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ENT and Allergy Associates, LLP

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Reviews ENT and Allergy Associates, LLP

ENT and Allergy Associates, LLP Reviews (3)

Why is it every time I call my doctor He is never there?...Took almost a year to find out why. Turns out the number they list is for the call center. I am tired of taking tests Doctor requests and doesn't return my calls with results! 2 MRI'S 2 ULTRASOUNDS, AND 1 CT! and I always had to call to find out what the hell was going on! So I just started following one of the ent worker and they explained all the bs that goes on here! turns out ENT AND ALLERGY IS JUST A MILL! DOCTORS ARE FULL OF IT ...SHHH THAT IS! DO NOT SUPPORT THIS HEALTH CARE SYSTEM...JUST ANOTHER TRUMP PLAN. BOUND TO FAIL

+1

Review: I had an appointment with ENT and Allergy Associates LLP on 1/**/13. I received a bill with unauthorized charges, which I never agreed to. I immediately called the doctors office and explained the situation to them and they failed to resolve it and proceeded to put me into collections. I should not be held responsible to pay the amount of $210 that was billed as it was it was never authorized.Desired Settlement: I want the bill to paid for by the doctor's office and taken out of collections.

Business

Response:

In response to the above referenced complaint, clarification regarding the “service” in dispute is necessary. The outstanding balance that the patient is in collections for is not for the hearing test. It is for the diagnostic nasal endoscopy that was performed during the encounter.

[redacted] performed a thorough head and neck examination and noted essentially normal ear findings although the patient’s complaint was of clogged ears. Since [redacted] reported a history of seasonal allergies and some mild chronic nasal congestion the sensation of clogged ears she was experiencing might have been related to the sinuses. A diagnostic nasal endoscopy was performed to provide a reliable visual view of the accessible areas of the sinus drainage pathways. This was preceded by anesthetizing the nasal cavity after which a flexible fiberoptic endoscope was placed so that [redacted] could detect evidence of nasal polyps or other obstruction.

There was no intention to mislead the patient in terms of their out-of-pocket responsibility. [redacted]’s contractual agreement with the insurer is relatively straightforward in that he has agreed to certain contracted rates for the services he provides. However, how an insurer adjudicates a claim is determined by the individual’s benefit plan. Each insurer might have a multitude of benefit plan options, the details of which are unknown to the physician.

The services provided were clinically necessary. Following accepted billing and coding guidelines, [redacted] submitted a claim to the patient’s insurance for the services rendered. [redacted]’s particular insurance plan applied the allowed charge amount (160.16) to a deductible and rendering the patient responsible for this amount. This is the amount that has remained outstanding since February and for which the patient was sent to collections. The patient is disputing $210 which seems to also reflect their copayment amount of $50. While we did offer to remove [redacted] from collections and reduce the balance as a gesture of good faith, our offer was refused. As such the patient now remains in collection with the full amount due.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

My apologies as I do agree that the dispute should only be for 160.10, as the co pay is a non issue and has been paid. I went in for a standard check up to find out if there was any issues. The doctor made a decision to perform a procedure outside of the standard check up, I can say this with certainty because the procedure conducted is classified as a "non invasive surgery." Surgery is not part of any initial check up. Going into the appointment I knew that I had a standard check up covered and was aware of my co pay obligations, however when he decided to perform procedures outside of standard I was not advised or given a chance to turn it down. While its difficult for me to argue to validity and necessity of the surgery he chose to conduct, due to myself not being a physician, I can for certainty state that I would not have consented for him to perform procedures outside of my coverage without conducting further research on my own to find out if it was necessary due to the additional costs I would incur. I spoke with another physician to find out if this is standard practice where the doctors just does whatever he wants and you get a random bill in a month. She advised to me that all doctors know which procedures are not covered and go against a deductible, in order so she does not to run into such issues she has her admin contact the patients insurance in order to find out costs prior to conducting certain treatments and advises the patient giving them option as to whether they want to move forward. She is also a 1 person doctor office, vs a medical center such as this. It very easy for them to do this in order not to run into such issues. While they did offer to reduce the bill, I do not agree to it, because I should not have to pay anything, because I did not authorize or agree to the charge or service. It is not right for them to do whatever they deem appropriate without any pre advise and charge whatever they want. Furthermore I am apparently not the only one with this issue, as this medical office has horrific reviews on [redacted], with others having the same issue as myself. Please advise what I can do outside of filing a lawsuit in small claims court to resolve this quickly.

In order for the Revdex.com to appropriately process your response, you MUST answer the question above.

Sincerely,

This reply is complete BS! I know for a fact! THIS IS JUST THEIR PR ON REPLY... call ENT and ask about how much a visit is! just see what the fake agent says! I cannot believe this company had the balls to state this! I am certainly submitting to this To health at WSJ. I cannot wait to see this place be exploited...BY THE WAY: WHEN YOU CALL ENT AND ALLERGY ALL CALLS ARE RECORED AND THEY NEVER TELL YOU THAT...AGAINST THE LAW ...patients rights are violated in order to discipline the stupid agents that work for them for 10 bucks an hour... Mf'S

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Description: HEALTH & MEDICAL (GENERAL)

Address: 261 5th Ave Rm 901, New York, New York, United States, 10016

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