Family Fairfax Practice Centers

Review: HIS MEDICAL FACILITY REFUSES TO RESUBMIT THE PROPER CODING SO THAT MY INSURANCE COMPANY [redacted]( WHO IS WILLING AND WAITING TO PAY THIS WELLNESS VISIT CLAIM)CAN BE PROCESSED.THEY ARE THREATENING ME WITH DISMISSAL AS A PATIENT AND LEGAL ACTION TO COLLECT THE AMOUNT OF $225.00 WHICH IS HALF OF THE BALANCE THAT THEY SHOULD OF SUBMITTED IN THE INITIAL VISIT FOR MY ANN CHECK UP IN WHICH I AM ENTITLED TO THROUGH MY INSURANCE COMPANY.MY WIFE HAS MADE MANY CALLS ,VISITS,WROTE LETTERS,BEEN IN CONTACT,VISITED THEIR OFFICE AND TRIED TO RESOLVE THIS ISSUE AND WE ARE TOTALLY FED UP WITH THEIR LACK OF COOPERATION.Desired Settlement: I WOULD LIKE THEM TO DO THEIR JOB AND RESUBMIT THE PROPER CODING TO THE INSURANCE COMPANY [redacted] SO THAT THIS CLAIM WILL BE PAID AND THEY WILL STOP THREATENING ME FOR THE AMOUNT OF $225.00.

Business

Response:

10/16/2013

Dear [redacted],

Your account at Prince William Family Medicine has become seriously delinquent. We have made several attempts to contact you to make payment arrangements. We would like to continue to serve you as our patient, but may have to dismiss you if the balance remains unpaid. ______

We must receive payment of $225.00 or hear from you to make arrangements for payment within 15 days of the date of this letter. If you do not contact us, your account may be placed with our law firm to pursue legal action. Please be advised if this account is referred to our law firm, all applicable attorneys' fees and court costs will be added to your balance.

Prince William Family Medicine would prefer to avoid legal action and would prefer to work with you directly. Please contact our office at ###-###-#### or send us this balance due within 15 days to avoid placement with our law firm.

For your convenience, we offer online bill pay by logging into our website, or you may pay by credit or debit card either by calling our office at ###-###-#### or sending this completed form back to us. You may also mail your check or money order made payable to Prince William Family Medicine today. Please include your account number ([redacted]) in the memo.