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Camelot Chiropractic Centre, Inc.

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Reviews Camelot Chiropractic Centre, Inc.

Camelot Chiropractic Centre, Inc. Reviews (1)

Insurance was never billed and my account was sent to collectionsMy final bills from this office were never submitted to my health insurance company. Despite the fact that I had requested this on several occasions. Their response was "it's not covered". I then received a collection letter. I immediately disputed that, called the Dr's office and again requested that the bill be submitted to my insurance. I also called my insurance company and they even called the Dr's office weekly for several months to request the bill be submitted. The insurance representative informed them of the deadline to submit. My insurance representative informed me that this was a covered service. In addition to the covered service I also have a health reimbursement account that pays any difference in coverage with plenty of funds in that account to pay this. I was informed by Blue Cross/Blue Shield that I was covered for 26 chiropractic visits per year and I had only used 6. Despite our calls, the bill was not submitted in the allowed time. It was however submitted 2 weeks after the 12 month billing time and rejected for that. I was told by the insurance representative to file a dispute with Blue Cross/Blue Shield stating the circumstance. I recently received the notice that the rejection stood because the bill was not submitted in a timely manner from the provider NOT because the service wasn't covered. I was also informed that an In-Network provider is required to submit the bill within 30 days of service. (This medical office is an In-Network provider.) Clearly that was not done. Had this been submitted and rejected from my insurance company as a non-covered service, I would have gladly paid my debt. But I pay far too much in insurance premiums to have to pay insurance and medical bills that should be covered.Desired SettlementI want this removed from my credit report immediately.Business Response Thank you for the opportunity for response in this case. We continually strive to improve communication and pride ourselves on the relationships we have developed with our patients. We have decided not to pursue this balance any further and will contact the patient directly that there is no balance due on the account.For explanation and historical record, all 2014 dates of service that were eligible for insurance coverage were sent and covered by BCBS accordingly. One visit (4/8/2014) that missed our filing deadline was written off her account and NO portion of it was charged to the patient. The $157 balance was from supportive care visits that are not covered by her insurance plan. The patient was made aware of this at the time of the visit when the care plan was presented and signed. Although patients find supportive care important to them, BCBS does not provide coverage. This means it does not allow access to the HRA funds to help payment either, unfortunately. Furthermore, BCBS corporate policy dictates supportive care visits are not to be filed for insurance coverage.Five separate statements were sent and three phone calls were made to the patient. This was all done prior to being referred to an outside company for collection. There was no contact from the patient until after she was contacted by the collection company. Another phone call to BCBS, made on behalf of the patient, confirmed that her plan does not cover supportive care. My office submitted the supportive care visits at the patient insistence at that time. They were denied with reference to maintenance/supportive care not being covered.Once again, thank you for the opportunity for response in this case and we will contact the patient directly to alert her there is no balance due on the account.Consumer Response In response to the above; I did receive statements from the provider and I called them on several occasions and asked them to submit the claim to my insurance company. I never received the 3 calls they are referring to, I CALLED THEM! Each time asking to submit. I understand that they are saying that BCBS does not pay for supportive care, however when I called my insurance company they stated each time that I had 26 visits per year and it does not say that it will not cover supportive care. Therefore the only way to know it would not be covered would be to have it submitted and rejected.As I stated in my first complaint, I called AND my BCBS caseworker repeatedly called the provider requesting it be submitted before the timely filing deadline passed. They did NOT submit it prior to that date as requested and as the provider stated above "My office submitted the supportive care visits at the patient insistence at that time. They were denied with reference to maintenance/supportive care not being covered". The appeal letter I have received from Blue Cross Blue Shield Case [redacted] states it was denied due to Timely Filing. The letter reads, " Claims received past the filing time limit cannot be processed for payment" I am sorry that it has come to this, I received great care from the provider and am very distraught that this had to be resolved in this fashion. Had they submitted it initially and it was denied, I undoubtedly would have paid for the service I owed. I am happy with this resolution to have it removed from my credit report. Final Consumer Response

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Description: Chiropractors D.C.

Address: 4023 Village Park Dr, Knightdale, North Carolina, United States, 27545-7044

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