Backworks USA

To Whom this May Concern, We are writing this in response to a letter we received concerning a patient, ID# 11698564, that is stating she was incorrectly sent to collections. I have enclosed proper documentation that will show you where we have reached our amount.... 1) Attachment labeled Payment Options shows that this patient chose option #2, which states that our insurance fees billed would be normal and customary depending on type of adjustments, modalities, and exams that are performed during the visit. We know she is not fighting the fact that her insurance was billed, but the fact that insurance didn't pay the total amount billed. By signing this page, she is stating she agrees with the fees that will be billed through her insurance. Being an insurance carrier, the patient would know she is fully responsible for her yearly deductible. We received our statement and itemization from our billing company that we used at the time of these DOS. This shows you the amount billed in our office ($480.00), the amount paid by insurance ($150.00), and the amount remaining ($330.00). Using this information, we reached our amount of $330. Due to privacy regulations, we are unable to send you a copy of the billing information. We will deduct the amount of her copays she paid each visit @ $15 a visit/3 visits equaling $45 off the amount owed of $330. That will make a total of $285 to be paid to our office, making this a full settlement. Thank you for your time, Dr. [redacted] September 16, 2016

Complaint: ***
I am rejecting this response because: The billing was incorrect and they lied about ever reflecting payment from my insurance on any of the documents they sent meThis charge is inaccurate and borderline fraud I will not stop fighting this, I will continue to seek out every remedy available to me, including the board of professional regulations and the Illinois Attorney General's Office I refuse to pay for services not provided or bloated to defraud the insurance company My insurance company made payment and they now are claiming that what I owe is above that, which was NOT reflected in the bill I received year after my visit I will also attempt to locate other patients that may have had similar problems, as this may be something that they do often
Sincerely,
*** ***

To Whom this May Concern,        We are writing this in response to a letter we received concerning a patient, ID# 11698564, that is stating she was incorrectly sent to collections. I have enclosed proper documentation that will show you where we have reached our amount....

1)    Attachment labeled Payment Options shows that this patient chose option #2, which states that our insurance fees billed would be normal and customary depending on type of adjustments, modalities, and exams that are performed during the visit. We know she is not fighting the fact that her insurance was billed, but the fact that insurance didn't pay the total amount billed. By signing this page, she is stating she agrees with the fees that will be billed through her insurance.  Being an insurance carrier, the patient would know she is fully responsible for her yearly deductible.  We received our statement and itemization from our billing company that we used at the time of these DOS.  This shows you the amount billed in our office ($480.00), the amount paid by insurance ($150.00), and the amount remaining ($330.00). Using this information,  we reached our amount of $330. Due to privacy regulations, we are unable to send you a copy of the billing information.       We will deduct the amount of her copays she paid each visit @ $15 a visit/3 visits equaling $45 off the amount owed of $330. That will make a total of $285 to be paid to our office, making this a full settlement.                      Thank you for your time,                 Dr. [redacted]                September 16, 2016