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Gorlick, Bruce D. DPM FACFAS

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Reviews Gorlick, Bruce D. DPM FACFAS

Gorlick, Bruce D. DPM FACFAS Reviews (5)

(Patient name withheld for confidentiality) is responsible for checking the insurance coverage and making required payments The patient signed a Financial Policy document which suites clearly that “Your insurance policy is a contract between you and your insurance company1f you have insurance coverage with a plan with which we do not have a prior agreement, we will prepare and send the claim for you on an unassigned basisThis means your insurer will send payment directly to youThe Explanation of Benefits (EOB) from the insurance company for this patient service states, “The allowed amount for this claim is based on the provisions of the patient’s planThe physician or other healthcare provider is not contracted with us and, therefore, is not required to accept the allowed amount as payment in fullThe subscriber is responsible for full payment to the provider.” The EOB demonstrates that this patient received direct paymentThe patient’s podiatric concerns were fully addressedThe patient was referred to Hanger orthopaedics for functional orthotics and a plantar fascial night brace and a prescription was faxed and printed and given to the patientThe patient was prescribed medication for the nail conditionIngrown nail surgery was not indicated and this was explained to the patientEnclosed: Blue Shield of California EOB and Patient Financial Policy

After reviewing the content of your email, I placed a call to Blue Shield of California ((800) 541-6652 claims department) regarding the claim in question. Per [redacted]. (call reference number [redacted]) at Blue Shield of California the claim for DOS 5/14/2014 was processed incorrectly on 4/7/2015 and our office was paid incorrectly. For the date of service (DOS) 5/14/2014 Dr. Bruce D. Gorlick is not in network so the claim was processed as an out of network provider (which is correct). The claim was processed a second time on 4/7/2015 as an in network provider (which is incorrect) service which was an error on Blue Shield of California. Dr. Bruce D. Gorlick is not contracted with Blue Shield of California Covered California. Per [redacted] he will send an email to his supervisor and higher management for a statement regarding their error. The turnaround time is 24 to 48 hours.

(Patient name withheld for confidentiality) is responsible for checking the insurance coverage and making required payments.  The patient signed a Financial Policy document which suites clearly that “Your insurance policy is a contract between you and your insurance company. 1f you have...

insurance coverage with a plan with which we do not have a prior agreement, we will prepare and send the claim for you on an unassigned basis. This means your insurer will send payment directly to you. The Explanation of Benefits (EOB) from the insurance company for this patient service states, “The allowed amount for this claim is based on the provisions of the patient’s plan. The physician or other healthcare provider is not contracted with us and, therefore, is not required to accept the allowed amount as payment in full. The subscriber is responsible for full payment to the provider.” The EOB demonstrates that this patient received direct payment. . The patient’s podiatric concerns were fully addressed. The patient was referred to Hanger orthopaedics for functional orthotics and a plantar fascial night brace and a prescription was faxed and printed and given to the patient. The patient was prescribed medication for the nail condition. Ingrown nail surgery was not indicated and this was explained to the patient. Enclosed: Blue Shield of California EOB and Patient Financial Policy

I would like to request to reopen my case as the charges from Dr. Gorlick are fraudulent.  I finally received verification from Blue Shield informing me that my responsibility of the payment is $5.00 only and not what I am being charged (please see attached). They have been sent payments from Blue Shield as well. Please contact me asap as to inform me on how I should proceed.

Review: Was referred to this Dr. by my attending physician for inserts for my shoes, for ingrown toenails and a toenail fungus. The offices are in the same building and when I went to the appt - the dr. only addressed my toenail fungus and nothing else (a prescription). For this he is trying to charge me $248 stating that even thou it was a referral and they are in the same network - that I have to pay this fee. I call my insurance and they stated that Dr. Gorlick is in the same network and should charge accordingly and that I should have the dr. resubmit the bill. I informed the office and the receptionist informed me that it was my problem and that they do not have to resubmit. I stated if they wanted to get paid - that they would. And I stated that they should not be paid the full amount because they did no service except a prescription. I have now been turned into collections by the dr. office.Desired Settlement: I would like to have the bill rescinded because the doctor did nothing for me (except the prescription) - he did not even attempt to remove any of my ingrown nails and he wanted to refer me out to another doctor for my inserts.

Business

Response:

(Patient name withheld for confidentiality) is responsible for checking the insurance coverage and making required payments. The patient signed a Financial Policy document which suites clearly that “Your insurance policy is a contract between you and your insurance company. 1f you have insurance coverage with a plan with which we do not have a prior agreement, we will prepare and send the claim for you on an unassigned basis. This means your insurer will send payment directly to you. The Explanation of Benefits (EOB) from the insurance company for this patient service states, “The allowed amount for this claim is based on the provisions of the patient’s plan. The physician or other healthcare provider is not contracted with us and, therefore, is not required to accept the allowed amount as payment in full. The subscriber is responsible for full payment to the provider.” The EOB demonstrates that this patient received direct payment. . The patient’s podiatric concerns were fully addressed. The patient was referred to Hanger orthopaedics for functional orthotics and a plantar fascial night brace and a prescription was faxed and printed and given to the patient. The patient was prescribed medication for the nail condition. Ingrown nail surgery was not indicated and this was explained to the patient. Enclosed: Blue Shield of California EOB and Patient Financial Policy

Consumer

Response:

I would like to request to reopen my case as the charges from Dr. Gorlick are fraudulent. I finally received verification from Blue Shield informing me that my responsibility of the payment is $5.00 only and not what I am being charged (please see attached). They have been sent payments from Blue Shield as well. Please contact me asap as to inform me on how I should proceed.

Business

Response:

After reviewing the content of your email, I placed a call to Blue Shield of California ((800) 541-6652 claims department) regarding the claim in question. Per [redacted]. (call reference number [redacted]) at Blue Shield of California the claim for DOS 5/14/2014 was processed incorrectly on 4/7/2015 and our office was paid incorrectly. For the date of service (DOS) 5/14/2014 Dr. Bruce D. Gorlick is not in network so the claim was processed as an out of network provider (which is correct). The claim was processed a second time on 4/7/2015 as an in network provider (which is incorrect) service which was an error on Blue Shield of California. Dr. Bruce D. Gorlick is not contracted with Blue Shield of California Covered California. Per [redacted] he will send an email to his supervisor and higher management for a statement regarding their error. The turnaround time is 24 to 48 hours.

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Description: Physicians & Surgeons - Medical-M.D.

Address: 3939 J St Ste 200, Sacramento, California, United States, 95819-3631

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