Synergy Health Concepts

In response to the complaint filed April 21, 2014, the client was informed at the time of service (March 2012) of her financial responsibility in writingThis document states clearly that she paid $nonrefundable deposit to secure appointments for this treatment, $2,for the research protocol MRI which was not reimbursable by insurance and a $procedure deposit (estimated co-insurance amount.) This document was signed and dated by the clientIn addition, the client signed a form assigning her benefits to the providerMeaning that if the insurance carrier paid for the services rendered; she would assign those benefits (dollars) to the providerIn September 2012, we were notified by the insurance carrier that the payment was issued to the client in May The Explanation of Benefits stated that the allowed amount was $10,562.69; $was applied to the deductible; $2,was applied to co-insurance amount and $34,was the client's responsibilityWe contacted the client to request she forward the payment she received in the amount of $7,to our office as she agreed to do in the documents she signed at the time of serviceIn January 2013, the billing manager contacted the client to request this payment for a second time In addition, a letter was sent to the client explaining that the payment she received was for services rendered by the provider and the client will be held financially responsible full amount of the claim until the payment is received In February 2013, the billing office spoke with an authorized party to discuss the letter they receivedThe client stated that it was their understanding that our office would reimburse the client for what she paidThis is inaccurateOverpayment would be reimbursed to the client; however, our office never received an insurance paymentWe are not attempting to collect $46,707; this is the outstanding amount in our billing system which is printed on our statementWe clearly have communicated repeated in writing and verbally that we are attempting to collect the money that was intended for the physician who performed the servicesIt is unfortunate that any person who receives care would consider keeping the payment for these services for their ownOur office has left several messages for this client and the persons calling on her behalfWe would like to resolve this issue as wellIt is our sincere hope that she realizes that payment should be paid to the provider and not to the person who received the treatment

We have resolved the situation. Thank you for your assistance. Very much appreciated!

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID *** and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below
This person who replied to you is not being honest We have called several times She has called me personally one time and left a message I have called her back several times She doesn't return my callsI am sending some documentation that shows how much we were told the procedure was and I also have more receipts if needed I have emails that show pricing from other places in the U.Sdoing this same procedure
One other thing I don't understand is how can they come back two years later sending me an outrageous bill If I would have known the price would jump from 10k to 47k I would have never went to this center
Also, if you need more proof I found this online from someone who had the same procedure done at Synergy and how much it cost http://ccsvi.ca/story/37/cold-lake-ms-sufferer-received-ccsvi-treatment-in-calif...⇄
Regards,
*** ***

In response to the complaint filed April 21, 2014, the client was informed at the time of service (March 2012) of her financial responsibility in writing. This document states clearly that she paid $1000 nonrefundable deposit to secure appointments for this treatment, $2,500 for the research...

protocol MRI which was not reimbursable by insurance and a $4000 procedure deposit (estimated co-insurance amount.)   This document was signed and dated by the client. In addition, the client signed a form assigning her benefits to the provider. Meaning that if the insurance carrier paid for the services rendered; she would assign those benefits (dollars) to the provider. In September 2012, we were notified by the insurance carrier that the payment was issued to the client in May 2012. The Explanation of Benefits stated that the allowed amount was $10,562.69; $666.32 was applied to the deductible; $2,489.23 was applied to co-insurance amount and $34,892.31 was the client's responsibility. We contacted the client to request she forward the payment she received in the amount of $7,407.14 to our office as she agreed to do in the documents she signed at the time of service. In January 2013, the billing manager contacted the client to request this payment for a second time.  In addition, a letter was sent to the client explaining that the payment she received was for services rendered by the provider and the client will be held financially responsible full amount of the claim until the payment is received. 
 
In February 2013, the billing office spoke with an authorized party to discuss the letter they received. The client stated that it was their understanding that our office would reimburse the client for what she paid. This is inaccurate. Overpayment would be reimbursed to the client; however, our office never received an insurance payment. We are not attempting to collect $46,707; this is the outstanding amount in our billing system which is printed on our statement. We clearly have communicated repeated in writing and verbally that we are attempting to collect the money that was intended for the physician who performed the services. It is unfortunate that any person who receives care would consider keeping the payment for these services for their own. Our office has left several messages for this client and the persons calling on her behalf. We would like to resolve this issue as well. It is our sincere hope that she realizes that payment should be paid to the provider and not to the person who received the treatment.

We have resolved the situation.  
Thank you for your assistance. Very much appreciated!

Review: In March of 2012 I had a the CCSVI procedure at this location. Paid in full. At the time this procedure was not being paid for by insurance companies so they required that it was paid in full to have procedure done. I borrowed the money to have it done for the price that was quoted to me. Paid $1000 to just make an appointment with company. I flew from the state of Georgia to California. Paid the rest. total was aprox. 10K When you have Multiple Sclerosis you will almost do anything for some relief. Anyhow,2 years later I am receiving a bill from them for $46,707.00. First of all this was paid in full. I called because I thought this must be a mistake and they said that it wasn't a mistake. When I first arrived they asked for my insurance card and I asked why if I am paying in full for the procedure. I was told that if for some reason my insurance does pay for some of it, I will get some of my money back. My insurance sent me a check for 7000. I forwarded that to the person I borrowed money from. The procedure was a little over 10k. It was a little more expensive than others in the country but I felt confident in this particular doctor so was willing to pay the price. If you research this procedure throughout the US you will find it to be less than 8K. They will also tell you that you must pay in full because most insurance will not pay. I have called several times to straighten this out to no avail. I have received one call back, they left msg. I called back several times. No return of messages. I contacted the doctor himself and he gave me a number to call his office manager. I just want this to be resolved because I do not owe this money and I do not want this on my credit report when it was PAID IN FULL AT TIME OF SERVICE.Desired Settlement: I just want this to be resolved because I do not owe this money and I do not want this on my credit report when it was PAID IN FULL AT TIME OF SERVICE.

Business

Response:

In response to the complaint filed April 21, 2014, the client was informed at the time of service (March 2012) of her financial responsibility in writing. This document states clearly that she paid $1000 nonrefundable deposit to secure appointments for this treatment, $2,500 for the research protocol MRI which was not reimbursable by insurance and a $4000 procedure deposit (estimated co-insurance amount.) This document was signed and dated by the client. In addition, the client signed a form assigning her benefits to the provider. Meaning that if the insurance carrier paid for the services rendered; she would assign those benefits (dollars) to the provider. In September 2012, we were notified by the insurance carrier that the payment was issued to the client in May 2012. The Explanation of Benefits stated that the allowed amount was $10,562.69; $666.32 was applied to the deductible; $2,489.23 was applied to co-insurance amount and $34,892.31 was the client's responsibility. We contacted the client to request she forward the payment she received in the amount of $7,407.14 to our office as she agreed to do in the documents she signed at the time of service. In January 2013, the billing manager contacted the client to request this payment for a second time. In addition, a letter was sent to the client explaining that the payment she received was for services rendered by the provider and the client will be held financially responsible full amount of the claim until the payment is received.