First Energy Lais

The patient was informed that we could not verify insurance over the phone but would do a complementary benefit check when they arrive for their evaluationWe also explained the the $fee was a promotional offer for a consultation.The doctor conducted a thorough medical evaluationAfter the evaluation, the patient was told that their insurance unfortunately would not cover the necessary treatmentIt's unfortunate that in this day and age insurance is getting more expensive with higher deductibles and less coverage.Ultimately the patient is the one that suffersWe empathize with the patientWe offer an extremely low promotional offer of $so the patient can be evaluated and we also do a complimentary benefit checkThe doctor will spend - minutes with the patient assessing their condition and another staff member will spend -minutes on the phone with an insurance company to verify benefits for the patientIt ends up costing our office a lot more than $to see this patientWe do this as a community outreach because we are passionate about reaching out to patients who need the careWe spend a significant amount of time educating them and giving them safer options to drugs and surgerySincerely,San Antonio Neuropathy Center

The patient was informed that we could not verify insurance over the phone but would do a complementary benefit check when they arrive for their evaluation. We also explained the the $25 fee was a promotional offer for a consultation.The doctor conducted a thorough medical evaluation. After the...

evaluation, the patient was told that their insurance unfortunately would not cover the necessary treatment. It's unfortunate that in this day and age insurance is getting more expensive with higher deductibles and less coverage.Ultimately the patient is the one that suffers. We empathize with the patient. We offer an extremely low promotional offer of $25 so the patient can be evaluated and we also do a complimentary benefit check. The doctor will spend 20 - 30 minutes with the patient assessing their condition and another staff member will spend 20 -40 minutes on the phone with an insurance company to verify benefits for the patient. It ends up costing our office a lot more than $25 to see this patient. We do this as a community outreach because we are passionate about reaching out to patients who need the care. We spend a significant amount of time educating them and giving them safer options to drugs and surgery. Sincerely,San Antonio Neuropathy Center

The doctor reviewed the patients medical history by reviewing intake paper work and discussing the patients history in more detail while in the consultation. The patient was then given treatment options based on the medical history. Although no one timed the consultation with a stop watch, the doctor spends as much time as necessary to ascertain a diagnosis.On the contrary, we cannot determine medical benefits over the phone. Most of our patients are Medicare patients. Coverage varies from one person to the next depending on primary and secondary insurance plans. Calling insurance plans takes anywhere from 30 - 45 minutes and is a courtesy that is extend to patients who come in for an evaluation.I am empathize with the patient. He is upset because he wanted to know ahead of time if his insurance would cover the care or not. We could not determine this over the phone. This is why we offer an extremely low evaluation fee. It gives us a chance to determine if we can help the patient and to determine if there's insurance coverage. The doctor was able to evaluate the patients peripheral neuropathy by reviewing the medical history and offer treatment options. Unfortunately, the patient was upset because his insurance does not cover the care offered by our facility. The time taken to assess his medical condition and do an insurance verification was equivalent to several hundred dollars when you take in account doctors time, front desk staff time and billing staff's time.SANC

Complaint: [redacted]
I am rejecting this response because:They said insurance coverage must be checked. All Medicare coverage is the same. No secondary Medicare coverage will cover if Medicare does not.also there was no exam. The time ,less than seven minutes ,was spent reading questions already answered on the information sheets and trying to convince me to self pay. Again that is why you were required to PREPAY. Most people wouldn't pay if they had heard this SCAM first.any responsible Dr. Would not do that and should refund patients who are not pleased with services.The response to my complaint should be clear, a continuation of their SCAMEver see a REAL Dr. Protest over $25!! Think not!!!
Regards,
[redacted]

Complaint: [redacted]
I am rejecting this response because:The doctor did not spent 20 minutes with me. Maybe 7 at the most. There was not examination at all. He did again ask me questions which had been answered on the form I filled out. There was no need to bring me into the office to verify insurance. That information had been given them on the phone. The Dr. Told me Medicare never covers this procedure. Well know to the Dr. Before I can in. The only reason they want you to come in is to try to convince you to pay out of pockets. I had made it clear before the visit this was not an option. That is why they asked for payment BEFORE the vist. No one would pay after they were SCAMMED.if this Dr. Is not a scammer there should be no problem refunding a patient who was very dissatisfied.Not a honest person.[redacted]
Regards,
[redacted]