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Joanne C Lee MD

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Joanne C Lee MD Reviews (2)

Review: I went to the doctor's office for a regular check up on December*, 2012. At the time of check up I was not asked for my new insurance card. This is something I always them remember them asking for and is not a job I do everyday so I was not thinking of that at the time.A few months later, around March, they reached out to me because they still had my old insurance information and was told the claim had been declined by the old insurance co. I faxed over the new information to them thinking that would take care of it.A month later I received a letter from the doctor's office collecting for the visit since they said my new insurance company refused their claim for having submitted it 90 days too late.I immediatly called the doctor's office and when I questioned why I was contacted too late, was told that they submit claims via mail & that they didn't get the response from the insurance co. until then. I decided to call my current insurance to see what could be done and was told to have the doctor's office re-submit the claim with proof of when the first claim was submitted. I informed the doctor's office & was told this was going to be done.When I reached out to the doctor's office again 3 weeks later, I was told that they did not have any records from the first claim because everything was done electronically and they did not keep it in paper form.Desired Settlement: I should not be responsible for the bill. This whole process was not done in a timely manner by the doctor's office so that I could have corrected the information on time. And when I tried to correct it I am given the wrong information. The office should be keeping better records! I should not be responsible for this!

Business

Response:

It is a patient's responsibility to notify the office of any insurance change upon arrival for an appointment. In fact there was a sign indicating such at the front desk. However this problem is a frequent occurrence, and we always make every effort to accommodate the patient. The problem is that the insurance companies take excessive time in adjudicating claims and by the time we receive the correct information, it is beyond the 90 day filing limit. The other issue is that this problem occurred in the midst of changing offices and the original bill processor is no longer with the office. The current bill that the patient received was automatically generated by the computer system which recognized it as an outstanding claim denied by the insurance company. Hence the computer issued the bill to the patient and it went out with over 150 other claims, and therefore was not recognized as a bill being investigated. We have notified the patie nt that she is not responsible for the bill. This should be a satisfactory resolution for the patient.

Consumer

Response:

[redacted]:

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:

I went to the doctor's office for a regular check up on December*, 2012. At the time of check up I was not asked for my new insurance card. This is something I always them remember them asking for and is not a job I do everyday so I was not thinking of that at the time.A few months later, around March, they reached out to me because they still had my old insurance information and was told the claim had been declined by the old insurance co. I faxed over the new information to them thinking that would take care of it.A month later I received a letter from the doctor's office collecting for the visit since they said my new insurance company refused their claim for having submitted it 90 days too late.I immediatly called the doctor's office and when I questioned why I was contacted too late, was told that they submit claims via mail & that they didn't get the response from the insurance co. until then. I decided to call my current insurance to see what could be done and was told to have the doctor's office re-submit the claim with proof of when the first claim was submitted. I informed the doctor's office & was told this was going to be done.When I reached out to the doctor's office again 3 weeks later, I was told that they did not have any records from the first claim because everything was done electronically and they did not keep it in paper form.

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Description: PHYSICIANS & SURGEONS-INTERNAL MEDICINE

Address: 32-29 162nd Street, Flushing, New York, United States, 11358

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