Advanced Urgent Care

Mrs [redacted] - [redacted] ’s son was seen at our office on June 24, Due to the dependentnot being found patient is responsible for billWe did first starting billing the client’s guarantorJune after we researched the claim to find if it was paid for or if it was denied Patient’smother did contact our billing office about the bill she receivedWe informed her to call herinsurance company to see if they will reprocess the claimMrs [redacted] - [redacted] ’s insurancecompany representative called to inform our billing office they are trying to research andreprocess the claim to get it past timely filing since it has been two years; if not our billingoffice was willing to cut the bill in half for the clientWe do have a hold on her son’s account.Patient’s account is not going to collections until an EOB is received from primary insurance.Patient’s account will only go into collections if patient has not attempted to pay bill afterIf you have any further questions please feel free to contact our billing office at###-###-####.Thank you for your time

When I contacted Advanced Urgent Care the first time The representative told me it was not their problem that they spelled my son's name wrong and that I would have to pay for it The company was of no help to me I was the one that contacted our old insurance company for help It was not recommended by Advanced Urgent Care at any time to contact Highmark for their assistance Highmark BC told me that the claim should be non valid due to the time period in which has passed they have no record of Advanced Urgent care ever submitting the claim Highmark has attempted to reach out numerous times from my understanding to Advance Urgent Care however they are not responding to Highmark request for additional information to be sent I did receive an EOB from Highmark on October 18, stating that the was non-billable to member stating code D5005-In order to process the claim, additional information is required The claim should be resubmitted making sure the name and address of the billing provider is clearly indicated, E0073- We requested additional information from the provider to process this claim and response was incomplete The provider shoulder resubmit the claim with the required information, and last code Pin order to process the claim additional information is required Claim should be resubmitted with valid procedure code and an associated diagnosis code A copy of this EOB was submitted to Advanced Urgent Care in October I have a copy of the EOB I would be happy to send to you So I am confused to why they are still waiting for a response for EOB when I sent them one in October and I also believe one was sent to them from highmark BC
Regards,
*** ***-***

Revdex.com:
At this time, I have not been contacted by Advanced Urgent Care regarding complaint ID [redacted].
Regards,
[redacted]

Mrs. [redacted]-[redacted]’s son was seen at our office on June 24, 2012. Due to the dependentnot being found patient is responsible for bill. We did first starting billing the client’s guarantorJune 2014 after we researched the claim to find if it was paid for or if it was denied....

Patient’smother did contact our billing office about the bill she received. We informed her to call herinsurance company to see if they will reprocess the claim. Mrs. [redacted]-[redacted]’s insurancecompany representative called to inform our billing office they are trying to research andreprocess the claim to get it past timely filing since it has been two years; if not our billingoffice was willing to cut the bill in half for the client. We do have a hold on her son’s account.Patient’s account is not going to collections until an EOB is received from primary insurance.Patient’s account will only go into collections if patient has not attempted to pay bill afterIf you have any further questions please feel free to contact our billing office at###-###-####.Thank you for your time.

Review: I took my son to Advanced Urgent Care in State College PA on November 6, 2012. I paid my insurance co-pay and my son was seen. I never had any other correspondence with the Advanced Urgent Care until I started to receive a bill for $10.49 in December of 2013. When I attempted to call the number on the invoice to inquire about the charge, the number ###-###-#### was to the companies billing office in Scranton. Nobody ever answered the phone and the message said the voicemail box was full. I then called the State College office where my son was seen to find out why after a year I am receiving a bill. They took down my information and said they would address it with the Scranton billing office. Then two months later I received another bill for the same amount, and repeated the steps above. Only to have to call the State College office again to have them discuss why I am receiving a bill a year after the service. I didn't hear anything for a few weeks, and I received another bill this month April, 2014 for the $10.49. I again attempted to call the number on the invoice only to be told the voice mail is full. So I am filing a complaint with the Revdex.com.Desired Settlement: I want them to write off the bill, I am not paying the $10.49 because I paid my co-pay and didn't recieve a bill for the adjustment, which I have never had to pay before for my son seeing a physician, and the bill was over a year old.

Review: My son was seen on June 24, 2012 for services in which it was an office visit and x-rays were taken. We did not receive any billing for services through Highmark EOB or with Advanced Urgent Care. On July 4, 2014 over 2 years later we received our first bill for 292.00 with our son's name spelled wrong and important message stating per Highmark stating dependent not found therefore bill to PT. We contacted Advanced Urgent Care and left numerous messages that the name was spelled wrong and for them to contact us. No one returned our phone call. Advanced Urgent Care in State College provided us with a different number than is listed on bill for billing questions. In which representative's we spoke to at Urgent care were rude and not helpful to figure out where the problem was. We contacted Highmark Blue Shield in which they stated that a claim was never submitted to them for the service dates on our bill. At that time we tried to submit the claim ourselves. According to highmark they have tried to contact Urgent Care for diagnosis codes and additional information to allow them to process the bill and the have not submitted the information to the insurance company. We received EOB stating 292.00 is non-billable to member which was provided to Urgent Care. However keep receiving numerous bills stating the 292.00 is due and this will be turned over to a collection agency if payment not received. We have tried numerous times to contact and reach out to Urgent Care to correct matter and they either extremely rude or hang up on you.Desired Settlement: We wish to make no payment to Advanced Urgent Care due to their lack of professionalism, lack of completing charges in a timely manner (it took them 2 years to inform us of the wrong spelling of our son's name which was clearly spelled correctly on insurance card and intake forms, and due to Highmark stating that the charges are non-billable to member.

Business

Response:

Mrs. [redacted]’s son was seen at our office on June 24, 2012. Due to the dependentnot being found patient is responsible for bill. We did first starting billing the client’s guarantorJune 2014 after we researched the claim to find if it was paid for or if it was denied. Patient’smother did contact our billing office about the bill she received. We informed her to call herinsurance company to see if they will reprocess the claim. Mrs. [redacted]’s insurancecompany representative called to inform our billing office they are trying to research andreprocess the claim to get it past timely filing since it has been two years; if not our billingoffice was willing to cut the bill in half for the client. We do have a hold on her son’s account.Patient’s account is not going to collections until an EOB is received from primary insurance.Patient’s account will only go into collections if patient has not attempted to pay bill afterIf you have any further questions please feel free to contact our billing office at###-###-####.Thank you for your time.

Consumer

Response:

When I contacted Advanced Urgent Care the first time. The representative told me it was not their problem that they spelled my son's name wrong and that I would have to pay for it. The company was of no help to me. I was the one that contacted our old insurance company for help. It was not recommended by Advanced Urgent Care at any time to contact Highmark for their assistance. Highmark BC told me that the claim should be non valid due to the time period in which has passed they have no record of Advanced Urgent care ever submitting the claim. Highmark has attempted to reach out numerous times from my understanding to Advance Urgent Care however they are not responding to Highmark request for additional information to be sent. I did receive an EOB from Highmark on October 18, 2014 stating that the 292.00 was non-billable to member stating code D5005-In order to process the claim, additional information is required. The claim should be resubmitted making sure the name and address of the billing provider is clearly indicated, E0073- We requested additional information from the provider to process this claim and response was incomplete. The provider shoulder resubmit the claim with the required information, and last code P5173 in order to process the claim additional information is required. Claim should be resubmitted with valid procedure code and an associated diagnosis code. A copy of this EOB was submitted to Advanced Urgent Care in October 2014. I have a copy of the EOB I would be happy to send to you. So I am confused to why they are still waiting for a response for EOB when I sent them one in October 2014 and I also believe one was sent to them from highmark BC.

Regards,

[redacted]

Review: I sent an email to the [email protected] which advised how grossed out I was by this facility and I returned an automatic email back advising that the email address was invalid, so I filled out the "contact us" form on the website which was also returned without delivery. This email is as follows:

"Hello,

I feel the need to share my god awful experience at the [redacted], PA location and would like to let you know that I wouldn't trust them to take care of my dead dog! When I walk in and advise the receiptionist that I was severly bitten by my dogs I asked her if there was anything that could be done for me. I didn't have pain, just extreme swelling and bruising and open wounds. She went back and spoke with the doctor and came back and asked if I was bitten. I was highly confused as that's the only reason I was there. So I then saw the doctor in a very reasonable time frame; however, smelling a little funny and his hair a bit disheveled I wasn't sure if he was a real doctor or a fake one. So as he analyzed me and took notes, he suggested antibiotics and a tetanus shot. I was then advised that the tetanus shots are on back order so he couldn't help me. That's really in acceptable! These items one would think are critical at this type of center, and you would think they would be ordered and stocked regularly. After that he advised me that the nurse would be in to clean and bandage my wounds. The nurse came in NEVER washed her hands, opened the gauze touched them with her filthy hands, took q-tips but ointment on my open wounds. Meanwhile she never even cleaned and/or washed the wounds, she put ointment on a dirty open dog bite. You ought to be ashamed to still be open for business! So after touching the gauze with her dirty hands, THEN she decided it was a good idea to put gloves on to put the gauze on. Well after she puts the gauze on and starts to wrap half of it, she then realized she didn't have any band aids and couldn't find more wrap, truly a three ring circus. She kept saying she was done and I would say oh you missed one, this happened maybe two or three times. Absoultley disgusted! THEN the doctor comes back in and says oh yea I guess I forgot to ask you a routine question, are you pregnant? How organized and professional! I got home and ripped all the dressings off used peroxide and iodine and properly dressed my own wounds. I am so disgusted! Not to mention I just got bitten by a dog for this nurse to tell me about her fighting pit-bull that she has or had....I mean come on how appropriate is that conversation! Between the nurse and the nurses conversation I'm very concerned with my social security number and personal information in that office as well!

Disgusting!!!!!

[redacted]"

So after not being able to send this message, I decided I would wait for a bill in the mail and call the billing number. This service was provided back on April 1, 2013 and I did not receive a bill until last week. So last week I called the billing number at ###-###-#### and left a message for a call back with my experience and I recieved no return phone call. So today I called that number again and no answer, and the message says that the voice mail box is filled.Desired Settlement: I expect not to have to pay for this service, and I would like the state health department to inspect this place. I'm not sure how they can still be in business! Since I can not contact the business I am concerned that this is going to end up in collections which is unacceptable to me.

Review: I went to Urgent Care [redacted] 2 years ago. Later I received a bill from them which I was instructed to re-submit to my insurance company. I re-submitted and never received another bill, statement or phone call so I must assume insurance company has taken care of bill. 2 years later I receive a bill from a collection agency demanding the money.Desired Settlement: take bill out of collections

Business

Response:

{Please see attachment.}