Accessible Physician Home Care

| hope you receive this letter in best health, really appreciate for extending the time to respond to the complaint filed by Mr [redacted] ***Mr [redacted] came in on 3-03-to be seen for his auto accidentAt the time of service he had provided incomplete information of the accident caseWe request our auto accident patients to provide us with complete information of the insurance, Case Managers Name and contact information including phone and fax number along with the case numberHe had written a phone number, fax number and claim number on a pink sticky note that was scanned by our receptionistReceptionist had not entered any details from the sticky because she did not had Case Manager's informationThis caused the auto billing statement to be generated and mailed to Mr***.There are separate charges for services offered to different patients, for instance as the insurances have a set fee schedule and those insurances pay according to their fee schedule or they deny for a reason as per their guidelines, Regular medical coverage fees are different from Workman's Comp and Auto injury cases as the nature of these cases is entirely different: from how a claim is handled by a medical insuranceMedical insurances do not require extensive work hours to settle a case as we can submit those claims electronically and can verify the receipt of the claim by insurances as well as that expedites the payment process reducing the time it takes for the payment to be received, Average claim is paid by medical insurances between to days and mostly direct depositThis process really helps us to focus on health care services and be at the core of taking care of cur patients rather than getting too carried away by staying on the phone to resolve and keeping track of claims and payments as in the cases of Workman's Comp and Auto injury patientsWe are a small business trying to stick with the core value of taking care of our patients and adding value to their lifeWe ever, have implemented Virginia Prescription Monitoring Program to ensure Safe Prescription practices are followed especially considering the abuse of Narcotics PrescriptionsWe do charge worksman's comp and Auto injury cases differently due to the time it take to settle the case and so many times we end up writing off those claimsWe are even at a point evaluating these cases and may soon staff resorting these patients to other providersResolution: As soon as Mr [redacted] had called me about the statement he had received, I went through his records and explained him the reason he received the statement because we did not had sufficient information entered in the systemHe provided me with the contact information of the representative, and assured him that I will call Sandy C [redacted] and provide her with all of the informationI called Miss Sandy and faxed her all of the required paperwork to process this claim on 05/14/at 11:am, it is closed to a month and we have not heard anything back from ***'s representative as of 06/06/2015, I am not sure why Mr [redacted] is thinking what we are doing is criminal as he clearly understands different categories of services are rated differentlyI can also understated Mr***'s frustration with our staffMr [redacted] had convinced some of the staff members to buy his insurance package from [redacted] which was later rejected by roost of the staff members and he was quite upset about itIt seems like there was some confusion or what staff was actually anticipating and what they were getting in realityOnce again thank you so much for your help and co-ordination in this matterSincerely, SohaR***

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[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved]
Complaint: ***
I am
rejecting this response because:
There is no explanation about the phone call I received from the facility saying I'm no longer responsible for any further payment.If it was some kind of scam call, how would they know that I paid $the day before?If it was the real call from Accessible Physician Home Service, why they told me I'm not responsible for any further paymentDo they joke with their patients via phone?I made a call to *** *** again and associated claim (service on Jun 18, 2013) was received on Feb 2014, not Jun 2013.And there is something new I heard from UHC representative, the facility was joined to my health insurance network on Jun 20, This is because while other claims (all were after Jun 20, 2013) are paid fully but service on Jun 18, 2013.Before I get any service, I showed my insurance card to the front lady and if the facility was in network or notShe said they'll accept my insurance.At that time, they were actually not in network, but, they joined into the network days later.I can pay $copay that I didn't pay for one of my visitsThis is not because I didn't want to pay at that time, but because the doctor was asking front lady not to charge me at that day
Regards,
*** ***

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved]
Complaint: ***
I am rejecting this response because: This letter does not address the chief complaint of billing min of appointments for $1, The usual and customary amount via *** and *** are $to $ Their letter also brings forth my *** involvement Here, their employees back out of signing up because they are on probation and are not on the payroll.So, Now comes the main reason for my complaint, do you want people entrusted with the health system to not pay their employees (slaves) and send bills hoping that the person just pays the bill.Also, MrR*** claims he was not given the proper information, but while I was on hold while he says no information was given, I called Sandy C*** at *** who answered the phone and said R*** asking for information to pay the account.How did MrR*** have MsC*** number and case number if I did not furnish this information All the other health providers had no problems with the information I provided The main questions is simple Should one go to a medical clinic who tries to scam patients who desire honest medical care and not being charged outrageous rates.Please ask the owners to answer the question of the outrageous rate and how they treat their employees
Regards,
*** ***

[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 Administratively Resolved]
 Complaint: [redacted]
I am rejecting this response because: This letter does not address the chief complaint of billing 10 min of appointments for $1,7500.  The usual and customary amount via [redacted] and [redacted] are $500 to $600.  Their letter also brings forth my [redacted] involvement.  Here, their employees back out of signing up because they are on probation and are not on the payroll.
So, Now comes the main reason for my complaint, do you want people entrusted with the health system to not pay their employees (slaves) and send bills hoping that the person just pays the bill.
Also, Mr. R[redacted] claims he was not given the proper information, but while I was on hold while he says no information was given, I called Sandy C[redacted] at [redacted] who answered the phone and said R[redacted] asking for information to pay the account.
How did Mr. R[redacted] have Ms. C[redacted] number and case number if I did not furnish this information.  All the other health providers had no problems with the information I provided.  
The main questions is simple.  Should one go to a medical clinic who tries to scam patients who desire honest medical care and not being charged outrageous rates.
Please ask the owners to answer the question of the outrageous rate and how they treat their employees.
Regards,
[redacted]

| hope you receive this letter in best health, really appreciate for extending the time to respond to the complaint filed by Mr. [redacted].Mr [redacted] came in on 3-03-2015 to be seen for his auto accident. At the time of service he had provided incomplete information of the accident case. We request...

our auto accident patients to provide us with complete information of the insurance, Case Managers Name and contact information including phone and fax number along with the case number. He had written a phone number, fax number and claim number on a pink sticky note that was scanned by our receptionist. Receptionist had not entered any details from the sticky because she did not had Case Manager's information. This caused the auto billing statement to be generated and mailed to Mr. [redacted].There are separate charges for services offered to different patients, for instance as the insurances have a set fee schedule and those insurances pay according to their fee schedule or they deny for a reason as per their guidelines, Regular medical coverage fees are different from Workman's Comp and Auto injury cases as the nature of these cases is entirely different: from how a claim is handled by a medical insurance. Medical insurances do not require extensive work hours to settle a case as we can submit those claims electronically and can verify the receipt of the claim by insurances as well as that expedites the payment process reducing the time it takes for the payment to be received, Average claim is paid by medical insurances between 7 to 21 days and mostly direct deposit. This process really helps us to focus on health care services and be at the core of taking care of cur patients rather than getting too carried away by staying on the phone to resolve and keeping track of claims and payments as in the cases of Workman's Comp and Auto injury patients.We are a small business trying to stick with the core value of taking care of our patients and adding value to their life. We ever, have implemented Virginia Prescription Monitoring Program to ensure Safe Prescription practices are followed especially considering the abuse of Narcotics Prescriptions.We do charge worksman's comp and Auto injury cases differently due to the time it take to settle the case and so many times we end up writing off those claims. We are even at a point evaluating these cases and may soon staff resorting these patients to other providers.Resolution: As soon as Mr [redacted] had called me about the statement he had received, I went through his records and explained him the reason he received the statement because we did not had sufficient information entered in the system. He provided me with the contact information of the representative, and assured him that I will call Sandy C[redacted] and provide her with all of the information. I called Miss Sandy and faxed her all of the required paperwork to process this claim on 05/14/2015 at 11:40 am, it is closed to a month and we have not heard anything back from [redacted]'s representative as of 06/06/2015, I am not sure why Mr. [redacted] is thinking what we are doing is criminal as he clearly understands different categories of services are rated differently.I can also understated Mr. [redacted]'s frustration with our staff. Mr. [redacted] had convinced some of the staff members to buy his insurance package from [redacted] which was later rejected by roost of the staff members and he was quite upset about it. It seems like there was some confusion or what staff was actually anticipating and what they were getting in reality.Once again thank you so much for your help and co-ordination in this matter.Sincerely,Sohaja R[redacted]

| hope you receive this letter in best health, really appreciate for extending the time to respond to the complaint filed by Mr. [redacted].
Mr [redacted] came in on 3-03-2015 to be seen for his auto accident. At the time of service he had provided incomplete information of the accident case. We...

request our auto accident patients to provide us with complete information of the insurance, Case Managers Name and contact information including phone and fax number along with the case number. He had written a phone number, fax number and claim number on a pink sticky note that was scanned by our receptionist. Receptionist had not entered any details from the sticky because she did not had Case Manager's information. This caused the auto billing statement to be generated and mailed to Mr. [redacted].There are separate charges for services offered to different patients, for instance as the insurances have a set fee schedule and those insurances pay according to their fee schedule or they deny for a reason as per their guidelines, Regular medical coverage fees are different from Workman's Comp and Auto injury cases as the nature of these cases is entirely different: from how a claim is handled by a medical insurance. Medical insurances do not require extensive work hours to settle a case as we can submit those claims electronically and can verify the receipt of the claim by insurances as well as that expedites the payment process reducing the time it takes for the payment to be received, Average claim is paid by medical insurances between 7 to 21 days and mostly direct deposit. This process really helps us to focus on health care services and be at the core of taking care of cur patients rather than getting too carried away by staying on the phone to resolve and keeping track of claims and payments as in the cases of Workman's Comp and Auto injury patients.
We are a small business trying to stick with the core value of taking care of our patients and adding value to their life. We ever, have implemented Virginia Prescription Monitoring Program to ensure Safe Prescription practices are followed especially considering the abuse of Narcotics Prescriptions.
We do charge worksman's comp and Auto injury cases differently due to the time it take to settle the case and so many times we end up writing off those claims. We are even at a point evaluating these cases and may soon staff resorting these patients to other providers.
Resolution: As soon as Mr [redacted] had called me about the statement he had received, I went through his records and explained him the reason he received the statement because we did not had sufficient information entered in the system. He provided me with the contact information of the representative, and assured him that I will call Sandy C[redacted] and provide her with all of the information. I called Miss Sandy and faxed her all of the required paperwork to process this claim on 05/14/2015 at 11:40 am, it is closed to a month and we have not heard anything back from [redacted]'s representative as of 06/06/2015, I am not sure why Mr. [redacted] is thinking what we are doing is criminal as he clearly understands different categories of services are rated differently.
I can also understated Mr. [redacted]'s frustration with our staff. Mr. [redacted] had convinced some of the staff members to buy his insurance package from [redacted] which was later rejected by roost of the staff members and he was quite upset about it. It seems like there was some confusion or what staff was actually anticipating and what they were getting in reality.
Once again thank you so much for your help and co-ordination in this matter.
Sincerely,
Sohaja R[redacted]

Review: I've been there about 4-5 times last year. It only took less than 5 minutes for some visits. At that time I had different health insurance. For some reason, they filed 2 of my visit claims (total of $770) this year (after 01.01.2014) so insurance denied to pay because they filed late. And I was keep receiving those bills. Total I have to pay was about $200 (after adjustment, what I remember) After I paid $100, I received a call from them. What they told me was they won't send me any bill again, whatever balance I have will be zeroed, and they had serious issue with their accounting system and there are hundreds of patients like me. And I said OK and trashed all bills received from them thinking it is all done. But yesterday I received a bill from them again, due is $197. It made me upset. I believe that it is their mistake that they didn't file it on time.Desired Settlement: I think my account with them should be closed and I shouldn't receive any more bills from them. I even think that $100 I paid should be refunded. Because they filed my claim one year late and that's why insurance denied to pay for it. All my other visits were fully paid by insurance.

Business

Response:

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Consumer

Response:

[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 Administratively Resolved]

Review: [redacted]

I am rejecting this response because:

There is no explanation about the phone call I received from the facility saying I'm no longer responsible for any further payment.If it was some kind of scam call, how would they know that I paid $100 the day before?If it was the real call from Accessible Physician Home Service, why they told me I'm not responsible for any further payment. Do they joke with their patients via phone?I made a call to [redacted] again and associated claim (service on Jun 18, 2013) was received on Feb 2014, not Jun 2013.And there is something new I heard from UHC representative, the facility was joined to my health insurance network on Jun 20, 2013. This is because while other claims (all were after Jun 20, 2013) are paid fully but service on Jun 18, 2013.Before I get any service, I showed my insurance card to the front lady and if the facility was in network or not. She said they'll accept my insurance.At that time, they were actually not in network, but, they joined into the network 2 days later.I can pay $25 copay that I didn't pay for one of my visits. This is not because I didn't want to pay at that time, but because the doctor was asking front lady not to charge me at that day.

Regards,