We understand your frustration but this was not our error The original claim for services billed by our network was processed incorrectly by [redacted] and the claims had to be reprocessed We caught the error after the claims were paid and have no way of knowing the error until we receive the explanation of benefits We then resubmitted the claims so they were correct The extra amount owed is the contractual agreement and your insurance plan We do not set the rates, they do
Complaint: [redacted] I am rejecting this response because:I relied on the original prices charged to make my decision to continue to go past the 1st two visits It is the company’s responsibility to assure the amount it bills is correct Per Legal Match:“Fraud in the inducement means two things: The plaintiff was misled about the facts The plaintiff used the information to make a decision.”Once they billed me for the 1st two visits (misled about the facts), I relied on the pricing to make further purchase decisions (used for purchase decisions) They accepted my payment as payment in full (confirmation of the facts) We had no meeting of the minds at the revised pricing and thus no contract at that rateI am the innocent party Sincerely, [redacted]
We understand your frustration but this was not our error The original claim for services billed by our network was processed incorrectly by [redacted] and the claims had to be reprocessed We caught the error after the claims were paid and have no way of knowing the error until we receive the explanation of benefits We then resubmitted the claims so they were correct The extra amount owed is the contractual agreement and your insurance plan We do not set the rates, they do
Complaint: [redacted] I am rejecting this response because:I relied on the original prices charged to make my decision to continue to go past the 1st two visits It is the company’s responsibility to assure the amount it bills is correct Per Legal Match:“Fraud in the inducement means two things: The plaintiff was misled about the facts The plaintiff used the information to make a decision.”Once they billed me for the 1st two visits (misled about the facts), I relied on the pricing to make further purchase decisions (used for purchase decisions) They accepted my payment as payment in full (confirmation of the facts) We had no meeting of the minds at the revised pricing and thus no contract at that rateI am the innocent party Sincerely, [redacted]
This is something [redacted] will have to take up with his insurance it was their error, and their correction