Shoreline Physical Therapy

Complaint: ***
I am rejecting this response because:The business focussed their whole response on the trying to collect payment from me They didn't acknowledge any of the foul practices in which I indicated is the reason why I would not remit payment. Once again, this company told me they would bill my insurance company for the treatments Weeks after the treatments were finished I was contacted saying I owed payment and that my insurance company wouldn't cover it My whole life when using my insurance policy the caregiver runs my policy while I'm still there in the office and informs me of whats covered and what isn't covered I believe Contemporary Sport Therapy knew my policy wouldn't cover it but wanted to collect on my injury therefore they didn't inform me until weeks after my treatment I wonder how many other customers this may have happened to? The company is in an easy position to take advantage of customers, the customers are in distress and in need of help I contacted my insurance company and they informed that nobody had called to ask about my policy, there is a Federal Law to make notes every time a caregiver calls inquiring about a clients policy, no phone call was ever made about my policy I went to treatments for more than weeks, you would have thought in that time period that Contemporary Sports Therapy would have looked into my policy and informed me of the deductible Once again this isn't a dispute over collection of payment, its a dispute over how the services were contracted I feel as if I was "scammed" into treatments and billed at higher rate I never would have gone to treatment knowing how much they would have cost, as I believe the company knew this, and that is why they didn't inform me until after all of my treatments I even told the owner that I was doing almost all of the exercises at home with a personal trainer and didn't really need to keep coming in She told me "they're free visits, your insurance is paying for them."I do not argue that fact that money is owed, I just don't know what a fair amount is and I want to make sure this doesn't happen to anybody else The business owner of this company is unprofessional and has tried to leave voicemails and text messages at all hours of the day I have spoken with her numerous times and its quite clear we don't see eye to eye, instead of trying to fix the problem with a mediator or litigator she has sent my bill to a debt collector in Florida Please advise me on how to handle this situation
Sincerely,
*** ***

Response to complaint from [redacted],The above names patient came to my clinic Contemporary Sports Therapy for an injury sustained to his Left bicep and elbow.  He recieved treatment at a cash pay rate of $65.00, this is a direct pay rate that is designed to make muscle-skeletal treatment for...

sports injuries affordable.  It does not require a medical biller or adhere to medicare standards that dictate the amount billed for professional medical services.  Mr. [redacted] did several treatments at this rate and then realized he may want to use his insurance, which he said was a really good plan and had paid alot of money for it.  At this time we refered him to a doctor for a physical therapy referral.  He returned to the clinic and we did a formal Physical Therapy evaluation and 8-9 treatments.  These visits were billed to his insurance police at the standard medicare and allowable amount of [redacted].  In december of 2014 we recieved the explaination of benefits from Mr. [redacted]s insurance policy stating that all of his treatments have been applied to his deductible.  He did not understand what the deductible was nor did he know what he signed up for when he purchased his insurance policy.  At the time that I verified insurance coverage it did not tell me that our physical therapy services would be applied to his deductible.  The statement on the screen said that payment and deductible was subject to review and would be determined at time of claim review.  I have attached a picture of the computer screen with this statement.On 12-9-14 I contacted [redacted] and let him know that his insurance applied all of his visits to his deductible and we could work out a payment plan that would save him some money.  He agreed and asked me "What do I owe?"The total billed to his insurance was $1357.10, I offered him a discounted amount of $1100.00, then further reducing it to $1000.00.  On december 9th he said it was alot of money and he would come by and take care of it.  This is also demonstrated in the pictures of the text messages that were exchanged between myself and the patient.  By 12-17-14 I had not seen or heard from Mr. [redacted] so I continued to leave him voice mail messages and text messages to try and close out this case.The below listed dates I tried to both call [redacted] and send text messages to attempt to collect this dept and settle for s discounted amount.  Attached are screen shots of the text messages sent that prove I did in fact attempt to negociate a lesser amount.  I was disregarded in all attempts since 12-10-15.12-10-1512-17-141-2-151-7-153-24-158-12-15None of those attempts to get in touch with the patient were succussful.  He continued to disregard my attempts to discount the amount owed and close the case.  If you would like to speak with me further about this issue Please contact me at 808-673-0060.Sincerely,Lauren Reinert