  
  We regret for the inconvenience this has caused **************************  At this time, we request you close this complaint as we have resolved it in a satisfactory manner.
  

• Initial Complaint

  11/20/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Resolved

  More info

  I contacted Envision Physician Services (Sheridan Childrens Healthcare Services **** about an account that has outstanding balance for the services provided for my child for the amount of $1,857.00. The date of service was (02/04/23-02/05/23) for my account# ****************. I received one notice from them concerning the account and contacted them to try to run it through my insurance and after that I didn't here from them again. I received a final notice letter in the mail 11/18/23 of this outstanding bill. I didn't receive a denial letter from them concerning that my insurance did not accept the claim and I did not receive any other letter concerning the account. I go to there website and they added an additional $3,598.00 to my account without notifying me. Bringing my total bill to $5,455.00. I called today (11/20/23) about the account to try to find out why I wasn't notified about the additional charges, why all of a sudden I'm getting threatening letter of this going to collections, and try to set up a payment plan. They did address that my insurance did deny the services, that the true total of my account is $5,455.00. I tried to set up a payment plan and the lowest that I could pay is around $400.00. I told them that I couldn't afford that option and I needed something lower and they were unwilling to work with me and that they would send it to collections. I pay all of my bills every month and on time. I have never had a bill go to collections and I don't plan on starting that.

  Business response

  12/01/2023

  Thank you for your recent letter regarding the complaint submitted to your organization by ******************************************  **************, LLC provides medical billing management services on behalf of Envisions Childrens.  As such, *************** to your inquiry on their behalf. It is our mutual goal to provide accurate and timely billing services in a satisfying manner to the patients of Envision Childrens.
  
  Our review of the patients account has resulted in these findings:
  Please call our billing office at ************ to discuss different payment options.
  
  We regret for the inconvenience this has caused ******************************************  At this time, we request you close this complaint as we have resolved it in a satisfactory manner.
  

  Customer response

  12/04/2023

   
  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.
  
  Sincerely,
  
  *****************************************

• Initial Complaint

  08/10/2023

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Answered

  More info

  I have 4 collection accounts on my credit report from Sheridan Child Healthcare SV that I should not have been responsible for. I gave birth to my son 01/04/2017 and had ******** ******* insurance and I gave my child up for adoption. The collection account information is as follows;Account #: ******* Date opened: 05/04/2017 Amount owed: $881 Account #: ******* Date opened: 05/04/2017 Amount owed: $881 Account #: ******* Date opened: 05/04/2017 Amount owed: $2,641 Account #: ******* Date opened: 05/04/2017 Amount owed: $455 I have tried countless times to dispute this on all 3 of my credit reports with unsatisfactory resolutions. I can't ********* to resolve these false charges that I never should have been charged since my ******** covered everything. I never had this problem when my oldest child was born and I had both my sons at same hospital. These collection accounts are damaging to my credit report and score. I want them removed immediately. Thank you.

  Business response

  08/11/2023

  We apologize the issue was not resolved in a timely manner. Please note the account was removed from collections and the balance adjusted. The collection agency was contacted to close the account and remove it from your credit report. Please allow time to process the request. 

• Initial Complaint

  07/21/2023

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  In ********************************** the **** for a week. I never spoke to any doctor that has given care to my son. I never received a bill but have charged close to 10k on my credit report. My insurance paid for these false claims, just so that I could get it removed from my credit. These checks were deposited 3 days AFTER being received and yet here we are almost 2 years later and the debt is still there. Ive called Envision health whos to parent company of Sheridan Child Healthcare Services and they claim to have never heard of this company. Every search Ive made has produced Envision and their phone number. To top it off none of the 3 credit companies have done anything to help me get these charges removed. Sheridan and Envision are AWFUL companies that will do anything they can to take your money while still ruin your credit. They are crooks, thieves and liars so beware if you have a child that has to stay in the ****, they will file false claims to charge insurance and obscene amount of money. This has to be some form of fraud and they need to be stopped.

  Business response

  07/21/2023

  We have received the message and are looking into the case. The explanation of benefits was received on our side from the collection agency Nationwide Recovery Services in April of 2023 and forward to the ************************** for research. We have not received a response from the department, so I have escalated the account to the manager to get it resolved as soon as possible. We apologize that it has taken this long to resolve, however, please know that we will contact the collection agency and request the account be removed from your credit report. 

  Customer response

  07/24/2023

   
  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. As long as these accounts get removed, I accept this resolution.
  
  Sincerely,
  
  *********************

• Initial Complaint

  06/20/2023

  Complaint Type:

  Product Issues

  Status:

  Answered

  More info

  I received the attached text message but do not want to click the link in case of a phishing attempt. I was fully covered by ******** at the time of my daughter's birth in 2021. Is this legitimate and why do I have a bill if so? Please contact me.

  Business response

  06/21/2023

  Reviewed patients complaint and found an anesthesia claim in 2021 that was paid in full by the patients insurance, ********* We never billed the patient because the insurance information was provided to us with the anesthesia records and claim was filed to ******** after the account was created. I will forward the patient information to ************** for follow up, they might have an account for the baby. Their information is below. 

  ***** **************

  Email ************************** 

• Initial Complaint

  12/23/2022

  Complaint Type:

  Customer Service Issues

  Status:

  Answered

  More info

  I delivered my daughter on 09/07/2021. During my stay services were provided by this business. The services were billed to my insurance instead of my daughters. After I received the bill, I submitted a claim with Sheridan and gave them all of my daughters insurance information for them to re submit the insurance claim. I never received an update or another bill. I just got a call today about them sending my account to collections. I never got an update after my claim that was submitted to them and never got another bill and now I have been given to collections.

  Business response

  01/09/2023

  Please contact ************** at ***************, they do the billing for your daughters' delivery. I will also forward your message to them. 

• Initial Complaint

  11/28/2022

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  I have 2 charges showing up on my credit report from Sheridan Child Healthcare Services. One in the amount of $88 and the other in the amount of $356. These charges were from 2017 and the hospital was bought out by another company so the current hospital has no knowledge of these charges. I need to know where they are from.

  Business response

  12/28/2022

  We reviewed the request and the account in question is 10811036AI. This claim is for date of service 1/3/2017-1/05/2017, we bill for the ********************** Our claims were submitted to BCBS and per the explanation of benefits the balance was applied to deductible/coinsurance. Prior to the account being placed with collections, we sent guarantor a statement on 2/20/2017 and bills went out on 2/23/2017, 3/23/2017 and 4/20/2017. The account was placed with *************************** on 5/18/2017. If you would like to discuss the account further, please contact **************** at **************. Thank you

  Customer response

  12/28/2022

   
  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.
  
  Sincerely,
  
  *************************

• Initial Complaint

  10/18/2022

  Complaint Type:

  Order Issues

  Status:

  Answered

  More info

  I am showing I have almost ***** worth of charges on me, I am not sure what this is regrading. Can you please explain? .

  Business response

  10/19/2022

  Account 10164162AI - This account is for the Neonatologist services on 6/24/2016 for patient *************************. The services were rendered at **********************. Please be advised that we submitted this claim to ******** on 8/10/2016, however, they denied claim stating patient was not enrolled with ********. A letter went out in the mail on 8/18/2016 regarding the denial we received from ******** and requesting a call back. We continue to send statements with no response. We sent the statements on 11/15/2016, 11/17/2016, 11/24/2016, 12/22/2016, 1/26/2017, and 2/23/2017. The account was placed with the collection agency on 3/23/2017 with a balance of $2491.00. The statements were sent to mailing address *************************************************************************.

• Initial Complaint

  09/21/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I have received a bill on september 6/2022 asking to pay an amount of $486.00 I do not know what is this for nor where it comes from so all I ask is tell me where is this from what is the name or address of the original creditor or/and stop sending me this bills.

  Business response

  09/23/2022

  We could not locate an account for the date of service and the amount. May you please advise the name of the group who is sending you the bill? 

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