Complaints
This profile includes complaints for Forefront Dermatology, S.C.'s headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 37 total complaints in the last 3 years.
- 11 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe 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:09/09/2025
Type: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.
Here's a condensed version that removes 395+ characters while preserving all essential information:I am disputing a medical bill from Forefront Dermatology for a 04 APR 25 visit (Acct *************. I waited ~95 minutes past my scheduled time to see Dr. ***** the encounter lasted ~5 minutes, yet I was billed $474.00 (new patient visit), leaving a balance of $131.74.On 16 MAY 25, I sent a written letter requesting (1) an itemized statement with CPT/HCPCS and ICD-10 codes, modifiers, and units, and (2) a good-will adjustment given the extreme delay and brief encounter. I asked them to confirm the account would be on collections hold during review. I received additional billing notices but no written determination or itemized bill.On 26 AUG 25, I emailed ********************************************* with my letter attached, requesting clarification on the "pending adjustment." No substantive response.On 09 SEP 25, I sent a final notice with deadline 16 SEP 25 1700 ET. As of filing, I have not received the requested itemized bill or written decision, and billing notices continue.Desired resolution:Provide complete itemized statement (CPT/HCPCS, ICD-10, modifiers, units) and documentation of check-in/room-in/room-out/provider arrival times;Apply reasonable patient-experience adjustment to resolve the $131.74 balance;Confirm account is on administrative hold from collections while dispute is pending;Provide written determination.****** *** (DOB *********). Address: ********************************************************. Email: ******************** Contact attempts (no response):16 MAY 25 Mailed dispute letter 26 AUG 25 Emailed with prior letter attached 09 SEP 25 Final notice with 16 SEP deadline
Business Response
Date: 09/11/2025
Hello - we take all concerns seriously and appreciate you bringing this to our attention. Please provide a signed copy of the ***** release so we may respond accordingly. Thank you!Customer Answer
Date: 09/11/2025
BBB,
I have attached and returned the requested HIPAA authorization on 11 SEP 25 so the business may discuss my PHI and furnish the records needed to resolve this dispute.
Summary of dispute
Business: Forefront Dermatology *************** ********************************
Account: ************ | Service date: 04 APR 25 (********)
Billed: CPT ***** (1 unit), DX L70.0 (acne). Base $474.00; allowed $131.74 (patient responsibility due to deductible).
Issue: The ***** level requires either 4559 minutes of same-day physician/QHP time or moderate ***. My encounter was ~5 minutes, there were no prior records provided for advance review, and nothing about the visit met moderate complexity.
Whats missing: Despite repeated requests, the business has not provided the appointment time log (check-in, room-in, provider-in, provider-out, room-out, check-out) or any documentation supporting time or *** for *****.
Responsiveness: I made 3+ mailed attempts before escalation. I received no voicemails and no written responses until 09 SEP 25. The business now claims to have left several messages. I did not receive them and have asked for their call log (dates/times/numbers) to verify. None has been provided.
Email thread (not responded to by business)
09 SEP 25 1428 ET Email from ******* *****, Revenue Cycle Director. She states ***** was billed (no modifiers), attaches an itemized statement/EOB, asserts visits are based on decision-making rather than time, says the account is on hold due to the dispute, and asks what discount I feel is appropriate.
09 SEP 25 2142 ET My reply (copied below) asked for the time log, *** details (problems, data, riskespecially any prescription drug management), and a written explanation of why my earlier written requests received no response. I also made a good-faith settlement offer of $40 as payment in full, and set a deadline of 11 SEP 25 1700 ET.
For the record, I did not receive any voicemails or written responses prior to today, despite three+ mailed attempts ***** requires either moderate *** or 4559 minutes of same-day physician/QHP time. My encounter lasted ~5 minutes with no advance records for review Please provide appointment time log (check-in, room-in, provider-in, provider-out, room-out, check-out for 04 APR 25) If you continue to defend *****, provide the *** details and a written explanation why my prior written requests were not answered in good faith before escalation I will settle this today for $40 as payment in full
As of 11 SEP 25, there has been no response to my 09 SEP 25 2142 ET reply addressing these specific documentation requests and the $40 settlement offer.
Why the response is not satisfactory
The business has not produced the time log or ***/time support for *****, despite requests since 16 MAY 25 and again on 26 AUG 25 and 09 SEP 25.
The business asserts prior outreach but has not provided call logs substantiating the dates/times/numbers of any messages. I received no voicemails and no written replies until the BBB escalation.
My visit was ~5 minutes with no advance documentation for review; other consumers online have raised similar concerns about aggressive upcoding for brief, straightforward visits. The appropriate level is **********, not *****, unless they can produce documentation to the contrary.
Requested outcome
Documentation: Provide the appointment time log (check-in, room-in, provider-in, provider-out, room-out, check-out) for 04 APR 25, and the ***/time support for code *****.
Adjustment: If documentation does not support *****, adjust to the appropriate level (99202/99203).
Settlement: I will resolve this matter immediately with a $40 payment in full, contingent on (a) adjustment to the appropriate level or (b) their written acceptance of $40 as full and final settlement.
Collections hold: Confirm the account remains on administrative hold from collections and credit reporting while this is resolved.
Transparency: Provide the call log showing the dates/times and numbers for any messages they claim were left.
BBB rating request
Given the repeated failures to provide nominal customer service or requested documentation without serious intervention, I respectfully ask BBB to reconsider the businesss high rating or, at minimum, reflect this pattern of non-responsiveness in its profile.
Timeline of contacts
04 APR 25 Office visit in ********. Encounter ~5 minutes.
16 MAY 25 Mailed dispute letter requesting itemized bill, time log, and reconsideration of charges/level. No response.
26 AUG 25 0824 ET Emailed follow-up with prior letter attached; requested status and documentation. No response.
09 SEP 25 1428 ET Business emailed (first written reply Ive received). Provided itemized statement/EOB; defended *****; said account is on hold; asked what discount I think is appropriate. No time log or *** provided.
09 SEP 25 2142 ET I replied: requested time log and ***/time support; asked for call log; offered $40 payment in full; set deadline 11 SEP 25 1700 ET. No response.
11 SEP 25 HIPAA release attached and returned via BBB to facilitate records exchange. Business has not addressed the documentation requests or settlement.
Attachments provided/available
HIPAA authorization (signed 11 SEP 25).
16 MAY 25 letter.
26 AUG 25 email follow-up.
09 SEP 25 1428 ET email from business.
09 SEP 25 2142 ET reply from me.
Latest statement/EOB and itemized statement sent by the business.
Consumer contact
****** *** (DOB *********)
Email: ******************** | Phone: ************
Address: ****************************************************Business Response
Date: 09/16/2025
Thank you for providing a copy of the ***** Release Form. We will work with the patient to resolve.Customer Answer
Date: 09/16/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. The message merely indicated potential followup but given the lack of communication to date and false promises including other outstanding and open requests, I'm not hopeful. Please make a determination based on information available. This is not the first time a promise to followup has been made but not delivered.
Regards,
****** ***Business Response
Date: 09/16/2025
Information received is currently being reviewed by the ****************** as well as clinic management. They will be in contact with the patient to resolve.
Customer Answer
Date: 09/23/2025
Dear Better Business Bureau,
I have reviewed the businesss response to complaint ID ******** and find that it does not resolve my complaint in the slightest. They have been totally unresponsive depite countless promises. The business provided no substantive update or resolution offer regarding my concerns. I fact they have not contacted me and have lied several times about doing so.
Due to this lack of resolution, I will be escalating this matter to the appropriate regulatory authorities, including:
The ************************** (physician licensing oversight)
The ************************** office
I am also considering pursuing civil action against the practitioner for allegedly fraudulent medical billing practices.
Given that this complaint remains unresolved and the business has failed to address the underlying issues, I respectfully request that the Better Business Bureau reassess the companys current rating and consider adjusting it to reflect their lack of responsiveness to legitimate consumer concerns.
Thank you for your attention to this matter. This remains a matter of principall
Sincerely,
****** ***cc:correspondence,legal, *****(assistant to family office)
Business Response
Date: 09/26/2025
Hello.
Outreach was made to the patient on 09/09/2025 via phone and email. Details of the charges and billing as well as explanation of benefits was provided.
Should the patient have further questions, the ****************** may be contacted at ************.
Thank you.
Customer Answer
Date: 09/26/2025
Better Business Bureau
Re: Complaint ID ******** Consumer Rebuttal
I have reviewed the businesss latest response and determined it does not resolve my complaint.
1) HIPAA / privacy concern
I executed and returned a HIPAA authorization on 11 SEP 25. The business states it shared details of the charges and billing as well as explanation of benefits with a third party before confirming my authorization. If protected health information was disclosed prior to my authorization, this raises a privacy compliance concern and underscores the careless handling I have experienced.
2) No response to the specific documentation requests
The businesss note merely says outreach was made and lists a phone number. It still does not provide the evidence I have requested repeatedly since 16 MAY 25:
Appointment time log for 04 APR 25: check-in, room-in, provider-in, provider-out, room-out, check-out.
Coding support for CPT *****: either
Total same-day physician/QHP time of 4559 minutes, or
Moderate-complexity MDM (problems addressed, data reviewed, and riskespecially any prescription drug management, if claimed).
Call log substantiating several messages (date/time, originating number, destination number, and disposition).
A written explanation for why my prior written requests (including 3+ mailed attempts) were not answered before escalation.
3) Substance of the dispute (unchanged)
The encounter on 04 APR 25 in ******** lasted ~5 minutes with no advance records provided for review. Absent proof of 4559 minutes of same-day physician/QHP time or true moderate MDM, ***** is not supportable. The appropriate level is **********. The business has not met its burden of proof to document and justify *****.
4) Settlement status
I previously offered to resolve this for $40 payment in full. In light of continued non-responsiveness to the documentation requestsand the privacy concern noted ********* offer is withdrawn. No settlement offers remain on the table.
5) Requested BBB action / remedy
Require the business to produce the time log and coding support or, failing that, write off the balance in full immediately and confirm a $0.00 account status.
Ensure the account remains on administrative hold from collections and credit reporting until there is a documented resolution.
Given the pattern of non-responsiveness and the need for serious intervention to obtain basic information, I respectfully ask BBB to reconsider the businesss high rating and reflect this conduct in its profile.
6) Notice to the business
Unless the remaining balance is fully written off immediately or you provide the requested proof that ***** is supported, I will share an accurate account of this experiencenaming this office, other Forefront locations, and corporate headquartersacross multiple consumer platforms so other patients can make informed choices.
Timeline (abbrev.)
04 APR 25 Visit (~5 minutes).
16 MAY 25 Mailed dispute; requested itemized bill + time log. No response.
26 AUG 25 0824 ET Emailed follow-up. No response.
09 SEP 25 1428 ET Business emailed; defended *****; no time log/MDM supplied.
09 SEP 25 2142 ET I requested time log, MDM/time support, call log; offered $40 to settle by 11 SEP 25 1700 ET. No response.
11 SEP 25 HIPAA release executed and returned. Business still has not supplied the requested proof.
Consumer: ****** *** (DOB *********) | ******************** | ************
Address: ****************************************************
Acct: ************
Administrative note to BBB: Unless the business either (a) confirms a $0.00 balance or (b) provides the specific documentation above, I am not making or entertaining any offers. Please refrain from prompting further negotiation messages; I will respond only to evidence or a full write-off confirmation.
Regards,
****** ***
cc: ************* Legal, **********************************************
Correspondence FilePLEASE INCLUDE CCd ADDRESS IN ALL FUTURE CORRESPONDENCE AS THEY HAVE THIS FOR ACTION.
Customer Answer
Date: 10/09/2025
Final Position
This response is expressly disputed and does not resolve my complaint. This will be my final submission to the BBB. Any further communications from or about Forefront Dermatology regarding this account should be directed exclusively to appropriate regulatory and insurance bodies, as outlined below.
Why the business submission is insufficient
1. No proof for time-based billing of *****
The business cites administrative timestamps appt 1040, check-in 1051, room-in 1058, Rx created 1106, uploaded 1114 but still provides no provider-in/provider-out times and no total same-day physician/QHP time. These entries do not establish the 4559 minutes required to justify ***** by time. My encounter was ~5 minutes.
2. No substantiation of moderate *** for *****
The letter offers generalized assertions (past acne, side effects, active episodes, Rx ordered) without producing the *** elements that would actually support moderate complexity (problems addressed, data reviewed, and risk e.g., documented prescription drug management with the nature of the medication, monitoring considerations, and follow-up). Absent those specifics, ***** remains unsubstantiated. Based on the facts presented, the appropriate code is 9920299203.
3. Missing materials repeatedly requested since 16 MAY 25
Appointment time log for 04 APR 25: check-in, provider-in, provider-out, room-in/out, check-out.
Coding support for ***** (time or *** particulars).
Call log substantiating several messages (date/time, originating and destination numbers, and disposition).
Written explanation for the months-long failure to respond to prior written requests before BBB escalation.
None of the above has been produced.
4. Privacy concern
I executed and returned a HIPAA authorization on 11 SEP 25. The business has referenced sharing details of the charges and billing as well as explanation of benefits. If any PHI was shared with a third party before my authorization was on file, that raises a compliance concern. I request that BBB note this for the record.
Remedy requested
Either (a) produce the time log and specific *** documentation that actually supports *****, or (b) write off the balance in full immediately and confirm a $0.00 account status.
Maintain the account on administrative hold from collections and credit reporting pending a documented resolution.
Given the pattern of non-responsiveness and need for external intervention to obtain basic information, I respectfully ask BBB to re-evaluate the companys rating to reflect these service and documentation deficiencies.
Disposition of settlement
My prior good-faith offer to settle for $40 as payment in full is withdrawn. No settlement offers are outstanding.
Next steps (outside BBB)
As this matter is unresolved, I will pursue relief outside the BBB process, including filings with:
******************* of ************************* of Medicine) (quality of care / professional standards),
************************* Consumer Protection (billing practices),
******************* of Insurance and/or my insurer (claim/coding review), and
HHS-OCR (privacy), as appropriate.
BBB may therefore close this complaint as unresolved with the above findings noted.
Initial Complaint
Date:09/05/2025
Type: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.
The ********* WI location has consistently proved that they do not value communication with insurance providers OR even providing patients with the ability to contact their medical team. As a patient of an independent medical practice, I (rightfully) expect that I should be able to communicate with my healthcare team by phone call, should either party have issues or questions. Multiple times I have needed to ask my doctor a simple question, or give them information. Each time I call, I am greeted by a call center employee who knows nothing about my case, the location Im seen at, the city I live in, or even how to assist me effectively. They will transfer me to the location and IF it lets me leave a message without hanging up, no one will ever return my call. A doctor should NOT have to tell a patient the only option is to show up here if you have questions or need anything. Its 2025; I should not have to leave work an hour+ early to fight rush hour traffic to the other side of town for something that should never have happened in the first place. The most recent incident to prompt this review is that my insurance has denied a routine request for prior authorization for my medication, based on the fact that Forefront will not respond to the request. I received a letter of denial in the mail (reason being missing information), and every one of the 10+ people Ive spoken to regarding this issue in the past week has not been able to give me accurate guidance about how to get them to tell my insurance I need this medication. A SPECIALTY medical practice that ghosts their patients and ignores insurance companies requests for info should not be in practice at all. It is unethical to expect a patient to take on this level of extra labor in order to receive medication they NEED. I have taken too much time from my actual paying job to resolve this issue when people who are PAID to do this work refuse to. Will be moving to a new provider as soon as possible.Business Response
Date: 09/08/2025
Hello - we take all concerns seriously and appreciate you bringing this to our attention. Please provide a signed copy of the ***** release so we may respond accordingly. Thank you!Initial Complaint
Date:07/15/2025
Type: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 visit for skin cancer screening. While I was there, I asked about a wart on my lip ******* ******** asked me rudely do you want it gone or not. I replied yes, she said OKAY she ****** out a tube of freeze she put it on in 2 seconds never said it would be over $400.00 for I could buy for $20.00 and it didn't work at all. I called to talk to them after many calls she called me and said that I was told it would take more treatments. that's a complete lie. I did not get what I paid for not even close. now I have to get screened again because I can't trust she did that right.Business Response
Date: 07/15/2025
Hello - we take all concerns seriously and appreciate you bringing this to our attention. Please provide a signed copy of the ***** release so we may respond accordingly.
Thank you!
Customer Answer
Date: 07/16/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
[Please type your response here.]
Regards,
***** ********Business Response
Date: 07/21/2025
Thank you for providing the signed ***** ************************************ did speak with the patient in May to discuss as the patient was given information up front related to cost. The patient was not satisfied with the information provided in May however clinic protocols were properly followed with an additional witness (scribe) in the room.
We are considering this matter closed as a mutual resolution was not achievable.
Thank you.
Initial Complaint
Date:07/12/2025
Type: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 June 9th, I arrived to my appointment at the **********, ** location of Forefront Dermatology. I was seen by Dr. ******* for hair loss. I was in her office for maybe five minutes. All she did was ruffle my hair for three seconds, no more than three seconds, provided a diagnosis and prescribes a medication. There was no biopsy performed, she did not use anything to closely examine my hair. I do not understand how in a matter of three seconds, after quickly ruffling someones hair, a medical professional can provide a diagnosis and then proceed to prescribe a pharmaceutical drug. Most hair loss inquiries from what *** gathered use scalp biopsies, and other forms of CLOSE examination. Medical professionals should be thorough and professional. Hair loss can also be indicative of other health issues and to quickly provide a diagnosis and dismiss the patient altogether is a form of negligence in my non medical expertise view. I would also contact other patients who have seen Dr. ******* for hair loss as exact situations have occurred. I can provide a name upon request.Business Response
Date: 07/14/2025
Hello - we take all concerns seriously and appreciate you bringing this to our attention. Please provide a signed copy of the ***** release so we may respond accordingly.
Thank you!
Business Response
Date: 07/24/2025
Thank you for providing the signed HIPAA Release form.
We are currently working with the patient to provide a mutual resolution.
Thank you and have a wonderful day.
Customer Answer
Date: 07/29/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Forefront Dermatology has not provided a resolution to my complaint nor have they reached out to me as they said they would in the patient portal.
Regards,
***** ******Business Response
Date: 07/29/2025
Hello,
The patient was contacted by our office; however, a mutual resolution could not be reached at the time.
We take all concerns very seriously and remain open to speaking directly with the patient to work toward a resolution.
Customer Answer
Date: 07/30/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Forefront claims that I, the patient, have been contacted. They have not contacted me by either, phone, text, or email, and neither by their patient portal as I discovered upon logging into my patient portal for Forefront. In my patient portal for forefront, as seen in the screenshot, there is also no communication in there either. Forefront can contact me by email at *********************** if they wish.
Regards,
***** ******Customer Answer
Date: 08/18/2025
I have been talking to a representative from Forefront they gave me the option of using codes to present to my insurance which I said sure. But they did not send them. I then asked for the second option they proposed which was a refund so I emailed again and said Ill take that option. I havent heard back yet at all. I will keep you posted.Business Response
Date: 08/19/2025
Hello,
The office continues to try and reach a mutual resolution with the patient. The patient is welcome to contact office management personnel to discuss resolution options.
Thank you.
Customer Answer
Date: 08/27/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
I was told I would be refunded a little over a week ago. I am still waiting on the refund.
Regards,
***** ******Business Response
Date: 08/27/2025
Thank you for reaching out.
We continue to work with the patient to resolve. A refund was processed by ********** as of 8/19/2025. The patient is welcome to contact the billing department directly for any additional questions.
We do consider this matter closed as the refund has been processed.
Thank you.
Customer Answer
Date: 08/31/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
I have not yet received my refund of $352.44 from Forefront Dermatology as of August 31st 2025. I have reached out and havent heard back.
Regards,
***** ******Business Response
Date: 09/03/2025
Hello.
The refund was processed on 8/19/2025. A check was sent to the patient on 9/2/2025.
Thank you.
Customer Answer
Date: 09/06/2025
[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:06/29/2025
Type: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 $104.33 bill from Forefront Dermatology for a visit that should have been covered by my insurance. I informed their billing department multiple times that I was disputing the charge with my insurer, but they refused to delay collection efforts. I was told the account would be sent to collections after May 16, 2025, so I paid the bill online before that date to avoid this. Despite the payment, Forefront still sent the account to collections. I am now dealing with both the collections agency and my insurance provider due to their mishandling of the situation. I am requesting that Forefront correct this error immediately, as it may negatively affect my credit score, and I hold them responsible for any resulting consequences.Business Response
Date: 06/30/2025
Hello - we take all concerns seriously and appreciate you bringing this to our attention. Please provide a signed copy of the ***** release so we may respond accordingly.
Thank you!
Customer Answer
Date: 06/30/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
They failed to provide me with the ***** release that they need signed. Can't sign and return something that they never provide.
Regards,
******** *********Business Response
Date: 07/24/2025
Hello.
Thank you for providing the signed HIPAA release form.
We are currently trying to reach the patient in order to resolve this matter and provide additional details regarding our process.
Thank you.
Customer Answer
Date: 07/24/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
I have not received any contact from the business regarding this matter whatsoever. They have not made any attempt to contact me, as they so claim.
Regards,
******** *********Business Response
Date: 07/25/2025
Hello.
An *** was received by Forefront, with $104.33 left to patient responsibility.
Statements were sent out on 12/31/2024; 01/29/2025; 03/03/2025; 03/31/2025 and 04/28/2025. The account was sent to collections on 05/11/2025. The patient payment was paid on 05/16/2025 and was posted on 05/19/2025.
We received communication from the patient on 02/18/2025 via phone, stating the patient was going to review with insurance. A patient has a right to follow up with insurance directly however, it was explained that, with regard to patient responsibility, Forefront does follow the *** received. We have not received any communication from the insurance company showing a reconsideration or any indication that billing was incorrect. The collection process in this case was followed correctly. A minimum of three statements (above) and two collections letters were sent (04/01/2025 and 04/29/2025).Thank you.
Customer Answer
Date: 07/26/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.This is an odd response. Forefront Dermatology contacted me yesterday to acknowledge that proper procedures were not followed and apologized for their error.
I have called Forefront multiple times regarding this billnot just once. Each time, I made it clear that the matter was under dispute with my insurance. At no point was I asked to provide reference information related to the dispute, which I have now been told is required per their protocol.
Here is a record of my calls:
1/10/2025 when the insurance claim was initially submitted
2/18/2025 follow-up call
4/16/2025 follow-up after hearing from insurance and appeal was filed
5/6/2025 checking on next steps, as I was still receiving bills
5/15/2025 final call before the bill was to be sent to collections
During that last call, I was told that if I paid by 5/16/2025, the bill would not be sent to collections. That turned out to be false.
For context, Ive seen this doctor for over eight years without issue. This is the first year she's used Forefront Dermatology for billing, and it's the first time Ive encountered a problem. The exam, coverage, and insurance plan are all the same as in previous years.
Yesterday, Forefront also told me they may have processed the bill incorrectly and are now investigating. When I asked why it required a BBB complaint for them to initiate a review, I didnt receive an answer.
Because of this experience, I will be changing doctors. Forefront Dermatology has mishandled this case repeatedly, and Im left wondering how many others face similar treatment without recourse.
Regards,
******** *********Initial Complaint
Date:06/25/2025
Type: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 was referred to Forefront Dermatology by my PCP. Upon contacting Forefront Dermatology, I told them that I didn't have health insurance. They told me that the cost of the visit would be $178.00, which I paid at my visit. No one told me anything about additional costs. They told me that the cost of the visit would be $178.00. Now, I've received a new bill for $143.00 for that same visit. On the back of the invoice, it states that new patient office visit is $178.00, which I paid. But, it also states that the payment for the visit was a down payment. I was never told this. This was never mentioned to me because I asked before making the appointment. I am on a shoestring budget. I ask questions because I need to know the cost up front. This is completely unethical...to tell a new client one thing and then bill them for whatever they want.Business Response
Date: 06/28/2025
Hello - we take all concerns seriously and appreciate you bringing this to our attention. Please provide a signed copy of the ***** release so we may respond accordingly. Thank you!Customer Answer
Date: 07/02/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Seacoast Dermatology contacted me via phone to discuss the matter. I returned the phone call and got voicemail. I left a message stating that I would be open to a conversation. No response was ever received. Today, I received another invoice by email to pay the additional $143.00. They do not care about a conversation. It's all about the money and not informing patients of the truth.
Regards,
******* ParentBusiness Response
Date: 09/16/2025
Hello.
We will continue to work with the patient to resolve.
Thank you.
Customer Answer
Date: 09/20/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
I continually receive statements from the dermatologist that I owe $143 but I paid the $183 that they stated was the cost of an office visit. They say they are willing to work together but have not shown me that. I do not believe I should pay more than what was told to me.
Regards,
******* ParentBusiness Response
Date: 09/22/2025
Hello.
Outreach was made to the patient to discuss the Financial Consent that was signed as well as offer a payment plan.
The bill is valid, and the appropriate consent was signed by the patient.
The patient is welcome to contact the clinic and/or billing department to discuss further.
Thank you.
Initial Complaint
Date:03/07/2025
Type: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 have been trying to get answers about billing questions for two weeks but can't get anyone to call me back. My son has been treated in the ***************** of Forefront Dermatology since December 2023. The bills have never made sense. He has had the exact same treatment each time yet the coding of the treatment varies and the cost varies. The charges for the office/outpatient visits are all over the place: $372, $263, $147.53, and $223.46. The coding is different for them too: *****, *****, *****, and *****. Then we also get charged for Utility Contractual Variances, ATLAS Contractual Variances, and Manual Contractual Variances. The medicine that he gets, which is the same every single visit, is also coded and charged differently. J3301 $16.33, J3301 $32.66. Another charge for Injection Into Skin is coded ***** $201.78 and ***** $269.03. I don't understand why, if we are getting identical treatments each visit, the charges are so all over the place. I've been trying to get this bill taken care of for quite a long time because the office threatened not to treat him if it wasn't paid by his next visit which is March 10 but I can't get anyone to call me back and answer these questions.I contacted my insurance company and they said my amount due for these visits should not exceed $66.18, but could be less depending on how these treatments are coded.This just doesn't feel like it's on the up and up and I would really appreciate someone looking into all of this. Thank you.Business Response
Date: 03/10/2025
Hello,
We take all concerns seriously and appreciate you bringing this matter to our attention. Please provide a signed copy of the ***** Release that was offered and accepted on 3/7/2025 so we may respond accordingly.
Thank you!
Customer Answer
Date: 03/10/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
I cant find the HIPPAA form to sign it. I will sign the release so that you can look at my file but I dont know where it is on this platform to sign it. Send back detailed instructions please. If it helps, I acknowledge I have the right to privacy of my medical files and I waive that right for the limited use of reviewing the forefront dermatology billing files related to ****** ***** birthdate **********
Regards,
*** ********Customer Answer
Date: 03/10/2025
AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION TO Better Business Bureau
The **************** Portability and Accountability Act (HIPAA) and certain state laws require all health care providers and health insurance plans to maintain the confidentiality of protected patient health information. Accordingly, to assist you in resolving your complaint, we need written authorization and signature below.
To: __Forefront Dermatology ________________
(Identify the health care provide or insurance carrier)
I authorize:
1. my health care providers and health insurance plans, including my insurance carrier or HMO, to release to Better Business Bureau (BBB) any medical, payment or insurance records related to the complaint I filed with the BBB so that the BBB, at my request, may assist in the resolution of my com plaint;
2. the BBB to use or disclose any medical, payment or insurance records related to my complaint to my health care providers and health insurance plans to the extent necessary to assist in the resolution of my complaint; and
3. the BBB to use the information about my experience for research on industry marketplace practices. The research may lead to the publication of aggregate and demographical data but will not result in the reporting of publication of any protected health information.
I understand that:
1. the BBB may re-disclose the information it receives and thus HIPAA or state law may no longer protect this information;
2. I may revoke this authorization by giving written notice to the BBB;
3. if I revoke this authorization, then the BBB will no longer be able to proceed with its efforts to assist me in resolving my complaint;
4. the authorization to disclose or use my information for non-research purposes expires upon the closing of my complaint;
5. a photocopy or facsimile of this authorization will be valid; and
6. my health care provider and health insurance plan may not condition treatment, payment, enrollment or eligibility for benefits on my signing of this authorization.
For _Connor Coode, minor
*** ********, mother__3/10/2025___
Signature Date
*** ******** for ****** *****, minor__
Name
Mother
____________________________________
Relationship (If the person signing the release is not the patient, please state the relationship to the patient)
PLEASE NOTE: All complainants 18 years or older must sign this authorization, unless they have a guardian, personal representative or are incapacitated. If so, the signer must submit written proof of his/her authority to act for the complainant. A parent or guardian must sign on behalf of a minor, except for an emancipated minor or where law allows a person under 18 to consent to health care treatment without the consent of a parent or guardian.Business Response
Date: 03/12/2025
Hello,
We take all concerns seriously and appreciate the response provided on 3//10/2025 however, in order to maintain patient privacy, we will need a signed copy of the ***** release. The previous correspondence did not include an actual signature of the patient (or in this instance, the patient's representative/parent).
Thank you.
Customer Answer
Date: 03/12/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Attached is the signed HIPAA.
Regards,
*** ********Business Response
Date: 03/12/2025
Thank you for providing the signed ***** Release Form.
Outreach was made to the account holder on 3/12/2025, to discuss concerns. We will continue to work with the individual for a mutual resolution.
Thank you.
Initial Complaint
Date:01/14/2025
Type: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.
There was an invoice mailed to my family members address in *** labeled to my name ***** ****. This was from a dermatologist that neither me or anyone in my family has been to or been associated with. I called their billing department and they are unable to verify anything but claim to have a signed receipt from an insurance card with the wrong date of birth on the day that they claimed to have provided 3 treatments for me.Business Response
Date: 01/20/2025
Hello - we take all concerns seriously and appreciate you bringing this matter to our attention. Please provide a signed copy of the ***** release that was offered and accepted on 1/14/2025 so we may respond accordingly. Thank you!Initial Complaint
Date:12/14/2024
Type: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.
My daughter had to have a procedure on 8/7/24. After the procedure, we received our EOB from our insurance company showing the the amount due of $514.96 had been paid by our ******** in full. A few days later I received a bill from Forefront showing that we still owed $514.96 after our insurance payment. I called the customer billing number and was put on hold for over 45 mins then at 5:00 pm they closed and I was hung up on. I called back the next day, sat on hold for almost 40 mins then a service *** answered. She could not understand the *** and said she would have to submit for review and that I should hear back from someone. I never received any communication until about 3 weeks later then I received another bill for the same amount. I called again, waited for 30 mins on hold then spoke to a lady who I explained the situation to and she said she could see where it had been submitted for review a month ago but nothing had been done. She also stated that she could see where it had been paid but nothing credited to the account. She reached out to the accounting department who told her to ask me to give them 4-6 more weeks before they could look at it. That was almost 7 weeks ago and today I received a collection notice from Forefront. I do not know how to reach anyone who can actually review my account and fix it. I have been patient and feel I have no choice to but to file a complaint and try to get this resolved.Business Response
Date: 01/02/2025
Hello - We take all concerns seriously and appreciate you bringing this matter to our attention. Please provide a signed copy of the ***** release form so we may respond accordingly. Thank you!Business Response
Date: 01/17/2025
Hello - we take all concerns seriously and appreciate you bringing this matter to our attention. Please provide a signed copy of the ***** release form so we may respond accordingly. Thank you!Business Response
Date: 01/31/2025
Hello,
We are working to connect with the customer who reported the concern to find a mutual resolution.
Thank you.
Initial Complaint
Date:10/14/2024
Type: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.
This company is trying to pull a fast one I am seeing I owe under $500 via my insurance portal this office sent me a refund for the last payment I made for $211 no explanation but want to send me a bill for $552.64 which does not reflect what my insurance states I owe them I am now receiving collections letters stating theyre threatening to send to my credit I am not paying for something that is not correct this company doesnt know what theyre doing first I call dont worry bill is being disputed we have escalated this yet letters continue coming I called the billing department today and the agent was calling out more numbers ! I need someone with a brain to contact me! The letter stated I will have to pay $150 to be seen again they can rest assured I will never make the mistake of going back to this company their incompetence is amazing !Business Response
Date: 11/07/2024
Thank you for bringing this concern to our attention. We take all reports seriously appreciate the awareness. Please provide a copy of the signed ***** release so we may respond accordingly. Thank you.Business Response
Date: 11/27/2024
Hello - We have been in contact with *********** and have discussed the details regarding the refund and billing statement with her.
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