Good Morning: I am responding to the complaint filed by Mr*** against Pinnacle Orthopedics, and namely, myself *** ** I did speak to Mr*** regarding his bill(s) for services rendered related to a no fault incident. The claims were billed to the no fault
carrier and denied. The final denial from the carrier indicated the no fault medical personal insurance protection benefits had exhausted. We began billing Mr*** on 07-16-at monthly intervals (08-15, 09-15, 10-16, 11-17, 12-18-2014; 01-19-2015) and the bills were sent to the collection agency, ***, around 02-20-2015. Mr*** called in April to inquire about his bill and as indicated in his complaint he had several bills with the same amount indicated that was due. Mr*** at that point was told that the account had been turned over to the collection agency. I am not sure if I got a response when I asked Mr*** if *** had contacted him. The patient wanted to know why there was an additional collection fee due. I explained that since the account was with ***, he could pay this office but would still be responsible for the collection fee of 20% of his outstanding balance. Mr*** stated he was being 'overcharged'. I did not get the opportunity to explain to Mr*** that he is now financially responsible because of two issues: No fault benefits are exhausted and his attorney, in settling his claim, was not responsible for his medical bills; The providers in this office are not participating providers with his health insurance. When Mr*** abruptly ended his call, I did not call the patient back. Being responsible for many patients and other responsibilities, I did not want to further agitate Mr***. At this time, the patient should contact the collection agency, *** at ###-###-#### to discuss payment of his outstanding bill(s) so that the collection fee and balance due can be collected to settle his balance fully. If you have any questions, please call me at ###-###-####. *** *Billing
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Revdex.com spoke to [redacted] yesterday. He stated that he has not received any letters from the collection agency regarding payment. He only received bills from Pinnacle, the last one being the end of March. He also would like to know what the extra charge is for, regarding another visit for approximately $100.00.
Hello; I will try to answer Mr. [redacted]'s response-The charges are 98.25 above the outstanding fees for his medical care becuase this is the collection fee now due to the collection agency that I referenced in my first reponse. The representative from the collection company confirmed the account is in their possession and this is the acount of our outstanding balnces [redacted] ($ 213.20); [redacted] ( $ 74.79) and [redacted] (74.79 + 128.50 = 203.29) TOTALING 491.28 + 98.25 (collection fee due [redacted]) making the collectible balance $ 589.53. I have also provided the patient agreement to pay for services not covered by the insurance carrier provided, which in this case is [redacted]. I hope this is sufficient and as stated previously in my response, Mr. [redacted] should be contacting [redacted] collection agency or communicating with thwm as they have already reached out to Mr. [redacted]. Thank you [redacted]Billing
Good Morning: I am responding to the complaint filed by Mr*** against Pinnacle Orthopedics, and namely, myself *** ** I did speak to Mr*** regarding his bill(s) for services rendered related to a no fault incident. The claims were billed to the no fault
carrier and denied. The final denial from the carrier indicated the no fault medical personal insurance protection benefits had exhausted. We began billing Mr*** on 07-16-at monthly intervals (08-15, 09-15, 10-16, 11-17, 12-18-2014; 01-19-2015) and the bills were sent to the collection agency, ***, around 02-20-2015. Mr*** called in April to inquire about his bill and as indicated in his complaint he had several bills with the same amount indicated that was due. Mr*** at that point was told that the account had been turned over to the collection agency. I am not sure if I got a response when I asked Mr*** if *** had contacted him. The patient wanted to know why there was an additional collection fee due. I explained that since the account was with ***, he could pay this office but would still be responsible for the collection fee of 20% of his outstanding balance. Mr*** stated he was being 'overcharged'. I did not get the opportunity to explain to Mr*** that he is now financially responsible because of two issues: No fault benefits are exhausted and his attorney, in settling his claim, was not responsible for his medical bills; The providers in this office are not participating providers with his health insurance. When Mr*** abruptly ended his call, I did not call the patient back. Being responsible for many patients and other responsibilities, I did not want to further agitate Mr***. At this time, the patient should contact the collection agency, *** at ###-###-#### to discuss payment of his outstanding bill(s) so that the collection fee and balance due can be collected to settle his balance fully. If you have any questions, please call me at ###-###-####. *** *Billing
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Revdex.com spoke to [redacted] yesterday. He stated that he has not received any letters from the collection agency regarding payment. He only received bills from Pinnacle, the last one being the end of March. He also would like to know what the extra charge is for, regarding another visit for approximately $100.00.
Hello; I will try to answer Mr. [redacted]'s response-The charges are 98.25 above the outstanding fees for his medical care becuase this is the collection fee now due to the collection agency that I referenced in my first reponse. The representative from the collection company confirmed the account is in their possession and this is the acount of our outstanding balnces [redacted] ($ 213.20); [redacted] ( $ 74.79) and [redacted] (74.79 + 128.50 = 203.29) TOTALING 491.28 + 98.25 (collection fee due [redacted]) making the collectible balance $ 589.53. I have also provided the patient agreement to pay for services not covered by the insurance carrier provided, which in this case is [redacted]. I hope this is sufficient and as stated previously in my response, Mr. [redacted] should be contacting [redacted] collection agency or communicating with thwm as they have already reached out to Mr. [redacted]. Thank you [redacted]Billing