SF Critical Care Medical Group, Inc

Initial Business Response /* (1000, 7, 2015/11/16) */
Patient's bill was submitted to both of her insurance carriers at the time the services were providedShe does not know which insurance is primary, so I submitted to bothOne applied the charges to her deductible, and she is responsible for
that balanceThe other never processed her claims, despite three calls from our office to the payor
Patient received statements from our office over the course of the two years, none of which came back for a bad addressOur office spoke to the patient on numerous occasions in about this bill, and she continued to say she doesn't know about her insurance
When she called in October to complain about the bill, I did tell her it was not going to be processed by her insurance carrier because it is so oldHowever, I did submit the bill to them and they denied the bill on XX-X-XX stating her coverage was not in effect on the Date of ServiceI also told her that I would put the account on hold with the collection agency, but that she should follow up with the insuranceShe did not know how to do that
I spoke to the collection agency about this on November 3rd and placed the account on a day hold while she attempts to resolve with her insurance She continues to email me and tell me to waive the feesShe has also filed a negative review on YelpShe never expressed dissatisfaction with the medical services until her account was referred to the collection agency, nor did she contact the physician to tell him that she was unhappy with her treatment
In short, we have given this patient the benefit of the doubt at every turn and have gone above and beyond our usual timeline for sending to collectionsIn our opinion, this person just doesn't like the answers (which are true) we provide and is looking to blame someone other than herself for poor follow up and poor payment planning
Initial Consumer Rebuttal /* (3000, 9, 2015/11/18) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Hello,
As their response proves, the billing department is unethical, uncaring and doesn't state facts I have told them repeatedly how to file the bill I have been seeing doctors, and every billing department knows how to file the bill correctly My review on Yelp was based on truth I have called the Drmany times to discuss the issues, but he has never called me back I stopped going to the Dr**, because his diagnosis and treatment were inaccurate (just like the billing department) I saw another and had to pay all over again; however, my condition was treated properly, and I am 100% happy with their billing department I feel strongly about this issue, and I will take it to small claims Revdex.com suggested middle ground; however, hanging up on patient or not calling the patient is not middle ground but unethical This should not happen to another patient
Final Business Response /* (4000, 11, 2015/12/04) */
This patients desired resolution on this account is for us to write off the remaining balance and remove this from the collection agency This is in no way "meeting in the middle" to resolve this
Our office billed her insurance and it was applied toward her annual deductibleShe signed a form when she came into the office on X-XX-XXXX that states in part "I understand that I am financially responsible for all charges whether or not paid by said insurance." The address that she put on the form is the address to which all statements were mailed
The original billed amount on this account was $Her responsibility is $We will not be waiving that
Final Consumer Response /* (4200, 14, 2015/12/13) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Hello,
The statement provided is not based on facts The original bill was paid by insurance
I wasn't treated and had to see another doctor for treatment I would be more than happy to provide my documents from the doctor that has been treating me, and my illness went treated I had tp pay the new doctor
The doctor needs to call me and waive this If I don't hear from the doctor, I will file a format complaint against the doctor I feel strongly about this These responses are from the billing department, and the doctor needs to be informed and respond

Initial Business Response /* (1000, 7, 2015/11/16) */
Patient's bill was submitted to both of her insurance carriers at the time the services were provided. She does not know which insurance is primary, so I submitted to both. One applied the charges to her deductible, and she is responsible for...

that balance. The other never processed her claims, despite three calls from our office to the payor.
Patient received 25 statements from our office over the course of the two years, none of which came back for a bad address. Our office spoke to the patient on numerous occasions in 2013 about this bill, and she continued to say she doesn't know about her insurance.
When she called in October 2015 to complain about the bill, I did tell her it was not going to be processed by her insurance carrier because it is so old. However, I did submit the bill to them and they denied the bill on XX-X-XX stating her coverage was not in effect on the Date of Service. I also told her that I would put the account on hold with the collection agency, but that she should follow up with the insurance. She did not know how to do that.
I spoke to the collection agency about this on November 3rd and placed the account on a 30 day hold while she attempts to resolve with her insurance. She continues to email me and tell me to waive the fees. She has also filed a negative review on Yelp. She never expressed dissatisfaction with the medical services until her account was referred to the collection agency, nor did she contact the physician to tell him that she was unhappy with her treatment.
In short, we have given this patient the benefit of the doubt at every turn and have gone above and beyond our usual timeline for sending to collections. In our opinion, this person just doesn't like the answers (which are true) we provide and is looking to blame someone other than herself for poor follow up and poor payment planning.
Initial Consumer Rebuttal /* (3000, 9, 2015/11/18) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Hello,
As their response proves, the billing department is unethical, uncaring and doesn't state facts. I have told them repeatedly how to file the bill. I have been seeing doctors, and every billing department knows how to file the bill correctly. My review on Yelp was based on truth. I have called the Dr. many times to discuss the issues, but he has never called me back. I stopped going to the Dr. **, because his diagnosis and treatment were inaccurate (just like the billing department). I saw another and had to pay all over again; however, my condition was treated properly, and I am 100% happy with their billing department. I feel strongly about this issue, and I will take it to small claims. Revdex.com suggested middle ground; however, hanging up on patient or not calling the patient is not middle ground but unethical. This should not happen to another patient.
Final Business Response /* (4000, 11, 2015/12/04) */
This patients desired resolution on this account is for us to write off the remaining balance and remove this from the collection agency. This is in no way "meeting in the middle" to resolve this.
Our office billed her insurance and it was applied toward her annual deductible. She signed a form when she came into the office on X-XX-XXXX that states in part "I understand that I am financially responsible for all charges whether or not paid by said insurance." The address that she put on the form is the address to which all 25 statements were mailed.
The original billed amount on this account was $638.00. Her responsibility is $165.33. We will not be waiving that.
Final Consumer Response /* (4200, 14, 2015/12/13) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Hello,
The statement provided is not based on facts. The original bill was paid by insurance.
I wasn't treated and had to see another doctor for treatment. I would be more than happy to provide my documents from the doctor that has been treating me, and my illness went treated. I had tp pay the new doctor.
The doctor needs to call me and waive this. If I don't hear from the doctor, I will file a format complaint against the doctor. I feel strongly about this. These responses are from the billing department, and the doctor needs to be informed and respond.