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South Coast Medical Group

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South Coast Medical Group Reviews (1)

Review: The billing office of South Coast Medical Group turned over a claim for medical services rendered on 8/14/13 to a debt collection agency. The billing department for the urgent care facility claimed that I owed them for an office visit on 8/14/13. They failed to submit my medical claim to the correct insurance provider. I had Medicare and Humana Health Insurance at that time, I presented both insurance cards at check-in desk.One year later they sent me a statement claiming that Medicare denied the claim, they didn't submit it to Humana at that time. There is a time limit involved with submitting an insurance claim, not older than a year. I called the billing office sometime in late 2014 at South Coast Medical Group and stated they failed to resubmit my claim to Humana Health Insurance, and the representative explained at that time that the medical group who rendered the services did not accept Humana. I was not told that at the time I checked in. If I knew at that time it wasn't accepted, I would have had the opportunity to go to another urgent care facility that accepted Humana. A collection agency sent a letter to me on 6/12/15, (2) years later wanting full payment with interest on my claim in 8/2013. South Coast Medical Group's billing office is trying to collect on the claim they failed to submit properly to Humana. I do not believe this is my error and should not have to pay the collection agency.Desired Settlement: The billing office at South Coast Medical Group should be responsible for the mistake or error for not indicating at the check-in that their group did not accept my insurance and give me the opportunity to go somewhere else that did accept my insurance. I believe this falls under unethical billing practices.

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Description: Physicians & Surgeons - Medical-M.D., Urgent Care Centers

Address: 5 Journey #130, Aliso Viejo, California, United States, 92656

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