Thee Privileged Pet

Complaint: [redacted] I am rejecting this response because: The provider was under contract with Blue Cross/Blue Shield to accept the amount they paid as payment in full The provider is attempting to collect more that they are entitled to, in violation of their contract This has been explained to them in detail, but they are rejecting the explanation I have contacted Blue Cross/Blue Shield of TX and they will be contracting provider to explain their contractual obligation Regards, [redacted]

Heairng aid options were explained to patient reference type, cost, etc.  Patient chose to purchase a more expensive aid than what his insurance was going to pay.  Our agreement with BCBS states we have to offer at a discounted price of $6000.00 per set.  This was also explained to...

patient at time of purchase.  Patient understood he was responsible for the difference. Patient stated we were going to get reimbursed from BCBS $4800.00.  He proceeded to pay the $1200.00.  We were reimbursed from BCBS $3372.21.  As per the contract patient signed, it clearly states "Client accepts full responsibility for full payment of the hearing aids if the insurance carrier does not pay".

Complaint: [redacted]
I am rejecting this response because:  The provider was under contract with Blue Cross/Blue Shield to accept the amount they paid as payment in full.  The provider is attempting to collect more that they are entitled to, in violation of their contract.  This has been explained to them in detail, but they are rejecting the explanation.  I have contacted Blue Cross/Blue Shield of TX and they will be contracting provider to explain their contractual obligation.
Regards,
[redacted]