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Jackson-Randle Family Healthcare, PLC

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Jackson-Randle Family Healthcare, PLC Reviews (1)

I went into the office for a complete physical. I did not have ANY complaints outside of being their for my physical but it was not coded correctly.I went into the clinic on 09/20/2013 for a CPE w/ PAP Smear. I did not have any complaints on this date. The provider mentioned to me that I had gained some weight and that my blood pressure was slightly high. She printed off a diet dash and gave it to me and also asked that I come back in and have my BP rechecked in 3 months. Now because the provider talked about issues not related to the physical I was billed as if I did not come in for that reason only. I cannot control what the provider talks about during a visit. I called the clinic after I received my eob to question this I had to leave a voicemail for the insurance rep at the clinic which she never called me back. So I called again a week later and spoke with her she stated that codes could not be removed because the provider discussed these issues. I told her that's fine I'm not asking for any codes to be removed I'm asking if they would bill a corrected claim adding the physical procedure code so I could at least get credit for having my physical because that is why I was there. She advised me that she would send a cc. I called [redacted] on today to see if the cc had been received the rep advised me that a cc was not sent. She called the clinic spoke with a lady in billing who advised her that the physical code could not be added because it would bill me additional as well as my insurance. I work in billing and I know that a physical procedure code can be billed along with an office visit code I see it all the time but it is only done in our billing office if the pt comes in with a complaint not related to the physical not because the provider talked about weight gain or blood pressure. Desired SettlementI just want my claim filed as a physical that is the reason I was in the office.Business Response see attached document from [redacted]...wanted a separate bill for wwe..stated to her that then pt would be charged 2 office visit...and she stated she forgot about that...she will let pt know this billing is correct cant change.

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Description: Physicians & Surgeons

Address: P.O. Box 34457, Memphis, Tennessee, United States, 38134

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