Complaints

This profile includes complaints for Jefferson Health Billing's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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  Jefferson Health Billing

  833 Chestnut St Ste 115 Philadelphia, PA 19107-4401

• 

  Jefferson Health Billing

  PO Box 785992 Philadelphia, PA 19178-5992

The complaint text that is displayed might not represent all complaints filed with BBB. 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.

• Initial Complaint

  Date:04/29/2024

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I am having a billing issue with this provider. They are billing me for a different amount than what my insurance indicates. Both my insurance provider and I have contacted them several times to get this resolved and they refuse to make the adjustments based on the amounts provided by my insurance. I have gone into much greater detail in the attached support.

  Customer Answer

  Date: 04/29/2024

  Hello, I apologize, but in reviewing my previous file, the cover letter at the beginning of the *** that I sent was missing a page.  I had typed a 3 page letter, and my scan only picked up pages 1 and 3.  Somehow it skipped over page two, so the letter might not make sense.  I am resubmitting the form with all 3 pages of the cover letter.  All of the supporting documents remain the same.  Again, I apologize for the inconvenience.

  Business Response

  Date: 05/02/2024

  Good morning, 

  The *** was reviewed by our AR team, and it determined the balance is owed. On the *** it states in and out of network balance remaining of $7500.  They have contacted Trustmark to review and a representative named ********** confirmed the balance is owed. If you disagree, you may have Trustmark give us a call @ ************ to speak with an AR representative. 

  Thank you. 

   

   

• Initial Complaint

  Date:03/13/2024

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  On 12/26 I called JeffConnect for shortness of breath I was experiencing due to COVID. The JeffConnect provider instructed me to go to the ******************** and told me that my copay would be waived because I was being sent there through JeffConnect. However, I received a bill for the copay in the amount of $250. On 2/9, I called and reported this as inaccurate with the billing office and she stated that it would be placed under review. Jefferson has sent me to collections and I have been receiving texts and phone calls to collect on this bill. I called Billing again this morning to remind them that this is an error and the agent said there is nothing they can do and that the review takes ***** days. My complaint is two-fold:1) they never should have tried to collect this copay to begin with; if they are doing this to other people - these aggressive billing practices are fraudulently collecting copays they should not be receiving 2) they have sent me to collections and are harming my credit with an inaccurate bill

  Business Response

  Date: 03/19/2024

  Good afternoon, 

  I contacted the patient and emailed her a form to have copay waived. 

   

• Initial Complaint

  Date:03/01/2024

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I had a shoulder replacement on Feb 5th. The day of the surgery I was billed my entire out of pocket maximum, $3,000. This was required prior to the surgery. My insurance company processed the claim and I only owed $895. I called and was told it would take at least a month for Jefferson to even review the discrepancy, and was given no timeframe for a possible refund. This amount of time is unacceptable as I need the funds to pay other medical bills related to this surgery. Please refund the balance ASAP, I was given no advance notice that Id be in the situation of having to prepay ~4 times the cost of the surgery, and wouldnt receive a refund for months.

  Business Response

  Date: 03/06/2024

  Good afternoon, 

  A request was already placed for the patient to be refunded $1948.63 back to patient's credit card. 

  Thank you 

   

   

  Customer Answer

  Date: 03/12/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: 21370984
  
  I am rejecting this response because the amount refunded is incorrect. The refund should be $2,105. Also, the refund was due today and I have t received it (due per their customer service). 
  
  
  Regards,
  
  *****************************
  
  
  
  
  
  
  
  
  

  Business Response

  Date: 03/14/2024

  Good morning, 

  The difference was applied to open accounts that were owed. We can send itemized bills to you so you can review to see where the payments were applied to if you like? 

  Thank you

   

   

  Customer Answer

  Date: 03/15/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: 21370984
  
  I am rejecting this response because:

  Please send me the applicable claim numbers. I also requested this through the Jefferson portal, but received no response.

  numbers. 
  
  
  Regards,
  
  *****************************
  
  
  
  
  
  
  
  

  
  

  Business Response

  Date: 04/11/2024

  Good afternoon, 

  I mailed the itemized bills to where the difference of was applied to. 

   

• Initial Complaint

  Date:02/27/2024

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I am writing to let you know about what occurred at the Aria ***************** ******** ** doctor ****** on 12-13-23. Due to the pandemic and work taking me out of state for a while, I had not visited the ****** of **************** since 2019. I have however been a patient at this ****** for over ******************************************************************** they certainly should have, which includes my history and family history.I recently called their ****** to schedule a physical (wellness visit). I made the appointment for 12/13/23. I explained when calling that I wanted a physical, and blood work done during the appointment.I arrived about 30 minutes early on 12/13 for the appointment. I provided my ID and insurance card. At that time they tried to charge me $30 **pay for the visit even though my insurance card said the **pay would be $20.I also questioned whether there was a **pay for a wellness visit, which I was told there wasnt but the ****** and doctor refused to do the physical saying that I was a new patient, and that it was 'up to the doctor'. There was no one in the waiting room and there no reason that my request should have been denied. Under the *** **************** Act) I am *********** preventative health care and screenings, with no additional ** pay, provided my insurance premium is paid and current. For that reason, I explained to the the person at the desk that I would be leaving and would find a new doctor.I then began receiving robocalls and messages that I was a 'no show' for the appointment which wasn't true. I called Jefferson Health and explained the situation to Dilayla, but she transferred to voicemail. I did leave a message stating what had occurred at the doctor ******. After that and after **ntinuing to receive more robocalls, I left another message and sent two emails to Jefferson Health requesting assistance. No one ever responded or reached out to me to help. Again it is my understanding that I am *********** these medical services and I was denied them by the doctor and ******. They may **nsider me to be a 'new patient', but that doesn't negate my rights for the services with no extra fee under the law. In addition I filed a **mplaint with the ** Attorney general, and Jefferson's **mpliance department took about a month to respond to the **mplaint. Despite me emailing Jefferson and leaving messages requesting assistance, a person never responded to me directly to resolve the problem. They were not honest with the Attorney general ******, and ignored any **rrespondence I sent to them. Under the *** I'm *********** preventative care and screenings with no **pay or additional **st. By insisting that I schedule an initial visit and pay them $30 to see the doctor before I can have the wellness visit, they are simply setting up additional burdens or hurdles to obtain care that my insurance already **vers, a sort of 'poll tax' if you will. They also excused charging the $30 **pay as 'inadvertent', stating that they didn't **llect it. They didn't **llect it because I knew it was wrong and wouldn't give it to them. That doesn't excuse the attempt, and there was no apology for insisting I pay it in order to see the doctor!Denying care, charging an in**rrect ** pay and not responding to **mplaints are all issues that need to be addressed by Jefferson Health and *****************. There are a few things they **uld do to resolve this **mplaint, including **mplying with the law, apologizing for ignoring my **mplaints, **vering any exam and lab work that should be included in a wellness visit, or at the very least, assisting me in finding another doctor who will gladly provide the care I'm ***********.

  Business Response

  Date: 03/01/2024

  Good morning, 

  We do not have an account for you in our system. Please contact the Dr ****** directly regarding the issue. 

   

   

  Customer Answer

  Date: 03/01/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: 21355722
  
  I am rejecting this response because:

  Emails and phone calls were made to Jefferson Health regarding my experience and they were ignored. The doctor is a affiliated with Jefferson Health and your compliance department is aware of the complaint. Please forward this complaint to your compliance department or ***************** if you wish. Please be aware that your compliance department refused to cooperate with the PA ****** of ******** General to resolve the complaint. I deserve good care and will take the necessary steps to get the care I'm ***********. Jefferson Health has an F rating with The BBB. Your credibility is in question. Mine is not.

  
  
  
  Regards,
  
  *****************************
  
  
  
  
  
  
  
  

  
  

• Initial Complaint

  Date:02/23/2024

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I originally started the sign up process for jefferson health plans on ****** after my employer approved my reimbursement but now they have removed that benefit and I have no way of paying any charges.I didn't even know I was getting billed by jefferson until something came in the mail recently and have received no id cards or anything besides this one bill. There was no communication on the coverage being started or when a payment was needed. I was thinking I would get the employer reimbursement amount then pay for the plan to have it begin. I have since called ****** to terminate the plan and I'm unsure how jeffereson is even billing as there was no communication at all.

  Business Response

  Date: 03/01/2024

  Good morning, 

  You do not have any bills due to Jefferson Health. If this is regarding Jefferson Health plans insurance, you can call **************.

  Thank you 

   

• Initial Complaint

  Date:02/17/2024

  Type:Billing Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  On May 11, 2023 my son had his wisdom teeth extracted. I received my first EOB from my secondary insurance that the claim was denied until it was sent to the primary. I then received a denial from my primary stating insufficient information. I contacted my primary and the bill was subsequently processed and paid in October, 2023. The remaining portion of the bill waa then billed to us without it being sent to the secondary. I contacted Jefferson Billing now at least 8 times via phone and email to send the bill to the secondary. They sent me a bill showing me my primary refused and secondary paid. I advised them they were in error and confused the bills. I forwarded my eobs to them with no avail. I have contacted both insurance companies who have attempted to get Jefferson to correct the error in billing. On a recorded call through Jefferson the representative said it had been corrected and bill was paid and no balance for patient. Since then i received calls and bills in the same amount. ******* from Jefferson said the bill has not been paid by the primary and they could not read any notes from previous calls. I feel this continues with no recourse. As of today, my secondary insurance has not received a bill from Jefferson and is waiting to pay its portion.

  Business Response

  Date: 03/01/2024

  Good morning, 

  Per review, the claim was sent out to Delta Dental as secondary. Please disregard the bill at this time. 

   

  Customer Answer

  Date: 03/01/2024

  [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
  
  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. 
  
  Regards,
  
  ***********************
  
  

• Initial Complaint

  Date:01/25/2024

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  10/17/23 I had my appointment with family doctor to renew my prescriptions.(****** ****** **** Health in Bucks County). I am on ******** and have ***** as my supplemental insurance. After waiting for 45 min to see the doctor I got my scripts. Jefferson coded this visit ***** = Annual Wellness Visit as well as my 06/09/2023 visit to the same office to refill my scripts. ******** pays for Wellness visit only once in calendar year. ******** and ***** refused to pay. Now they after me demanding $280 for the visit. They called multiple times and every caller promised to investigate and nothing is done. The same happened last year and only after my complaint to BBB they stopped harassing me. I understand that they get more money for Annual Wellness Visit that's why every visit in this office is coded as Wellness. But why I have to pay for billing coding errors. I am thinking about leaving Jefferson Health because of billing issues.

  Business Response

  Date: 02/02/2024

  Good afternoon, 

  I sent the account to the practice for a code review. Please allow up to 30 business days. 

  Thank you 

  Customer Answer

  Date: 02/03/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
  
  
   Complaint: ********
  
  
  
  I am rejecting this response because:
  
  I will wate for the response from Jefferson health 

  
  
  
  Regards,
  
  
  
  **** ********

  Business Response

  Date: 02/15/2024

  Good afternoon, 

  The codes were updated and a claim was resubmitted back to the insurance. 

  Customer Answer

  Date: 02/27/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
  
  
   Complaint: ********
  
  
  
  I am rejecting this response because:
  

  i will wait for the final resolution.
  
  
  
  Regards,
  
  
  
  **** ********

• Initial Complaint

  Date:01/11/2024

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I received a bill from Jefferson Health for $ ***** for pre-admission testing done on 1-30-23 at *********** hospital. It stated I had blood work and an ECG done for a ********************. I did not have any surgical procedure done and do not recall having this done? I do not even know who a *********** is? I go to Penn Medicine for my health care. Sincerely, *****************************

  Business Response

  Date: 01/22/2024

  Good morning, 

  Per review, you received services on 1/30/2023. You provided your driver's license and insurance on the date of service. 

   

• Initial Complaint

  Date:11/28/2023

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Jeffersons Health ************ in *********, **, ************************ double billed me for the same services on the same date of service. During my routine once a year wellness appointment, she added a billing code for treatment on top of the wellness exam. Usually during a wellness visit a nurse hands to the patient a urine cup to collect a sample of urine for urinalysis to assess for UTIs. The double billing is very upsetting to me as the Temple Health ************ which I previously belonged to never did that. The *** there ************* always discovered either a fungal or bacterial vaginal infection as I am prone to both and resolved to treat it during my wellness appointment without billing it separately. The Jefferson *** fraudulently double billed me because she saw I had a UTI during my wellness visit and billed me for the added service of telephoning a prescription to the pharmacy. The *** is obligated to treat the condition once a urinalysis tests positive for bacteria or fungus. I dont think she is a good and ethical doctor at all. Her breast examination was not thorough. I felt unsure if she even did anything as my bra was still on and usually they tell you to take it off and spend more then a fleeting moment on the b****** I am very unhappy with my experience there and wished I stayed with the Temple Health ************ as they would never fraudulently double bill a patient and are more thorough and meticulous in their examination.

  Business Response

  Date: 11/30/2023

  Good morning, 

  Per the practice, services on 11/20/23 was annual but other problems were addressed during the visit. The coding is correct. You may contact the practice directly to confirm. 

  Thank you 

   

   

  Customer Answer

  Date: 12/09/2023

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: 20926841
  
  I am rejecting this response because:

  she fraudulently charged me extra for discovering a problem on the wellness exam. She double charged me. Wellness exam is for detection and preventative. Once she detected the problem, she is responsible for fixing it and not charge me as an extra service 
  
  
  Regards,
  
  *******************
  
  
  
  
  
  
  
  

  
  

  Business Response

  Date: 02/16/2024

  Good afternoon, 

  if you disagree with the coding you may contact the practice directly. We were informed by them that the coding is correct. 

  Thank you 

   

   

  Business Response

  Date: 02/16/2024

  Good afternoon, 

  if you disagree with the coding you may contact the practice directly. We were informed by them that the coding is correct. 

  Thank you 

   

   

• Initial Complaint

  Date:11/17/2023

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Ive been receiving billing statements and collection calls from Jefferson hospital for ***********************************. *** wrote on receiving mail, return to sender, person does not live here. *********************************** is my son but moved out of my home. I get mail , credit card offers in his name and other junk mail from time to time. I want this harassment of calls to my phone, ************ or ************ to cease and desist immediately to my home.

  Business Response

  Date: 12/14/2023

  Good morning, 

  Your son will need to contact us @ ************ to update his address. *************************************************** is the address he provided at the time of service. 

  Thank you 

   

   

  Customer Answer

  Date: 12/22/2023

  As to your response of my son, who is 26 yrs old and an adult, he left my home the next day without any information or our knowledge.  I believe he may have moved to ******* where he has a drivers license.    I have  no other information as parents we are estranged and do not communicate or have any knowledge of his whereabouts or contact information. Again, any further letters sent to my home with his name, or any correspondence with his name comes to my residence, it will not be accepted and immediately returned to sender.  I ask again that you relay this information to the other party as I had already contacted them twice but still receive mail from them wii My sons name on it and I write Retune to sender, does not live here.  If this process continues after I have already tried to contact and inform the other party without being resolved, then having to file a BBB complaint which results in no resolution, I will file a more formal complaint to the State attorney generals office and department of consumer affairs with all correspondence Ive made to the other party and to the BBB that did not resolve this issue and ask them to intervene for aggressively 

  ******************************;