We are very disappointed to hear of the previous patient’s
frustration over receiving the bill. As
they stated, our office did call to verify their insurance, however, before
receiving any information from any insurance company we are always given a
disclaimer which states “the information
that you are about to receive is not a
guarantee of payment”. So, simply
stated, our office has absolutely no idea of what the insurance company will
actually pay until the claims are processed and we receive an Explanation of
Benefits from their company. Our office
files paper claims, so it can take approximately 6-weeks for us to receive a
response from the insurance company on the very first patient encounter. Unfortunately, this patient was coming to our
office to receive chiropractic care times per week for several weeks which
explains the accumulation on her total charges.
Also, a fact that the former patient declined to share, was that they
were only allotted visits per calendar year with their insurance company and
they willingly came to our office for visits, this leaves visits which
were uncovered by their insurance company.
Also, the patient stated in her letter to our office that they felt that
the care that they received was “beneficial” for their condition. So, I’m a little confused as why they stated
that they cannot “justify paying for the full balance” when they have already
received the treatment and it benefited themAlthough, we can understand the individuals “frustration”
with the fact that their insurance company did not cover the way that they and
our office expected, the patient is still responsible for the care that they
received and we have signed documentation of the patient’s acknowledgement and
willingness of this fact. Our office
regrets that the patient is disappointed; however, they are in fact responsible
for the balance
I have reviewed the response offer made by the business in reference to complaint ID ***, and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below
Regards,
*** ***
We are very disappointed to hear of the previous patient’s
frustration over receiving the bill. As
they stated, our office did call to verify their insurance, however, before
receiving any information from any insurance company we are always given a
disclaimer which states “the information
that you are about to receive is not a
guarantee of payment”. So, simply
stated, our office has absolutely no idea of what the insurance company will
actually pay until the claims are processed and we receive an Explanation of
Benefits from their company. Our office
files paper claims, so it can take approximately 6-weeks for us to receive a
response from the insurance company on the very first patient encounter. Unfortunately, this patient was coming to our
office to receive chiropractic care times per week for several weeks which
explains the accumulation on her total charges.
Also, a fact that the former patient declined to share, was that they
were only allotted visits per calendar year with their insurance company and
they willingly came to our office for visits, this leaves visits which
were uncovered by their insurance company.
Also, the patient stated in her letter to our office that they felt that
the care that they received was “beneficial” for their condition. So, I’m a little confused as why they stated
that they cannot “justify paying for the full balance” when they have already
received the treatment and it benefited themAlthough, we can understand the individuals “frustration”
with the fact that their insurance company did not cover the way that they and
our office expected, the patient is still responsible for the care that they
received and we have signed documentation of the patient’s acknowledgement and
willingness of this fact. Our office
regrets that the patient is disappointed; however, they are in fact responsible
for the balance
I have reviewed the response offer made by the business in reference to complaint ID ***, and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below
Regards,
*** ***