VibrantCare Rehabilitation, Inc.
Added by Reviewer1845511
Review: During 2012, approximately three-and-a-half years ago, I received physical therapy treatment from this company. Authorization for payment for services was covered through my medical insurance, [redacted].
During January 2016, I received a Demand for Payment letter from [redacted]), a bill collection agency, regarding unpaid bill/s from Vibrant Care for unpaid services during 2012. The problem with this is twofold:
1) Since completion of my treatment in 2012, I never received further bills from Vibrant Care for any outstanding co-payments, which would have been my responsible part of any bill, per the agreement [redacted], a Federal insurer, established with Vibrant Care.
2) Vibrant Care is actually violating their agreement with the insurance company as, per [redacted]'s written policy; "claims for current treatment must be filed within 365 days of the date of service."
During the course of two phone conversations with [redacted], Vibrant Care's California State Account representative, I was advised that there has been “glitches” in account records that may have resulted in forwarding of my past billing to the collection agency. During those two calls I requested [redacted] send me a letter to clarify this matter and to contact [redacted] to remove my account from the collection process. She assured me she would comply, but as of today, no action has been taken.
I have several p
Your company never notified me, either via written bill or verbally, that I had outstanding fees. Had I been notified by your company, I would have promptly paid any outstanding fees.
As of today, I have not heard back from either [redacted] or any other party from Vibrant Care. Since January 25th I also left two voicemails at her number without reply.Desired Settlement: Vibrant Care do the following:
1) Contact [redacted] and have my name and account removed from the collection process.
2) Ensure prompt removal of any delinquency that may have been reported by either Vibrant Care, and/or [redacted], to any credit reporting agency.
3) That that be removed as a party on this matter. Any outstanding fees to be collected should be taken up with [redacted] or taken on as a loss by Vibrant Care due to misfiling. Notify me in writing once complete.
Our records indicate that VibrantCare was in touch with Mr. [redacted] on 01/25/16, 02/12/16 and 02/16/16 regarding the balance due on his account. We have also been in contact with his insurance company multiple times in an effort to get the dates of service paid. We have pulled his account from collections, he should be getting a letter from PMS confirming this. We are still working with his insurance company to get them to cover their portion of the bill. The insurance company assigns a patient responsibility from each EOB (explanation of benefits) that VibrantCare receives with the payment for the date of service. The patient should also receive the EOB to let them know the claim has been paid. It appears that Mr. [redacted] was to pay $12.00 for each date of service.Since we are still working with his insurance company we will remain in touch with Mr. [redacted] until the situation is resolved. I will also follow up with the Revdex.com in regards to this complaint once we hear from his insurance company about any balance that is due from them.[redacted]
I am rejecting this response because: I received a letter yesterday from [redacted] that my account was pulled from collections. While I appreciate that gesture, the matter remains unresolved until Vibrant Care completely drops the matter. All bills for co-payments, which I received from Vibrant Care, were paid in full shortly after my receiving them in the mail and I can provide detailed bank statements from 2012 that provide a full accounting. Any further outstanding bills not yet rendered are due to Vibrant Care’s own negligence. My insurance company TRICARE requires that all claims be submitted no later than 1 year after the date the services were provided. Given that nearly four-years have elapsed since the time of this service, Vibrant Care stands accountable for their oversight and I should not be held accountable for any further co-payments which they failed to submit in a timely manner. I request that Vibrant Care drop this matter and provide me with written acknowledgement that such action has been taken.
Mr. [redacted] came to VibrantCare’s Pinole clinic between 09/12/2012 and 12/10/12 and was treated for two different diagnosis codes. From the beginning of his treatment VibrantCare has been in contact with [redacted] insurance regarding his treatment. VibrantCare has been working with [redacted] to make sure they pay the insurance portion due for services rendered. VibrantCare billed all charges timely and collected the portion of the services that [redacted] assigned to Mr. [redacted] as patient responsibility. VibrantCare will always work with our patient’s insurance companies to collect the insurance portion due. As I have stated in previous responses to Mr. [redacted]’s Revdex.com complaint his account was sent to collection because the insurance company did not pay for some of the services rendered. There are records in our accounts that indicate that VibrantCare was in contact with Mr. [redacted] over the years trying to resolve the outstanding balance due. When he contacted us after he received a letter from [redacted] we pulled the account from [redacted] and appealed the insurance denials with [redacted]. All of the patient responsibility has been applied to the account and Mr. [redacted] has been sent letters indicating the account was pulled from [redacted] and that at this time there is no patient responsibility for services rendered. If [redacted] pays the denied charges and assigns a patient responsibility then Mr. [redacted] will be notified from [redacted] via an EOB what that patient responsibility is. Our [redacted] supervisor has the account and is following up with the insurance company regularly until this is resolved. Both of Mr. [redacted]’s accounts have been updated to reflect the address and telephone number Mr. [redacted] has on his letters so we can keep in touch if anything changes. This matter will be finally resolved once we hear back from [redacted] regarding the appeal we have made on the claims that they did not pay.
I am rejecting this response because:While the respondent claims to have been in touch with me, I still have yet to receive any written documentation from their company. Therefore, Vibrant Care has still not complied with my request to provide me, directly from their company, written acknowledgement that I fulfilled my patient obligation and have no further responsibility on my part for collection of payment for past services. Whatever bills for outstanding services remain is between [redacted] and VibrantCare. If I do not receive this letter from VibrantCare within 7 days I will file a Letter of Grievance with [redacted]. Regards, [redacted]