Advanced Pain Management, S.C.

The patient was seen in our Burlington office and at that visit was scheduled for a urine drug screen per policy. The patient signed the release that clearly stated responsibility is the patients should insurance not cover the expense. The CDC Guidelines call for routine unscheduled urine samples...

to verify compliance with the medication regime the patient is currently on. Unfortunately the patients insurance does not cover that particular test. Specific examinations and evaluations carry different coding and charge amounts. We have audited all charges for the visits in question and find the coding and charging to be correct.

[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.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Regards,
 
[redacted]

[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.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]

Review: As a [redacted] dealing with chronic/degenerative pain issues in both legs and back I was referred by my family Physician to 'Pain Centers of Wisconsin - Appleton'

After receiving many epidural steroid injections for back and leg pain over a three year period at '[redacted]' things were going fairly ok and I was receiving some pain reduction.

The witnessed billing problems started to surface after 'Pain Centers of Wisconsin - Appleton' Decided to move into a new building and to my understanding it would then allow the Doctors to give the injections in that new location now as opposed to only having the procedures done at [redacted] where I had been getting all of my injections done.

Before they had moved to their new location I was only asked to pay the $40.00 dollar co-pay . I Never Had to Pay any other monies for injections.

Now after they are in their new location and they are giving injections in house they have been starting to bill me the customary $40.00 Doctor co-pay PLUS they are now also Billing me $175.00 for having the injections done in their NEW facility.

I talked to one of the triage nurses there named Sue and she said NO that is not supposed to be billed like that and if I had gone to [redacted] to get the injection done there I would never have had that charge of $175.00.

I have since been billed the $175.00 three separate times now for three separate injections for a grand total of $525.00

I have no problems paying bills that I am responsible for but I was NOT told that now that they are in their new building I was going to have that $175.00 co pay.

I feel it was the Doctors office responsibility to inform me of any NEW charges to ANY CO-PAYS before you have a procedure done and not three months after the procedure has already been done.

IF I had known in advance I was going to be charged the $525.00 for these routine injections I would have REFUSED services and would have made other arrangements.

I have called their billing offices many times to get this worked out and have been verbally abused and told that I probly didn't really even need injections and that it was just all in my head and then the person HUNG UP ON ME. Are you kidding me, I have stacks and stacks of medical records and m.r.i. reports have had three lower back surgeries to date.

This office is very UN-Professional and I will not stand for being treated this way.Desired Settlement: This office has already ruined my credit rating. They have even dropped me as their patient which is illegal without following proper American Medical Associations Ethical prodecures..

I Demand That the bill for $525.00 be wiped clean. and taken off of my credit report.

Thank You, [redacted].

Business

Response:

APM Response:

We apologize that Mr. [redacted] was not satisfied with the

treatments he received. I have done a thorough investigation of the complaint

including talking with the insurance carrier representative who also agreed to

work with Mr. [redacted] to clear up some confusion regarding his policy and the coverage’s

he had at the various times of service. We cannot speak to the issue of Appleton

Medical Center but can

comment that the patient co-pay responsibility, according to the insurance

policy, was in effect at that time also. Whether or not [redacted]

chose to collect those amounts is entirely

their decision. Mr. [redacted] received

services at Pain Centers of Wisconsin-Appleton which is a free standing

Ambulatory surgery center. The co-pay requirements under Mr. [redacted]’s policy

may be different for an Ambulatory surgery center as opposed to having a

procedure completed at a hospital. The

facility followed all procedures required by our contract with Mr. [redacted]’s insurance

carrier [redacted]. The representative from [redacted] also stated she would be available to review

with Mr. [redacted] his “Evidence of Coverage” brochure provided by Network

Platinum Plus to all insured patients outlining the patient

responsibility. Mr. [redacted] can call the

billing office to discuss a payment plan

option for his remaining balance. We are

sorry that there was confusion regarding his financial requirements at this

place of service. Pain Centers of

Wisconsin-Appleton is not affiliated with [redacted] and obviously are treated differently by the

benefit plan of Mr. [redacted]’s carrier.

Review: In May of 2010 I had a pain pump put in by APM Sheboygan. The pump needs a medication refill every 2-3 months. For the first year and a half I was only billed my copay. I have medicare along with an advantage plan from [redacted]. In Jan 2013 I received a bill from APM for a pump fill in May 2012 I contacted APM numerous times & always got we will look into it. In May of 2013 I started receiving more bills from APM for the prior year. After leaving many message's for APM I contacted [redacted] for help in getting this resolved. Also on the bills the amount billed for the same procedure(pump fill) would vary from $40-$170. Network health tried for several months & in mid Sept 2013 Network health informed me they could get nowhere with APM & could not help me. APM makes robotic calls to me on evenings & weekends telling me I now owe over $700, it gives an option of leaving a message for a call back. I have left 16 message's in the past several months & none have been returned. The last statement I got from APM was at least two months ago with a balance around $260. I have also left message's on their web page. According to the Revdex.com site APM has numerous complaints similar to mine.Desired Settlement: I would like to find out why I am now being billed for procedures over a year ago. Why the amount is always different for the same procedure. Why was I never billed for the first year and a half. How do they expect me to suddenly come up with money for all these back charges. How long can they go back & bill when it was their mistake in the first place.

Business

Response:

On Nov 11,2015 my husband went to see a pain specialist for his lower back. I went in with him to over the recommendations. The nurse asked some questions and took his blood pressure. When the doctor entered, he asked a few questions, poked him in two spots and told him he had bursitis. He recommended a shot. He left and the nurse returned. Gave him some papers and that was the end. We went to the desk to set up an appointment for the shot. She informed us that we would get a call from he Milwaukee office for the appointment. On Nov 30th we received a bill of $491.00 for that appointment. They had not called us yet to set up the next appointment. On Dec 1st the called to set up the appointment. We refused it because of the cost.

Review: I went to ADVANCED PAIN MANAGEMENT FOR CORTISONE INJECTIONS. I CHECKED TO MAKE SURE THEY WERE IN NETWORK FOR MY INSURANCE AND THEY WERE. I HAD 2 BEFORE MY SURGERY, ONE IN FRANKLIN,WI. WITH A DR. [redacted]. IT WAS PAID BY MY INSURANCE. I CALLED FOR THE SECOND INJECTION AND THEY SAID HE DIDN'T HAVE ANY APPOINTMENTS AVAILABLE IN THE 2 WEEK TIME THEY WANTED IT DONE. THE PERSON TOLD ME I COULD GO TO THEIR LOCATION IN WEST BEND WITH A DR. [redacted]. I MADE THE APPOINTMENT AND HAD THE SECOND INJECTION. THEY BILLED IT UNDER A DIFFERENT NAME (PAIN CENTERS OF WISCONSIN). NOW MY INSURANCE WON'T PAY AS THAT NAME IS OUT OF NETWORK. I HAD THIS DONE THE FIRST PART OF JULY. I HAVE CALLED AND COMPLAINED MANY MANY TIMES AND THEY KEEP TELLING ITS BEING CHANGED SO IT'S IN NETWORK. WHEN I CALLED THEY EVEN ANSWER THE PHONE ADVANCED PAIN MANAGEMENT! WELL TODAY I GOT A FINAL NOTICE FROM THEM SAYING IT WILL BE TURNED OVER TO A COLLECTION AGENCY IN 10 DAYS IF NOT PAID. I AM AT A LOSS AS TO WHAT TO DO NEXT, IT'S IN THE AMOUNT OF $707.90. THIS IS REALLY OUT OF LINE AS I WENT TO ADVANCED PAIN MANAGEMENT, NOT PAIN CENTERS OF WISCONSIN. HOW CAN THEY JUST DO THIS AND RIP PEOPLE OFF? PLEASE HELP. THANK YOU [redacted]Desired Settlement: I want them to change the billing to ADVANCED PAIN MANAGEMENT SO MY INSURANCE COMPANY WILL PAY AS THEY SHOULD. I DIDN'T CALL THIS OTHER PLACE AT ALL, I CALLED ADVANCED PAIN MANAGEMENT AND THAT'S HOW IT SHOULD BE SENT TO MY INSURANCE COMPANY SO THEY WILL PAY FOR IT. When I call them they say they are doing it but obviously they aren't.

Business

Response:

Case

# [redacted]

Review: I have received false statements, billing notices, and threats from this company regarding what they consider to be unpaid invoices. I have specific conversation notes with several different people in their billing department telling me that "no more is due" on invoices. I then receive new statements with hundreds of dollars stated as due. I've spoken with :

[redacted] on 3/31/14

[redacted] on 5/2/14

[redacted] on 6/2/14

I paid every amount due as presented to me. I continue to receive statements of more $$ due. No one can explain to me why this continuesDesired Settlement: I have paid every amount due as presented to me. I do not want any more statements. I do not owe them any more $$.

Business

Response:

I was a patient with [redacted] out of Advanced Pain Management in Appleton for a year in 2013-2014. My first issue is the PA's there are very rude and physical. The [redacted] shoved my fiance literally towards a door and has been very mean and in professional through out my whole experience. Then there is [redacted] another PA who has no remorse or heart. All he said he cared about was his licence for the next 15 years and rolled his eyes at me as I was bawling in pain with my fiance as witness! He is a very selfish man and very lazy as he's like 300 pounds and only likes to sit on his [redacted] and do nothing for his patients! [redacted] is a useless pain doctor as is his physicians assistants. They over book,average appointment is 3 hours and they do nothing to help pain. All Advanced Pain Management does is push and push pills on their patients! I was given a medication that causes bleeding in my stomach with my condition,but [redacted] the PA didn't even review my medical records to see that I couldn't take the medicine. Very un professional business and very rude and lazy employees! Stay away from any Advanced Pain Management or [redacted] from Appleton. They all are pill pushers and don't care about their patients!! I'm in a lot of pain and in process of suing advanced pain for malpractice!!

Review: I received a statement dated 7-5-13 saying I had a balance of $69.07

I called Adv. Pain Mgt. on 7-17-13 and talked to [redacted]..first he told me there was insurance pending, then he said Adv. pain mgt. sent money back to the Insurance company (Physicians Plus) and that I owed. I called Physicians Plus and spoke to [redacted]. She told me a payment of $135.47 was sent to Adv. Pain Mgt. and that I did not need to pay a copayment ($20) which I did on the date of service. Adv. Pain Mgt. is a network facility and they accept the Insurance payment and then adjust the difference. I do not owe any money. I called Adv. Pain Mgt. back and asked [redacted] for his supervisor..he told me it was Lori and that she was on a conference call but would call back. I gave him my work phone number. I have not heard from her.

Until 7-7-13 I did not receive any statement from Advance Pain Management.Desired Settlement: I do not owe any money to Advance pain Mangement and expect reimbursement for $20 that I paid on the day of service 11-8-11.

Business

Response:

Advanced

Pain Management Reply:

Review: My daughter was having a series of expensive procedures done. When the last one came up, she didn't want to pay anymore out-of-pocket a I had her call the Dr's office to ask if the procedure would be paid out-of-pocket or would it go to deductible. She was told our deductible was met and it would not be out-of-pocket. She called three times to verify. Shortly after she decided to go forward with the procedure, she received a bill for it because the deductible had not been been.

While pursuing this with Advanced Pain Management, they initially said they found the recorded phone calls where they told her it would not be out-of-pocket. However, as of now, they can't find the calls.

Advanced Pain Management also sent part of her bill to a collection agency after my daughter had already set up a payment plan.Desired Settlement: We agreed to pay for the initial procedures and there is a payment plan in place to do so. I want a billing adjustment of $2,504.00 which is the cost of the procedures that we decided to have performed because we were told it would not be out-of-pocket.

Business

Response:

Advanced Pain Management has done an exhaustive review of

all telephone communication and written communication regarding this incident.

Although no clear evidence of the calls mentioned could be found enough

evidence was found that could have caused the patient to misunderstand the

communications. Based on that possibility Advanced Pain Management and Pain

Centers of Wisconsin Green Bay will make

a onetime adjustment and reverse all charges for the procedures done on

July 30, 2014 and August 8, 2014.

Review: I was being billed incorrectly for approximately 2 years. When I discovered the problem, I phoned and emailed the company numerous times during a 1 1/2 month period, and they finally admitted they owed me $45.69. I was sent an email stating I would receive the refund check by October 6. I have yet to receive the refund. This has been a cat and mouse game with this company for 2 1/2 months at this point.Desired Settlement: I would like the company to send me the refund of $45.69 immediately, as they stated they would have it to me by October 6.

Business

Response:

Revdex.com Case # [redacted]

replyAdvanced Pain Management has done a thorough review of all

the issues Ms. [redacted] raises. First I would like to apologize for all the calls

and communication problems Ms. [redacted] encountered. We have looked into those issues and continue

to strive to provide better service. APM has reprocessed all claims and have adjusted all the

accounts mentioned in the complaint. After receiving confirmation from the

numerous carriers and their representatives, which took an inordinate amount of

time, APM has processed the refund of $39.69. This was the refund amount left

after all the co-pays and co-insurance obligations, according to the insurance

carrier’s contracts, were met.This check was sent to Ms. [redacted] the week of November 2,

2015. Please accept APM’s deepest apologies for this problem.

Business

Response:

[redacted] was owed $3 for service provided 9/8/2015, this transaction occurred 10/30/2015. $3 was owwed to [redacted] for service provided on 7/29/2015, this transaction occurred 9/22/2015.

Consumer

Response:

[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.]

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.

Regards,

Hello,
This facility is employing very incompetent and hostile employees. Nurse [redacted] (in my opinion) has no place in any kind of medical facility. I have never ever experienced someone in any medical facility who impacted my experience so negatively. I felt very judged (and for no reason) immediately. The supervisor called me and did, in fact, state that nurse [redacted] thought I was seeking pain medication. I was seeking relief of any kind from the relentless pain I experience on a daily basis. I am not a drug addict or pill abuser. This nurse [redacted] has no right to judge me or anyone else. Although I was seen twice by this individual, I left both times feeling worse than before my visits. Nurse [redacted] advised me to go back to my primary care physician. How "advanced" is that? I wish I would have saved my precious energy, strength, time and money as I would have been far better off going to Walgreens and getting some otc NSAIDs. This nurse has no business working in this field. In my honest opinion she has a sociopathic "God like" complex and will decide who should feel better and who she wants to waste their time and give them the run around. I am extremely disappointed with her lack of professionalism, empathy and incompetence. The supervisor who called me back in regards to my complaint was the same way.

Review: I was charged for 2 no shows in Nov 2015 after I was no longer a patient from Oct 2015. I cancelled the appointments and contacted them numerous times. For over 5 months I never received an invoice or statement thinking it was taken care of. A few weeks ago I received 9 statements and 3 letters threatening to go to collections because of this $50 balance. I contacted them but they never sent me a letter to confirm the adjustment. Last week I received another statement so before it goes to collection and/or ruin my credit I paid off the balance. Their communication is terrible and they believe whatever the nurses and staff say instead of the patient.Desired Settlement: I want an apology letter and my $50 refunded to me for the 2 no shows that was cancelled in Oct 2015 for Nov 2015 appointments and to have them investigate why the billing statements error that I received over 12 letters in the mail within a 4 days time frame.

Business

Response:

We done a complete review of the complaint and apologize for the inconvenience of the episodes. The billing company experienced a system breakdown and before it was remedied numerous statements went out to several patients. That has been repaired. The cancelled appointment fees are auto generated and as soon as the patient notified us we began the refund process. The refund should be arriving to the patient before mid-June.

Consumer

Response:

[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.]

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.

Regards,

Review: I was seeing Dr [redacted] at the time, I needed an appointment for a refill on my meds. I called and could not get in to see Dr. [redacted] for a couple months, so they wanted to schedule me with this new guy [redacted] or [redacted] not sure of the last name. Apparently he was a new PA for Dr [redacted]. Speaking with the receptionist on the phone I stated I will only see him if he is covered under my insurances network. She put me on hold to check and said that that as long as Dr [redacted] was in the office it would be, and that he would be in the office so it would be covered in my network. I said okay, I guess I will see him then. So I go to my appointment and see this guy on 7/02/14. Towards the end of my appointment this women walks in and sits down. I asked this PA if I was going to be billed under my insurances network for seeing him, he says that's why she is here. She is going to sign off so it is (She being [redacted]) she confirmed what he said. So this is three different people that have told me this appointment was going to be billed in my insurances network.

A couple weeks later I get my explanation of benefits from my insurance company and it was billed out of network. I called Advanced Pain Management (APM) billing # to let them know I was being billed incorrectly and was told they would correct it. A month or so later I get a bill from APM for the amount of $154.28. Now keep in mind my deductible has been met for awhile, When I saw Dr [redacted] on 5/28/14 I was billed $29.63 vs. the $154.28 I was billed for the exact same thing by this guy that was supposedly going to be covered like seeing Dr [redacted].(Medical Examination) per my explanation of benefits. I made at least twenty different phone calls to correct this and each time I am told we will get this fixed they have an email in to them man in charge just have to wait for him. Every time I am told yes I see you have called I will send so and so another email to expedite this and get it resolved. When I ask to speak to a supervisor I am always put on hold and then told I'm sorry [redacted] is in a meeting right now, they will call you back, it may take a couple days. Never once have I received a call back even though I leave my number every time and ask for a call back from a supervisor.

This is absolutely ridiculous I have been trying to get this resolved since July and it is now February. I still keep getting a bill every month for $154.28. This is a difference of $124.65! I would not have been a patient at APM for as long as I had if the Dr wrote the letter of medical necessity that he was supposed to, I had to chase after them for months on this as well to see if a specific procedure would be covered by my insurance, but that is whole different nightmare with this place!

Had this been adjusted accordingly it would have been paid long ago just like all the other bills from them.Desired Settlement: I expect to be billed as promised which would be $29.63 had my appointment been with the Dr [redacted]. I was told it would be covered just the same and it wasn't.

Business

Response:

After a thorough review and working with the involved

insurance carrier it has been determined that the patient is owed a refund of

$124.06 which will be processed immediately. APM apologizes for the

miscommunication with the patient and the insurance carrier.

I am a patient with APM. I feel strongly that my doctor started with the most invasive (spinal nerve block-most expensive as well) procedure for knee pain. I finally ended up with simple knee inj. that helps tremendously.

This organizations is so unorganized-so un professional at times. The head does not know what the tail is doing. They tell me to come for an appt. and insure me it is upstairs, then I get there and they're like -no-it's downstairs. That happens regularly. Also, the doctor says I'll see you in 3 months and then they tell you, you can't get a refill on your meds. unless you're seen every two months (why doesn't the doctor know this. He is so busy, it is often an hour past your appt. time and then he's so rushed, he doesn't even ask if you need refill or tell you when to be seen again When you call with a problem, they don't call back or have some strange excuse three days later. They also keep forgetting to bill my secondary ins. so it's constant bills and me taking time to call them to get it rectified! They have helped my pain through a long, drawn out, expensive time period, but they are so frustrating it's unbelievable.

When I started at this clinic I could barely walk and sleep for more than 2/3 hours never happened. I had undergone surgery on my neck 8 months prior that was “supposed” to take away all of my pain. But at 35 years old I could barely move and was devastated. After meeting with the Dr. I was then assigned to one of his PA’s, and she is absolutely amazing. She listens, cares and is very understanding. The first couple of months was rough as they wanted to try some different meds but I was very allergic. Finally we found the right meds at the right dose and I am a completely different person than I was 6 months ago.
The front office staff is always courteous and helpful, I love speaking with them. My PA has saved my life and her nurse is amazing. They know my name, my partners name, my pain and my fears. They have not judged me or put me in the position to have to beg for pain relief.
APM does have rules but as a legitimate chronic pain patient, these rules are easy to follow. But I still ask for clarification as often as I need it. I am also a disabled Vet and they have always treated me with the upmost respect. I know there are some bad reviews on here and I only have experience with two of the providers and one nurse, but my care is top notch and I am very happy that I chose this clinic for help in managing my pain. **

Review: I started visits at Advanced Pain Management in Appleton on 2-5-15. On my second visit it was suggested that I have epidural spine injection performed. Before leaving the office on that day, I scheduled my appointment. I received a full size sheet of paper with the words Advanced Pain Management at the top. On this piece of paper it states my name, the date and time of procedure along with other information that didn't pertain to me or my procedure. On or about April 11, 2015 I logged into my health insurance website to see if the claim came through for the 4-2-15 procedure. Upon logging in there were 2 claims for that date of service. One was from Pain Centers of Wisconsin and the other for the Doctor himself. Once I clicked on the explanation of benefits I could see what was covered and what was not and also what my portion of the bill was. At this point I discovered that Pain Centers of Wisconsin was considered "out-of-network" for my insurance. When something is billed out-of-network, that has a whole separate deductible. So over the next few weeks, I made some phone calls to my insurance company as well as Advanced Pain Management. My insurance company verified that in deed Pain Centers of Wisconsin was out-of-network and that there was nothing they could do because that is the way it was billed. So again I called Advanced Pain Management to see if they could help me. Not sure who I spoke with, but they told me to ask my insurance company, "Where was the doctor suppose to do the procedure, in my back yard?" At this point, the person said they would look into it for me. I then proceeded to call my insurance company back and ask them the question state above. The women on the other end didn't know what to say. She apologized and said they have to go by the claim that came in. I explained to her that I had no idea that it was going to be billed differently. As when you walk in, you registrar at the same desk and talk to the same people. Again she apologized and said I should call Advanced Pain Management. Over the next several months I tried getting this issue take care of. I was working with [redacted] , who worked in Risk Management of Advanced Pain Management. He told me that I was not the only one this was happening to and that they would be suspending all my billing until further notice. I don't remember the exact dates that I spoke with him over a several month period doing follow up calls with him. On August 18, 2015 was the last call I had with him. I stated to him that I wanted to get this taken care of before it got sent to collections or something. His response was, "Your billing should have been suspended and you shouldn't be receiving any bills." I told him I hadn't received any bills. He then proceeded to tell me, "Don't worry about it." So I left it at that. Then on 3-18-16 I received a phone call from someone at Advanced Pain Management stating that the decisions was not going to be reversed....as I believe those were the words she said. She then went on to say that my billing was being reinstated and she was wanting to set up a payment plan with me. I told her, " I was not setting up a payment plan and I wanted to file a grievance." I then went on to ask her, "How and who do I file with?" She said she would send out a statement and all the information would be on it. Upon receiving this statement, it was mailed to me in an Advanced Pain Management envelope. So I sent this exact information as I am stating here, in a letter, along with a copy of the piece of paper that was given to me with procedure date and time. I also indicated in my letter of grievance and now, that I was given NO indication verbally or on paper that the procedure was going to be performed and/or billed by Pain Centers of Wisconsin. Had I been given this information, I surely would have made sure that it was going to be IN NETWORK. Because of this, I have had to now seek treatment elsewhere, because I couldn't have anymore procedures done, even though it was made clear that I needed further procedures done. I was also told that he was working on getting credentials to practice at a hospital in Appleton. I also indicated in my letter, that I am not sure what the time frame is for filing claims with insurance companies, as I did bring that up with Steve as well. I have high deductibles and high out of pocket expenses and simply can't afford to pay separate ones of "in network" and "out of network". In closing of my grievance letter I stated all I was asking is that they bill it so that is is covered as "IN NETWORK" I also stated I look forward to their response. I mailed my letter dated 3-26-16 on 3-28-16, to the address listed on my Pain Centers of Wisconsin-Appleton billing. On the envelope I put att: Grievance Department. On 4-11-16 I had not heard anything from them. I called the phone number listed on my Pain Centers of Wisconsin-Appleton. I spoke with [redacted] in patient accounts. She said it didn't look like they received my letter but would check into it and give me a call back. On 4-21-16 I called again and spoke with [redacted]. She indicated that she sent an email to [redacted] in compliance on 4-15-16 to see if my grievance was received. [redacted] indicated that [redacted] had not responded to her email and that she was re sending the email as we spoke. I also at this point asked for a phone number for [redacted]. On 4-28-16 I called and left a message with [redacted]. I waited most of the day and did not hear back. I proceeded to call again and spoke with [redacted]. I told her that I left a voice message for [redacted] and she had not returned my phone call. [redacted] stated I should wait for [redacted] to return my phone call. [redacted] also indicated she believed that [redacted] had not received my letter and that [redacted] sent an email on 4-27-16 to [redacted]. I called again today 5-4-16 and left another message on [redacted] voice mail. As of now, she has not returned my phone call. On my message I indicated that I was calling about my grievance letter, that I left a message last week, was doing another follow up. I also indicated that I did not want to resend my letter through the mail and asked if there was an email address I could send it to? I also left my name and phone number if she could please return my call.Desired Settlement: I am asking that this be billed so that it is covered as IN NETWORK.

Business

Response:

After a thorough review and complete audit of the account we agree that there was confusion regarding the place of service for the procedure presented to the patient. Due to the confusion regarding this encounter a onetime full refund will be granted to this account and all applicable payers will be contacted. We sincerely apologize for the misunderstanding caused during this encounter and the time spent by this patient in attempting resolution.

Consumer

Response:

[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.]

I did call the the phone number listed on my statement today 5-12-16, to make sure that there was no balance. Upon using the automated system, as they were not open at the time of my call. I had to enter my account number, and date of birth. The automated system stated that there was no outstanding balance at this time. I just hope in the future down the road, that I don't receive a bill or something from a collection agency stating I owe this money. I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.

Regards,

WOREST SERVICE EVER, LEFT 3 MESSAGES WITH THE OFFICE AND FINALLY GOT A CALL BACK OVER 24HRS LATER! ON THE CALL WAS TOLD THAT REQUESTS TAKE 3 DAYS! THEN WAS TOLD THAT I COULDN'T GET ANY MEDICATION FOR AT LEAST A WEEK, THIS WILL PUT ME IN THE HOSPITAL AND SHE TOLD ME I GUESS YOU HAVE TO DO WHAT YOU HAVE TO DO THEN. THEN SHE PROCEEDS TO TELL ME THAT I AM GOING THROUGH WITHDRAWS AND COULD GIVE ME SOMETHING FOR THAT.... WHAT KIND OF PLACE TELLS YOU THAT? I AM NOT GOING THROUGH WITHDRAWS I ACTUALLY HAVE AN ISSUE. I WOULDN'T SEND ANYONE TO THIS PLACE!!

Before you read this, you need to know that my Doctor has filed a complaint against these people also:
I went to the Advanced Pain Management in Beaver Dam, Wi. Let's just say that I have never seen such a cold, rude, insensitive doctor or PA in my life and I am NEVER going back to those 2 jerks again. I am trying to get into the one in Portage, Wi. My husband and I drove over an hour each way to be treated like dirt. It was more than 130 miles round trip to be humiliated by what I can only refer to as the "doctor from hell" and his equally hellish PA. Even the ladies in his office understood when I told them I wasn't coming back. Apparently they don't like him either. I think that is the reason I was able to get in right away. I can't imagine anyone going to see those 2 clowns willingly. [redacted] told me that according to my "record", I am a [redacted]. I have NEVER been a [redacted] in my life, let alone a year ago. I was prescribed every drug I have ever taken, so if that is the case, I am being called a liar this whole time that I have needed pain medication. Like I have always felt, no one has ever believed me. So why the [redacted] did any of you keep prescribing pain killers to a [redacted]? What does that make you guys, [redacted]?
Here is an excerpt from a letter to my Doctor....
I am also very sorry to hear that your appointment with Pain Management in Beaver Dam was such a bad experience. Do you mind telling me (if you remember) the name of the providers that you saw, so that I can pass the message along to the other providers in Portage? I certainly would not have advised you to go there if I had known!
I have briefly looked into your record, and I haven't found any mention of [redacted], or anyone saying that you are a [redacted]. Perhaps the doctor in Beaver Dam was jumping to the wrong conclusions?
For what it's worth, I do believe that you have pain, and I don't think that you are a [redacted].
Sincerely,

I was also hoping that the Pain Management would be a success. It was a nightmare.I also wanted to tell you that when he came in the room he flew in and the door slammed open (like Kramer on Seinfeld) and he asked me what I wanted, and not in a kind way. He also told me he couldn't see anything on my MRI because there was so much fat in the way. So, he didn't ask me about my back or knee. He just told me he wanted me to go to therapy 2X a week and if I didn't, I was out. I don't even know what the therapy is for, my back or my knee or my fat. His PA ([redacted]) told me a whole list of things, which I don't remember because all I wanted to do was leave, that I could get thrown out for. When he said it, he used his thumb and threw it over his shoulder toward the door. I also asked him to please fill out the prescription for a higher dose since the lower dose wasn't working for me and he said, "The prescription is already made out".
That was just the beginning. Now, I need a refill on my prescription and he won't refill it. I had to take extra pills just to be out of pain and that made him mad because I didn't take it as directed. He said I had to wait 2 weeks until I see another doctor before it can be refilled. I am in so much pain right now I can hardly talk. I don't know if it's from my physical pain or the mental anguish he puts you through. Please think twice about going to [redacted] in Beaver Dam, Wi.