Prohealth Corp.

Review: Not only billing issue but customer service as well. I double paid an invoice in error not knowing my son had already paid it with his debit card. Trying to do the right thing by making sure the invoice was paid was probably a mistake in retrospect. I have been told that my "refund" will take up to eight weeks, by some very uncaring and surly customer service people.

They don't mind taking your checks and cashing them, but now try to get your overage back. I'm talking about over $400. I called the doctors office to see if they could help. They at least were nice about it and said they would try to get Lake Success people to move it. Still waiting over a month now, for what should be a simple task. Unfortunately this will reflect poorly on the doctors office as I will probably not want to use his service if this is the chosen practice of the billing department. I will also warn as many people as possible to find other practitioners that handle their own billing and don't use ProHealth.Desired Settlement: I would like my $413.44 refunded immediately. I don't see how difficult it is to clearly see on my statement a credit due of that amount and to issue a check or credit my checking account immediately. This is one months groceries to me.

Business

Response:

The refund was sent to finance on 11/**/15 after documented call was received on 11/**/15 . The check has been cut, check # [redacted] in the amount of $413.44 and will go out in the mail today.

Review: Prior to an elective surgery I asked Pro Health personnel if I would receive a bill after this pending procedure. The surgical coordinator assured me that patients are notified prior to their procedure if any out-of-pocket expenses are involved. She went on to say their billing department handles everything and coverage and benefits are verified and that there would be no surprises. Unfortunately for me I had the procedure and one month later received bills totaling over $800.00. I spoke with two people from Pro Health's billing department and each person confirmed that coverage and benefits are verified and patients are contacted when such a large amount isn't covered. Neither person could explain why I wasn't contacted, both apologized and said even though they dropped the ball and don't know how I "fell through the cracks", I was still responsible for this amount. Buyer beware should not apply in the medical field, especially within such a big medical group. I feel as though I was deceived and being held financially responsibility for their mistake. The decision to have an elective procedure with such a high out-of-pocket amount should have been mine but that was taken away from me.Desired Settlement: Since the issue is a result of Pro Health personnel's mistake I expect a complete reversal of all charges from the doctors and facility.

Business

Response:

The patient has a 90/10 plan with their insurance carrier. Therefore , the bill should not be in any way a surprise as they will always be responsible for the co insurance per the plan that they have. It is not something that is in our control we need to adhere to the explanation of benefits. They are not being charged anymore than the carrier indicated and it is the 10%. There will be no adjustment made as it is not warranted.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

My policy covers some items 100%, others 90%. Knowing this I specifically asked about out of pocket expenses before my elective surgery. I had no way of knowing how or what they would bill. I was told Pro Health always checks with patients' insurance prior to procedures and patients are ALWAYS notified when out of pocket money are involved. I was reassured I would be notified BEFORE my surgery if any deductible, co-insurance, any out of pocket expenses were involved and I wasn't. When speaking with two representatives from their billing department, both apologized, said I should have been notified and one said she didn't know how I "fell through the cracks" and wasn't notified. A significant amount of money was billed yet they take no responsibility for their costly mistake. Pro Health's response does not address my complaint. Pro Health should take responsibility for their employees mistake. I shouldn't have to pay because their employee didn't do their job.

In order for the Revdex.com to appropriately process your response, you MUST answer the question above.

Sincerely,

Review: Company was deliquent with processing coverage under my health care policy and due to their deliquency has request full payment for the services rendered. I have made numerous attempts to resolve and now the company has elected to not deal with me directly and is seeking payment via a collection agency. I am communicating the same information to the collection agency in an attempt that they will obtain information form the company toDesired Settlement: The company will seek payment from the health care provider and acknowledgement that they were at fault due to the delay in there billing process to the health care provided. Confirmation that the services provided were indeed covered under the plan as initial stated.

Consumer

Response:

At this time, I have not been contacted by Prohealth Corp. regarding complaint ID [redacted].Sincerely,[redacted]

Review: ProHealth continues to bill me for services for which I've already paid. I've provided ProHealth with copies of cancelled checks. I've written letters. I've spoken to supervisors. Despite all of my efforts over the last few months, ProHealth continues their harassing collections practices.Desired Settlement: Kindly adjust my account to reflect payments previously made. Then please cease the harassing letters, collections efforts, etc.

Business

Response:

Tell us why here...We have no record of either payment or receipt of copies of cancelled checks. If patient would send those to me directly by email if possible ,I can further investigate, but at this point I cannot do anything about the bill.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

ProHealth's last message acknowledges receipt of my payments. Those payments CLEARLY denote the dates of service to which they should apply. As such, the question remains as to why I am still being billed for services for which ProHealth has now acknowledged receipt of payment.This matter cannot be resolved until ProHealth properly applies the payments they've received from me to the dates of service for which they correspond.Thank you.[redacted]

In order for the Revdex.com to appropriately process your response, you MUST answer the question above.

Sincerely,

Business

Response:

We will make the necessary adjustment to post the payments to the dates that were indicated on the check, regardless of that the patient still owes the amount stated and needs to make payment for balance due, that has not changed only the dates the money is owed for. Once the changes have been made we will forward a new statement to the patient and expect payment within 30 days

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

I have attached ProHealth’s most recent statement to this email. Once again, they are billing me for services for which I’ve previously submitted payment.In addition to the ProHealth statement, you’ll find cancelled checks attached confirming ProHealth has been paid for the dates of services listed on the statement.

Review: ON 1/*/2014, , I HAD A DOCTOR VISIT....RADIOLOGICAL SERVICES...

AND MADE A CO-PAYMENT TO PROHEALTH CARE ASSOC

I RECEIVED A 2/**/14 BILLING INDICATING PAYMENT WAS NOT MADE.

ON 3/*/14 A LETTER/ FAX WAS SENT TO PROHEALTH CARE ASSOC , TOGETHER WITH A COPY OF THE COPY OF THE 1/**/14 CANCELLED CHECK

PROHEALTH DID NOT RESPOND TO THAT LETTER/FAX

PROHEALTH DID NOT RESPOND TO FOLLOW UP LETTERS/FAXES OF 3/**/14 AND ANOTHER ON 4/*/14, ANOTHER REQUEST ON 4/** AND A 5TH REQUEST WAS SENT TODA.Y.Desired Settlement: 1. ACKNOWLEDGEMENT OF CORRESPODENCE TO FIRM.

2 A CORRECTON OF BILLING ERROR.

3. AN ACKNOWLEDGEMENT OF CORRECTION.

4. APOLOGIES FOR FAILING TO RESPOND TO NUMEROUS COMMUNICATIONS.

Consumer

Response:

At this time, I have not been contacted by Prohealth Corp. regarding complaint ID [redacted].

Sincerely,

Consumer

Response:

At this time, I have not been contacted by Prohealth Corp. regarding complaint ID [redacted].

Sincerely,

Review: ProhealthCare Assoc/Lake Success, NY fails to respond to communication since 12/*/2013..

ProhealthCare Assoc fails to adjust a billing from 10/*/2013.

...Desired Settlement: Adjust of billing, with notifications

Apology for failures to respond

Consumer

Response:

At this time, I have not been contacted by Prohealth Corp. regarding complaint ID [redacted].

AND

The issue has not been resolved. I have not I received any communications from them since the issue was first presented to ProHealth on 12/*/2013 (and numerous times thereafter)

Sincerely,

Review: On Jan **,2015 I was treated and billed $20.00. I paid by check and the check cleared. Feb, 2015 I received a statement that I owed $20.00. I contacted their office and that day I sent a copy front and back $20.00 check payable to Prohealth. March, 2015 I received another statement. I repeated the mailing and was told "not to worry account is up to date. April, 2015 I receive another statement, I do not respond. May, 2015 I receive another statement contact their office in [redacted] and [redacted]. I speak with [redacted] the [redacted] and she tells me that I have two copays. The [redacted] statement does not reflect what I was told. The statement indicated $20.00 was due for services on Jan **, 2015.Desired Settlement: I am paid up to date and I want their accounting to reflect that I was billed for $20.00 and I paid $20.00 on the date of service.

Thank you,

Business

Response:

Account has been reviewed. Patient did make a copay on dos as he states. Insurance has not fully processed the claim and the copay was applied to the open item. Copay has been moved to the processed procedure and currently patient balance is zero. Message was left for the patient to call office so we could inform him , and a letter will be sent out today as well.

Review: I went to Salisbury Medical Practice in Hicksville NY as a new patient on June *, 2015 with Dr. R[redacted]. At the time of the first apt I was not notified or signed any papers agreeing to a no show apt fee of $50.00. I originally had a apt on July **, 2015 in which the office cancelled my apt on July ** or about that date. Informing me that the dr that I had an apt with was no longer at that practice. Therefore we rescheduled for August **, 2015. My son was sick that morning therefore I called and left a message to cancel on the doctors office voice mail. I received a statement showing the $50.00 charge. I called and spoke with Gloria who states her title is the billing manager. I asked her to waived this charge and was not aware of this policy. She stated that she would reduce the fee but since I don't want a reduce fee the charge will stand. Then Gloria brought up my other dr appts that I have with prohealth in which I believe was none of her business as I wasn't talking about my other appts. There is a privacy act.

I see that this firm has had other issues with patient billings and their practices.

I would like this charge to be taken off my account.

Thank you,Desired Settlement: I would like this charge to be taken off my account.

Business

Response:

Policy for no show fee is posted at the front desk and is stated in the automated reminder call. We understand that sometimes patients cannot call and will therefore as a one time courtesy adjust this balance.

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,