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Mr [redacted] is asking us to do something with his insurance that isn't legal He wants to pay our organization the cash price for medical services we are providing, and then he wants to keep the insurance reimbursements for himself We have asked Mr [redacted] to forward us all insurance reimbursments, which he has not done, and asked him to sign a document saying if we provided insurance services he would turn over future insurance reimbursements to us, and he refused to sign that document.If Mr [redacted] turns over moneys already received from his insurance, or signs the documents saying he will turn over all moneys, we could work with him He has not done either The insurance company could then say we had knowledge of 'unjust enrichment," an insurance term that says people cannont profit from insurance claims It is against the law and in the category of white collar fraud.Mr [redacted] appears unwilling to move forward in a legal manner, although we have given him several chancesBrent *H***, LMFTExecutive Director

Here is my response.We have provided all diploma's and transcripts for the [redacted] family The hold up was that Mr [redacted] had not completed the financial piece of his contract, and the materials were held up pending his compliance.Mr [redacted] would say he has been compliant, but during the time his daughter was in our program, he wanted us to begin billing his insurance company for medical services This was done, but he wanted to continue to pay the cash rate instead of the insurance rate, required by law when an entity bills insuranceThis would leave him in a position of "unjust enrichment" or making money off a health insurance claim It is against the law.To help his daughter move forward in school we have opted to provide her educational materials despite Mr [redacted] 's failure to complete the financial provisions of the contract He has not turned over several thousand dollars of money received on the insurance claimHe is now asking us to continue billing the insurance company, but we can't without his agreement to be within the confines of insurance law.-- Brent *H***, LMFTExecutive DirectorDiscovery AcademyDiscovery Connections

We believe that this complaint has been resolved Since this claim was made this family has received regular updates on their claims and insurance reimbursement for their student

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID *** The transcripts and diploma were provided by Discovery Academy, in accordance with Federal Law (FERPA) The discussion regarding insurance is not pertinent to this complaint, as Discovery has yet to fulfill their promises and obligations filing claims and updating claim status The continued lack of performance of Discovery in claim management is not part of this complaint.Greatly appreciate the assistance of the Revdex.com in aligning Discovery Academy with Federal guidelines.Please consider the issue of transcripts and diploma's resolved
Sincerely,
*** ***

I am the Executive Director at Discovery Academy.I have not been contacted by the customer regarding any complaint regarding our facility, product or service. We are certainly interested in every family having the best experience possible with our organization. I will reach out to the
customer and try to resolve any concerns.Thank you,Brent H***

Mr [redacted] is asking us to do something with his insurance that isn't legal.  He wants to pay our organization the cash price for medical services we are providing, and then he wants to keep the insurance reimbursements for himself.  We have asked Mr. [redacted] to forward us all insurance reimbursments, which he has not done, and asked him to sign a document saying if we provided insurance services he would turn over future insurance reimbursements to us, and he refused to sign that document.If Mr. [redacted] turns over moneys already received from his insurance, or signs the documents saying he will turn over all moneys, we could work with him.  He has not done either.  The insurance company could then say we had knowledge of 'unjust enrichment," an insurance term that says people cannont profit from insurance claims.  It is against the law and in the category of white collar fraud.Mr. [redacted] appears unwilling to move forward in a legal manner, although we have given him several chances. Brent *. H[redacted], LMFTExecutive Director

Complaint: [redacted]
I am rejecting this response because:For 6 months I have requested but not...

received the status of 11 outstanding claims.  I have clearly and rerpeatedly stated that understanding the status of those claims is essential to determining the next steps.   The suggestion of fraud by Discovery Academy was raised for the first time last week.  We have repeatedly requested that we work with Discovery to ensure no fraudulent activity has been committed. To move forward in an ethical and legal manner, we need updates on the status of 11 claims that Discovery has been processing, but for which they have not provided any updates in the past 6 months.Greatly appreciate your assistance in this matter.  At this point, to our knowledge no fraud has been committed, we are simply awaiting claim status updates from Discovery
Sincerely,
[redacted]

Here is my response.We have provided all diploma's and transcripts for the [redacted] family.  The hold up was that Mr. [redacted] had not completed the financial piece of his contract, and the materials were held up pending his compliance.Mr. [redacted] would say he has been compliant, but during...

the time his daughter was in our program, he wanted us to begin billing his insurance company for medical services.  This was done, but he wanted to continue to pay the cash rate instead of the insurance rate, required by law when an entity bills insurance. This would leave him in a position of "unjust enrichment" or making money off a health insurance claim.  It is against the law.To help his daughter move forward in school we have opted to provide her educational materials despite Mr. [redacted]'s failure to complete the financial provisions of the contract.  He has not turned over several thousand dollars of money received on the insurance claim. He is now asking us to continue billing the insurance company, but we can't without his agreement to be within the confines of insurance law.-- Brent *. H[redacted], LMFTExecutive DirectorDiscovery AcademyDiscovery Connections