Kids Plus Pediatrics

I can provide you with proof of insuranceThe office was given proper proof of insurance and was negligent to properly file a claimMy son had insurance at the timeI should have never received the bill to begin withThe office failed to enter the insurance properlyIt wasn't until after I received a dismissal letter from Pediatric Alliance that I switched providersTherefore Pediatric Alliance was still listed as his provider at the time of his last visitPoint being we should have never recieved a bill to begin withI'm not really sure why this isn't being understoodOf course your office bills, and expects paymentI understand thatYour office did not enter his insurance information properly which is why I received the bill Why would I pay for a visit when we have insurance? Doesn't make much sense I resent being called a liarThat's truly disheartening This issue was supposedly taken care of when I was initially sent to collectionsI am fully aware of the collectionsI am not trying to cause trouble for youI just want you to understand where I'm coming fromHad you heard me out to begin with, I would have never escalated the situationI was given no choice Thank you Respectfully, [redacted]

I am writing, for the second time, in response to complaint II ***Now that we have a signed HIPAArelease form, we can offer more details to support our ease.Kids Plus Pediatrics provided care services for patient *** *** on:01/10/Ms*** paid for visit (no insurance)01104/Highmarlc paid for sick visit12/21/New *** plan DENIED (not PCP for well care)07/26/*** paid for sick visitThe denial of claim for $on 12/21/was for a well child visit, The insurance subscriber neglected tochoose Kids Plus Pediatrics as the Primary Care Provider (PCP)This designation is required by the insurancecompany to deliver paymentAbsent this designation, *** denied payment to us for the services weprovided, Absent this payment, we billed Ms***We have documented notes (see attached) on six separate occasions that we left messages and/or spoke to Ms.*** regarding this issueOn 01/11/11, we attempted one last call to have the PCP changed, so we couldresubmit the claim for paymentAccording to the eligibility and benefit details obtained from Highmark, we werenot listed as PCP and so could not be paid by them.We sent patient billing statements to Ms*** on 01/05/2011, and again on 02/02/2011, with notice of abalance due of $120~0QAfter receiving no payment, we sent a certified discharge letter on 04/20/2011.After receiving no payment for a period of six Mi months after delivery of service, Ms***’s account wassent to a collection agencyThe collection agency attempted numerous phone calls, arid sent multiple notices,between 04/20/li and 07/22/IlTo date, neither they, nor we, have received any payment.The facts of this case are clear, We provided medical services for patient *** *** on 12/21/We billed*** for those services, were denied payment for reasons having nothing to do with us, and so billed theresponsible partyAs of today, more than years and months after we delivered those services, we still have notrecefred payment for them.It’s both unfortunate and ironic that Ms*** believes that Kids Plus Pediatrics has somehow done herwrong, when the facts make it quite plain that the opposite is true.Director of Finance

I am writing in response to complaint #***, and to assure you that Kids Plus Pediatricsdid act in good faith and did absolutely nothing wrongWe billed for services we provided,were not paid, were unsuccessful in repeated attempts to get paid, and then, like any otherbusiness in
those circumstances, sent the debt to a collection agency.We reject the claims and accusations made by the complainantSome are selective andmisleading, others are simply untrueHere is one example:Kids Plus Pediatrics incorporated in July Before that, we did business as the SouthwestDivision of Pediatric AllianceContrary to the complainant’s claim, Kids Plus PediatricsDOES have a billing department, which follows very clear collection policies and procedures.Our Financial Policy is available, and has always been available, on our web site:www.kidsplusygh.comIf the complainant has collection issues, she will need to contact thecollection agency she referred to directly.A representative of that agency, FFCC, reports they attempted numerous phone calls and sentmultiple notices between 4/and 7/22/The phone number they used is the number wehave, which is listed as a valid phone numberThe FFCC representative also has a note sayingthey left a message with a male who answered that number on 6/6/11.We would love to provide more details to support our case, but we are required by law underthe Health Insurance Portability and Accountability Act (HIPAA) to maintain the privacy andsecurity of protected health information, including information about services rendered andbffling for themAs much as we would like to, we cannot legally release any moreinformation regarding the account in question.Once again: we acted in good faith, did nothing wrong, and fully reject this complaint.*** ***

I can provide you with proof of insurance. The office was given proper proof of insurance and was negligent to properly file a claim. My son had insurance at the time. I should have never received the bill to begin with. The office failed to enter the insurance properly. It wasn't until after I received a dismissal letter from Pediatric Alliance that I switched providers. Therefore Pediatric Alliance was still listed as his provider at the time of his last visit. Point being we should have never recieved a bill to begin with. I'm not really sure why this isn't being understood. Of course your office bills, and expects payment. I understand that. Your office did not enter his insurance information properly which is why I received the bill.  Why would I pay for a visit when we have insurance? Doesn't make much sense.  I resent being called a liar. That's truly disheartening.  This issue was supposedly taken care of when I was initially sent to collections. I am fully aware of the collections. I am not trying to cause trouble for you. I just want you to understand where I'm coming from. Had you heard me out to begin with, I would have never escalated the situation. I was given no choice. 
Thank you.  
Respectfully, 
[redacted]

Bunch of lying sm. Don't care about your child. Just try and convince you that vaccines will save lives. Not recommended! Please do your research before you vaccinate. Once your child is injured, they will deny and deny and not help you. The more vaccines they sell, the more money they make!

Review: My son has never been a patient with Kids Plus Pediatrics. He was a patient with the prior pediatric office "Pediatric Alliance." However, upon reviewing my credit report I found that I had a derogatory remark from Kids plus pediatrics. My son was last seen with Pediatric Alliance in Dec. of 2010. After his visit I received a bill for $120. I should have never received the bill. My son had insurance at the time, and per his insurance company the visit would have been fully covered. Weeks later I received a letter of dismissal from their office and was sent to collections for the bill. I thought I had worked the situation out with the office considering I had given the office his correct ID number on numerous occasions, and I stopped receiving letters from collections. I come to find out that this is still an issue. An issue that is costing me and destroying my credit. It wouldn't make any sense for me to ignore a bill considering his visit would have been free. This is sheer negligence on their behalf. I was promised the situation was handled years ago only to find it on my credit report. I can provide proof of insurance. I can also prove the date that I switched PCPs, which was not until after my sons dismissal from the office. Kids Plus Pediatrics does NOT have a billing office. Their manager ([redacted]) actually refused to speak with me. I emailed their "customer service" ([redacted]) and I never received an email or a phone call of any kind. I need clarification on this situation and due to no response. I am now filing a formal complaint. Please let me know if any additional information is needed. This situation should have never made it past the year of 2010.Desired Settlement: I want the $120 payment that I DO NOT owe removed from record, for negligence on their behalf. I want the derogatory remark removed from my credit report immediately. I want proof in writing that the amount has been removed and also proof in writing that this is removed from my credit report. This has been the worst possible patient relations issue that I can imagine.

Business

Response:

I am writing in response to complaint #[redacted], and to assure you that Kids Plus Pediatricsdid act in good faith and did absolutely nothing wrong. We billed for services we provided,were not paid, were unsuccessful in repeated attempts to get paid, and then, like any otherbusiness in those circumstances, sent the debt to a collection agency.We reject the claims and accusations made by the complainant. Some are selective andmisleading, others are simply untrue. Here is one example:Kids Plus Pediatrics incorporated in July 2010. Before that, we did business as the SouthwestDivision of Pediatric Alliance. Contrary to the complainant’s claim, Kids Plus PediatricsDOES have a billing department, which follows very clear collection policies and procedures.Our Financial Policy is available, and has always been available, on our web site:www.kidsplusygh.com. If the complainant has collection issues, she will need to contact thecollection agency she referred to directly.A representative of that agency, FFCC, reports they attempted numerous phone calls and sentmultiple notices between 4/20711 and 7/22/11. The phone number they used is the number wehave, which is listed as a valid phone number. The FFCC representative also has a note sayingthey left a message with a male who answered that number on 6/6/11.We would love to provide more details to support our case, but we are required by law underthe Health Insurance Portability and Accountability Act (HIPAA) to maintain the privacy andsecurity of protected health information, including information about services rendered andbffling for them. As much as we would like to, we cannot legally release any moreinformation regarding the account in question.Once again: we acted in good faith, did nothing wrong, and fully reject this complaint.[redacted]

Consumer

Response:

I can provide you with proof of insurance. The office was given proper proof of insurance and was negligent to properly file a claim. My son had insurance at the time. I should have never received the bill to begin with. The office failed to enter the insurance properly. It wasn't until after I received a dismissal letter from Pediatric Alliance that I switched providers. Therefore Pediatric Alliance was still listed as his provider at the time of his last visit. Point being we should have never recieved a bill to begin with. I'm not really sure why this isn't being understood. Of course your office bills, and expects payment. I understand that. Your office did not enter his insurance information properly which is why I received the bill. Why would I pay for a visit when we have insurance? Doesn't make much sense. I resent being called a liar. That's truly disheartening. This issue was supposedly taken care of when I was initially sent to collections. I am fully aware of the collections. I am not trying to cause trouble for you. I just want you to understand where I'm coming from. Had you heard me out to begin with, I would have never escalated the situation. I was given no choice.