Professional Orthopedic and Sports Physical Therapy

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to me and the matter has been resolved Sincerely, [redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.
Sincerely,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.
Sincerely,
[redacted]...

Review: [redacted] April 2015[redacted]

I noticed that I was being charged several times the amount of $60 per visit instead of $6 so I checked my credit card statements from December 2014 and found that I was charged $330 more than I was supposed to pay for the physical therapy visits. I started physical therapy on * December 2014 under the [redacted] Basic federal employment benefit. In December 2014, during open season I changed my insurance to [redacted] Standard option, which is supposed to take effect on * January. I told the staff at the Professional Orthopedic and Sports Physical Therapy place that I changed to the Standard option on my first visit in January. They said that their computer shows that I am still under the Basic option ($25 co-pay per visit) and that Standard option will not be affective yet till after the [redacted] of January. They also explained that when that the Standard benefit starts I will have to fulfill a deductable by paying $60 till the deductible is paid then the payments will change to $6 per visit. The staff is always very nice and convincing so I thought it was correct, because I remembered that I had a deductable for the Standard option. When I went in on ** January 2015 they said I owed $25, so I said that I should be covered under the Standard option. The desk person said that the computer was still showing that I owed $25 and the Central Billing Office handles that. She said she will make a note and contact the Central Billing Office, but since it would be $60 that she will have me pay later what I owe (as if they were doing me a favor). (I know now that they billed the insurance company for two visits that day instead of one.) I was charged $25 again on ** January 2015. The following visit, ** January 2015, I was charged $60. On ** February 2015, I mentioned that I should have paid the deductable by then. The desk person said that the computer shows that I still owe $60 per visit. I said that is strange, so she counted the days I had visited and agreed to charge me $6. I continued my therapy there till * April 2015, which was the day I finally noticed the charge was $60 instead of $6. I told the desk person that I have already paid the deductable. The [redacted] was there and looked at how many visits I had and didn’t charge me for that day. On ** April 2015 when I checked over my credit card billing statement I found out that I was being overcharged for my physical therapy visits, so I called the Professional Orthopedic and Sports Physical Therapy Central Billing Office (###-###-####) at 4:55pm and spoke to Jennifer who transferred me to [redacted], who she said is the person who handles the [redacted] accounts. Before transferring me, she gave me [redacted]’s direct number (###-###-####). [redacted] told me that she had already turned off her computer so she would call me back first thing in the morning and that she doesn’t really handle [redacted] that [redacted] does but she will help me anyway. She told me that they get in at 8:00 am.

[redacted] April 2015[redacted]

The next morning, I waited till 9:30 am for a call. I called [redacted] directly but got an answering machine every time. I then called the main line (###-###-####) and was told that [redacted] takes care of [redacted] accounts and was about to transfer me when I said that I tried calling [redacted] but she wasn’t there. The lady responded that [redacted] is there. I then added that [redacted] mentioned to me that she wasn’t the person that handles [redacted] and that [redacted] was the person that does. The lady that answered the main line said that [redacted] is the [redacted] person; however, she transferred me to [redacted] anyway. I explained to [redacted] that I have paid more than the deductable amount but I was still getting charged $60 per visit. [redacted] said that they were still waiting on payment from [redacted] from December 2014 and that she will call them once that is cleared she will send out $170 check to me, which will take two weeks to process. I then said that I calculated a much larger sum that I was owed. [redacted] then said that she will send me an itemized list of the charges that day.

[redacted] May 2015[redacted]

I never received the itemized list of the charges or the check, so I called [redacted] (BCBS) and spoke to [redacted]. I explained that I had already paid off the deductable and that Professional Orthopedic and Sports Physical Therapy was still charging me $60 per visit. [redacted] said that I should have been only paying $20 per visit and asked why I didn’t call BCBS and if I have the EOB. I explained that I know now, but I was convinced that their explanation was correct. I don’t get paper statements and I have been so bogged down that I didn’t go into the BCBS website to print out the explanation of benefits paper. In addition, I have paranoia about using the computer to access accounts too often, because of stories of computer hackers. [redacted] said that I would have to talk to Professional Orthopedic and Sports Physical Therapy. I responded that I had already talked to them and that they said they would send me an itemization of the charges and send me a check which I should receive in 2 weeks. I asked [redacted] what else I can do. [redacted] asked me if I wanted her to call them and I said yes. [redacted] put me on hold and called Professional Orthopedic and Sports Physical Therapy Central Billing Office. [redacted] said she spoke with Jenifer who said they thought I had to pay off the deductable before I get benefits from BCBS and they are also waiting on payment for ** December 2014 from [redacted]. [redacted] said BCBS cut a check to Professional Orthopedic and Sports Physical Therapy on ** April 2015 and that Professional Orthopedic and Sports Physical Therapy will send refund after they receive the check from BCBS. [redacted] said I should receive payment from Professional Orthopedic and Sports Physical Therapy between 21-30 days. On ** May 2015, I received a check for $170 from Professional Orthopedic and Sports Physical Therapy, which is $160 less than what I should have received.Desired Settlement: I want the remainder of the payment due to me ($160).

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.

Sincerely,