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Mind & Motion

5050 Research Ct Ste 800, Suwanee, Georgia, United States, 30024-6606

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Doctors office informed us that the autism therapies are covered by my insurance. Later they found that there was a limit and by that time they already crossed that limit on therapies. We would not have taken those out of pocket therapies(over the limit, we already met our deductible) if they would have informed us before hand. They failed to check my insurance benefits and later they asked us to pay for those additional therapies which are not covered by insurance. They have sent me a collection notice, as I didn't want to pay for their mistakes. All the therapies that we took were also useless, no affect on my child ***. Bad ethics and bad business practice.
Product_Or_Service: Autism therapies(OT, ST etc)

Desired Outcome

Refund Refund my amount $665 that was collected from me.

Mind & Motion Response • May 21, 2018

Our office procedure is to check benefits for every patient that receives services with us (as a courtesy). While we do our best to acquire the most accurate information as possible over the phone, many times insurance company representatives provide us with incomplete or inaccurate information. It is general practice that its the responsibility
of the policy holder to be familiar with their own policy benefits and limitations. This notification is also provided in our intake paperwork and was also acknowledged by the customer with a signature. This customer failed to keep track of their benefit limitations for the therapies in question. When insurance did not cover the visits, we even offered a significantly discounted out of pocket rate. In regards to treatment failure: no therapy, medication, or procedure yields clinical improvement for every patient in every medical setting and we are no different. We have a notice in our intake paperwork explaining this, which the patient's father acknowledged. While this client reports that the therapies were "useless" we see measurable clinical improvement for many of our patients pursuing these therapies every day. However, due to the nature and severity of this patient's condition, expecting clinical improvement after such a short therapeutic period (Sept - Nov) would be unrealistic. Treatment practices also must be carried out at the home and school to make as much as in impact as possible and we have no record that the therapeutic protocols were throughly implemented for the patient outside of our clinic. It is not our policy to issue refunds for services because a client didn't feel enough clinical improvement was made or because that client failed to understand their own insurance policy limitations.

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Address: 5050 Research Ct Ste 800, Suwanee, Georgia, United States, 30024-6606

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