ComplaintsforAkron Billing Center

• Initial Complaint

  04/09/2024

  Complaint Type:

  Customer Service Issues

  Status:

  Answered

  More info

  I need proof of billing. When delivered Itemized billing, it is in fact not itemized. The *********** 1305. With no explanation as to how that number was reached. I assume there is price gauging taking place along with some illegal business practices. When contacted I was provided with no resolution or itemized billing. They were also unable to provide proof of billing.

  Business response

  04/10/2024

  Hello ******************,

  Thank you for reaching out to us with your concern for date of service 02/11/24.  Northwest Emergency Physicians LLC is the emergency room provider billing for the doctor, nurse practitioner, and/or physician's assistant who treated you while in the ED.  Per review of your account for this date of service, our level of service for our provider billing care is *** ***** with a charge amount of $1,305.00.  I have also mailed you an itemized statement along with a letter explaining the *** ***** code. 

  If you have active health insurance coverage for this date of service or any further questions, please advise by calling our ************************ Center at ************ and a team member will be happy to assist.

  Thank you,

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

  Patient Services, Supervisor

• Initial Complaint

  03/07/2024

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I was in a car accident in 2022. The accident was not my fault and the person that hit me was responsible. The company that I am turning in has harassed me since then to pay. I have given them the claim number, the adjusters name and phone number and they stated to me that they cannot call out. I was sent to the hospital with broken ribs and a gash on my face. They are stating that I owe the money because I was the patient. Her insurance company is Allstate. Her name is ******* *****. She told the policeman that the wreck was her fault.

  Business response

  03/18/2024

  Hello Ms. ******,

  Thank you for reaching out to us with your concern for our emergency room provider bill for ******** ******, DO with Emergency Services of Oklahoma PC at Integris Oklahoma West FSED.  Per review, your account was with our auto vendor and a claim was unable to be processed.  At this time, we are past our file limit, I have put in a request to adjust this date of service 02/10/2022 to a zero balance.

  Please let us know if you have further questions.

  Thank you,

  ******** *******, Patient Services Supervisor

• Initial Complaint

  01/04/2024

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  On March 7, 2023, I drove to the Emergency ********** of St. ****************** in ***********. I was seen by PA, ***********************. I requested a tetanus shot as I had cut my thumb with a metal blade. The PA wanted an xray and discussed stitching as treatment. I refused treatment and she didn't like that, stating, "It's your thumb, do what you want". I then received a tetanus shot from *****, RN. My thumb was rinsed in betadine, followed with saline and wrapped in gauze. I was discharged and drove home. Through my medical portal, I read where I was hooked up to a cardiac machine and had tests ran.This was a lie. The billing for the hospital was a level 4. I argued this with the hospital through the portal. Eventually, my bill coding was changed from a level 4 to a level 1, and my insurance was billed at a level 1. My bill remained at a level 4, for hospital ********************* I argued the bill until they looked at my records. There was no cardiac machine involved nor any testing; just a tetanus shot and wound dressing. I paid $250 until they adjudicated my bill. I also requested a correction of my medical records from what was written by ***********************, PA. She lied. They dropped the remaining $200+ of my bill and made my balance $0.00. However, my records of that visit were never corrected by ***********************, PA.Now, December 2023, I get a bill for doctor ********************* I never saw a "Doctor", at all. I saw a PA. (Hence, one reason that level 4 billing is inaccurate.) Also, tests were never run; aka a cardiac machine, (second reason that level 4 billing is inaccurate). There was no eminent decision of treatment; (third reason that level 4 billing is inaccurate).My record has not been corrected, even though customer service agreed with me and let my payment of $250 stand. The basis for level 4 billing is fraud. I was told they have no form for a person to file an appeal. This is discrimination and why they let my payment stand. My medical record remains uncorrected.

  Business response

  01/12/2024

  Hello ****************** Bone,

  
  Thank you for reaching out to us with your concern for our emergency room provider bill for Emergency Physicians of Mid-******* PC on date of service 03/07/2023.  Please note, we are separate billing from the facility for the ED provider only, our provider on this date of service was ***********************, PA with assisting ***********************,DO.  Coding has reviewed your level of service concern and stated CPT ***** is clearly within scope of moderate number and complexity of problems address at the encounter.  Your health insurance has also processed our claim as of 10/31/23 leaving your patient responsibility of $34.26 which is co-insurance.

  
  Taking into account your concerns for the provider care and documentation, I am sending your dispute to our VP of Operations for review of medical records and care with the facility Medical Director.  Please allow a minimum of ten business day for review.  Outcome of review will be mailed to you via ***** or you may follow up by calling our ************************ Center at ************.
  

  Thank you,
  ********************
  Patient Services, Supervisor

  Customer response

  01/17/2024

  CPT ***** Moderate and CPT ***** Minimal are for different MDM levels. My visit was "Straightforward", not Moderate. It was a Minimal Decision. Especially since I told them that all I was there for was a tetanus shot and that's all I got, in addition to a gauze wrap. You erroneously billed my insurance with the wrong CPT. I demand that my insurance bill be corrected to reflect CPT ***** and that *********************** correct my medical records of that visit on 03/07/2023. I will happily pay the corrected copayment. The hospital made their correction now you need to correct yours. I won't pay for fraud and you are being unethical, and you know it.

• Initial Complaint

  12/07/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I am not liable for this debt with acs primary care. I do not have a contract with *************************.they did not provide me with the original contract as requested.

  Business response

  12/12/2023

  Hello ***************************,

  In order to assist with review of your account and concern, we are in need of additional information.  Please provide patients first and last name, date of birth and date of service or the account number associated with the claim in order for us to review and assist you further.  You may also reach out to our ************************ Center at ************ to speak to a representative. 

  Thank you,

  *******************************, Patient Services Supervisor

• Initial Complaint

  09/05/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  Im not liable for this debt with acs primary care physicians sw pa I do not have a contract with acs primary physicians sw they did not provide me with the original contract as requested..

  Business response

  09/11/2023

  Hello ********************,

  In order to locate and review the account, we need additional information including date of service and patients date of birth.  Please reach out to our ************************ Center at phone number ************ for assistance.  Please note, we are billing for emergency room provider services.

  Thank you,

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

  Patient Services, Supervisor

• Initial Complaint

  08/07/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I am not familiar with ACS ************* PHYS PA, I do not have a contract with ACS ************* PHYS **,they did not provide me with one at any point.

  Business response

  08/08/2023

  Hello ********************,

  ACS ************* PHYS PA is an emergency room provider group, our physicians provider care in the emergency room and we do billing for their services.  In order to assist with locating your account, *** I please have patients name and date of birth?  I can then review our system for further information.  You *** also contact our ************************ Center at ************.

  Thank you,

  Jenn A

  Patient Services, Supervisor

  Customer response

  08/08/2023

   I am rejecting this response because:

  Hello,
  Thank you for the prompt response regarding the unfamiliar credit **** on my report related to ACS ************* PHYS PA.
  As requested, the patient's name is *************************** and the date of birth is 07/11/1992. Please use this information to locate the relevant records in your system.
  I would like to express my concerns about this **** on my credit report. It has negatively impacted my credit for a significant period of time, and I find it distressing that I was not informed of this debt prior to it being sent to collections. I would appreciate an explanation for the delay in notifying me.
  I remember the visit in question, which was primarily due to a panic attack. To my recollection, there were no major procedures or treatments that should warrant a high bill. Therefore, I'd like to request an itemized breakdown of the charges to understand the cost associated with my visit.
  I am willing to work with you to settle this bill amicably. However, given the distress and the negative impact this has had on my credit report, I'd like to negotiate a reduced and reasonable amount. Upon agreement, I will make the payment under the condition that the negative **** is entirely removed from my credit report.
  I look forward to your understanding and a positive resolution to this matter. Please advise on the next steps.
  Thank you for your attention to this matter.
  Best regards,
  ***************************
  
  
  
  

  
  

  Business response

  08/09/2023

  Hello ********************,

  Thank you for supplying the additional information, I was able to locate your account.  I show on date of service 04/13/2018 you visited Memorial *********************** ** and our providers *********************, NP and *****************************, DO provided care to you in the **.  The balance of $1,814.00 are the charges for our providers under ACS Primary Care Physicians - Southwest.  Per review, no health insurance was provided for date of service 04/13/2018.  If you had active health insurance coverage, please fax proof of coverage to me at ************ or email to ******************************************************************************.  Please be sure to include your name and date of birth on any documents in order to locate your account in our system.  Also of note, if you had any financial assistance from Memorial ***********************, please send me any documentation to support.

  Statements for this bill were previously sent to you on 04/29/2018 and 06/17/2018 from our billing center.  Account was transferred to an internal collection agency HRRG on 07/29/2018, followed by a final transfer to Account Resolution ******************** (ARS) on 05/21/2019.  An itemized statement will be mailed to you for your review.  If you need copies of your medical records from date of service 04/13/2018 please reach out to Memorial *********************** directly.

  If you were uninsured, you will need to reach out to ARS at phone number ************ to make payment arrangements, as the charges have been transferred over to their collection.  I will request ARS place the account on a 60 day hold to allow you time to obtain any insurance information or to make payment arrangements to them.

  Thank you,

  Jenn A

  Patient Services, Supervisor

• Initial Complaint

  05/08/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I am not liable for this debt with *** ******* **** ********** SO and I do not have a contract with ********* * **********. They did not provide me with the original application like I ask.

  Business response

  06/19/2023

  Hello ***************************,

  Thank you for reaching out to us with your concerns.  In order to review further and locate account(s) in question we will need additional information.  Please contact our ************************ Center at phone number ************.  Once a team member has located account(s) in question request to be transferred to the direct billing center for review of your collection concerns.

  Thank you,

  -************

  Supervisor, Patient Services

• Initial Complaint

  04/20/2023

  Complaint Type:

  Product Issues

  Status:

  Resolved

  More info

  I was mistakenly charged out of network for in network care and had to pay the bill out of my own pocket. Once insurance was corrected and insurance paid in network coverage I requested a refund for the funds I had paid. I was told that my payment was being applied to past account balances. I told them I had no past balances and they sent it to review. Came back and said I did owe balance and they would be sending my money to Pallino collections to cover balance owed. I called Pallino and was told accounts were paid off in 2018 and 2019. Team Health said they would review the account. Since then I have been told I am due a refund of all money paid but it has to go through a review process that has already been over 30 days. Original date of service 12/21/2021. 04/09/2022 I mailed check for $125.25 Disputed out of network charge for 10 months and it was corrected. 11/30/2022 insurance company paid Team Health the correct in network price. I called and asked for refund. 02/03/2023 was told by Team Health it is being reviewed 02/07/2023 Again told in review 02/16/2023 Team Heath said money kept for outstanding balances 02/20/2023 still disputing charges 02/28/2023 still disputing charges 03/14/2023 Finally told I was correct and that I would be receiving a refund for the $125.25. 04/10/2023 I was told it is still in review in the refund department. 04/20/2023. Still in review

  Business response

  05/01/2023

  Hello Ms. ******,

  Thank you for reaching out to us with your ED provider billing concern.  I see you have two dates of service with Pallino collections.  Date of service 01/09/2013 for Emergency Professional Services Inc provider charges at Salem ED had an insurance payment of $556.91 and a $109.20 adjustment on 02/26/13.  Balance of $61.89 was patient responsibility co-insurance which we show your payment posted on 01/13/23.  Date of service 08/09/2013 for Emergency Professional Services Inc provider charges at Salem ED had an insurance payment of $690.03 and a $248.30 adjustment.  Balance of $76.67 was patient responsibility co-insurance which we show your payment posted on 01/13/23.  An outstanding additional  $13.31 remains on this date of service.

  At this time, I will request Pallino to close out the remaining $13.31 and we will consider both date of service 01/09/2013 and 01/13/23 resolved to a zero balance.  Further I will request Pallino to remove any credit reporting and send you a letter of closure for both of these invoices.  

  If you should have any further questions please reach out to our National Patient Service Center at 888-952-6772.

  Thank you,

  **** **

  Patient Services, Supervisor

  Customer response

  05/02/2023

   I am rejecting this response because:
  I was already informed by Pallino that both accounts had been paid in full and closed in 2015, they are not included on my credit report at all. This company is doing anything and everything they can to Jack me around and not give me my money back. 
  
  

• Initial Complaint

  03/27/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I have zero knowledge of this collection and I have reached out to them multiple times. Although they are unable to verify any of my information, they are refusing to remove three collections from my credit report.

  Business response

  04/07/2023

  Hello Ms. ********,

  In order to review your concern, may we please get your date of birth?  I look forward to assisting you further.

  Thank you,

  **** **

  Patient Services, Supervisor

  Customer response

  04/11/2023

   I am rejecting this response because:
  
  If you have reported this to MY credit. You should have MY information. Remove this account. I’m not responsible for it, I never received any communications from you or anyone else there. 

• Initial Complaint

  02/28/2023

  Complaint Type:

  Customer Service Issues

  Status:

  Resolved

  More info

  It CLEARLY says on my last bill (I copied) SAVE ****** ON THIS BILL We're offering an UNINSURED patient discount if you pay online, by phone, OR MAIL. I paid the amount due and now I'm being billed for the discount ! I paid this in good faith but think I'm being scammed. $ ******** is criminal for no doctor available and a blood pressure check by a nurse, but I was willing to pay for my mistake of going to ****** **************** Emergency Room. Please send me a list of where this Team Health Company is working so I can avoid them in the future.

  Business response

  03/01/2023

  Hello ******************,

  Thank you for reaching out to us regarding your missed uninsured discount for dates of service 11/05/22 and 11/08/22.  I have manually applied the missed uninsured discount and both invoices now have a zero balance.  I am sending you zero balance statements for your records.  

  If further assistance is needed please contact our ************************ Center at ************.

  Thank you!

  -***********************

  Patient Services, Supervisor

  Customer response

  11/20/2023

   It has been corrected. It shows zero balance. 

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