Potomac Physicians Associates

[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me.
Regards,
*** ***

Thank you for bringing to our attention the complaint received on December 22, 2016 regarding a billing concern with Potomac Physician Associates.This complaint was able to bring to management's attention a process failure. Our goal is to ensure our patients have positive interactions with our...

practice. This technology process failed us with this client. This has since been corrected. Our practice reached out directly to the client and informed him of the resolution. Verification of the adjustment has been mailed directly to our client. We regret that the patient had to contact your agency for resolution and that is being internally reviewed as well.Please Contact me if you are in need of any further information. Email address is: [redacted] or by telephone: ###-###-####Sincerely,Kelly R[redacted] Project Manager

Review: In July 2012, I planned a travel to India. I had a short time to get the travel shots and a lot of work to travel to far to get the shots. I called my insurance company ([redacted]) for help. They did some calling and told me to go to Potomac Physicians Associates (PPA) in [redacted], MD for the shots. I did a conference call with PPA's billing dept ([redacted]) and confirmed that they can provide the shots, I will be charged for the shots only and my insurance company will pay for the shots. I got the shots at PPA in July.

In Oct/Nov 2012 I went for my regular checkup with my primary care physicians. In early 2013, I got a bill from my primary care physician for my visit in Oct/Nov 2012, which was denied by my insurance.

I called my insurance and learned that PPA had billed my travel shots visit as an office visit and as a result my later visit to my Primary Care Physicians was denied.

[redacted] advised me to talk to PPA to charge the visit as travel shots and [redacted] can pay for my Primary Care visit.

I talked to PPA billing in April 2013. I had two issue; one, that I was charged for an office visit which was not what PPA billing had explained me and I was charged for a Doctor’s fee while being given shots by a PA. If I would have been advised appropriately before my visit I had an option of asking to be seen by a doctor or refuse to availa the service. My rights of decision were denied by incorrect advice before the service was provided. PPA billing told me that Doctor [redacted] will call back to discuss. Two months later I still did not get a call back and called to follow up. They had not corrected the charges. At that point I requested [redacted] to rescind the payment to PPA and pay to my Primary Care Physiscians. [redacted] payed for the travel shots for PPA, but reverted the office visit charges. I talked to PPA one more time in Sept 2013 and asked them to have the doctor call me. The doctor never called me. I received two bills from PPA in the meantime and called them again in Nov 2013. Finally the doctor called me today and blamed me for not taking responsibility for a service provided. I suggested the doctor to resolve the charges by splitting the charges since a lot of time has been wasted and both side need to take responsibility of the communication breakdown. Dr. [redacted] did not feel she needs to take responsibility of miscommunication from her billing departmenta and believes I should be responsible. I believe it was PPA’s responsibility and I have done everything to resolve the issue ammicably.Desired Settlement: The office visit charges from PPA should be waived.