[redacted] was bringing in her son for speech therapy servicesIn finding out that she was paying out of pocket I (***) offered to help her and see if we could capture payment from the insurance companyI also did relay to her that there was not a 'guarantee' that we would capture these payments but that we would tryWe took her insurance information and did in fact process the claimsMy office manager, Neeta, did relay to her that were having difficulty obtaining payments and the claims were being denied for various reasons, as is the case with many insurance claims due to the nature of insuranceWe sent out all the visit invoices via an email that we have on file via our accounting software from our billing deptI confirmed that this email was in fact correct when I spoke with Merlissa last week, and I am unsure as to why she never received themThese bills were sent out over a one year periodOur office mgr also notated that she attempted to contact [redacted] over the course of the yearWhen our billing dept does not receive payment or correspondence from a patient an over due balance is generated and sent to collectionsWhen [redacted] called me last week (the week of Feb 1), I immediately addressed her call and concernsI sent over the invoices via registered mail, and have been in contact with the insurance company to see if we can find a resolutionAs a matter of fact she just called me today and I returned her call And she was unable to speak with meThe latest update is that her insurance company believes they incorrectly processed the claims and will try againBut we have all of our clients sign off on a financial responsibility waiver because with insurance there is never a guaranteeIt is each client's responsibility to be sure they have a good working knowledge of their benefits and benefit restrictions because this is information that they will not volunteer to the providerThank you!Sent on: 2/4/1:03:PM
Complaint: [redacted] I am rejecting this response because: When I first enrolled my son September for speech therapy, I was paying out of pocket for his sessionsThe company is suppose to verify (with the insurance) benefits and the amount that I would have to pay as a co-pay that was never doneIn December, [redacted] took a payment from me and realized that the account had no insurance informationShe asked me that day if I had insurance and I said, 'YES." I explained to her that I was told that my insurance was not accepted and she asked to see my insurance cardsShe said that I have out of network coverage that I can use and that the insurance will not pay everything but may pay a portion [redacted] apologized to me and told me that she has to better train her staff and all insurance information should be verified to confirm co-paysI was told not to pay anything until they heard from the insurance regarding out of network benefitsUnfortunately, my information was wrong and that is why it took to long at firstShe advised that the office manager tried to reach me but no one has attempted to call me nor send me any invoicesThe first time I have heard from them is receiving a collection notice in the mailI called Tiny Totts the same day I received the collections letter and making this complaintI asked [redacted] when were these phone calls made and when did they send out these supposedly invoices to my addressLooking in the system she couldn't tell me what date these occurrences took placeShe advised me that she will send them out to me priority mail and I would have to sign for them I received those invoices so what happened to the ones prior to her sending to meSome of these statements that are being mentioned are not truei always stayed in contact with my insurance company to find out what is going on with these claims until a couple representatives advised me to stop calling because I am doing what Tiny totts is suppose to doI also was told that its between tiny tots and us(insurance company)I always pay what I should but this is not the way that Tiny Totts should be taking care of their patientsI was told that [redacted] would contact me back in weeks because of an error that she found on my claim on behalf of the insuranceThe time frame that it has taking(a year) is not my faultI kept speaking to [redacted] every time I went in for a visit and calmly I was told they didn't hear back from the insurance and your fineWell, not exactly if I am in collections and just received statements that I had to ask for on 1/27/They sent me to collections for no fault of minesI can't believe that she would say they tried to contact me and I never even receive an invoice in the mailI have never ran into a company like this until nowI will never do business here ever again Regards, [redacted]
[redacted] was bringing in her son for speech therapy servicesIn finding out that she was paying out of pocket I (***) offered to help her and see if we could capture payment from the insurance companyI also did relay to her that there was not a 'guarantee' that we would capture these payments but that we would tryWe took her insurance information and did in fact process the claimsMy office manager, Neeta, did relay to her that were having difficulty obtaining payments and the claims were being denied for various reasons, as is the case with many insurance claims due to the nature of insuranceWe sent out all the visit invoices via an email that we have on file via our accounting software from our billing deptI confirmed that this email was in fact correct when I spoke with Merlissa last week, and I am unsure as to why she never received themThese bills were sent out over a one year periodOur office mgr also notated that she attempted to contact [redacted] over the course of the yearWhen our billing dept does not receive payment or correspondence from a patient an over due balance is generated and sent to collectionsWhen [redacted] called me last week (the week of Feb 1), I immediately addressed her call and concernsI sent over the invoices via registered mail, and have been in contact with the insurance company to see if we can find a resolutionAs a matter of fact she just called me today and I returned her call And she was unable to speak with meThe latest update is that her insurance company believes they incorrectly processed the claims and will try againBut we have all of our clients sign off on a financial responsibility waiver because with insurance there is never a guaranteeIt is each client's responsibility to be sure they have a good working knowledge of their benefits and benefit restrictions because this is information that they will not volunteer to the providerThank you!Sent on: 2/4/1:03:PM
Complaint: [redacted] I am rejecting this response because: When I first enrolled my son September for speech therapy, I was paying out of pocket for his sessionsThe company is suppose to verify (with the insurance) benefits and the amount that I would have to pay as a co-pay that was never doneIn December, [redacted] took a payment from me and realized that the account had no insurance informationShe asked me that day if I had insurance and I said, 'YES." I explained to her that I was told that my insurance was not accepted and she asked to see my insurance cardsShe said that I have out of network coverage that I can use and that the insurance will not pay everything but may pay a portion [redacted] apologized to me and told me that she has to better train her staff and all insurance information should be verified to confirm co-paysI was told not to pay anything until they heard from the insurance regarding out of network benefitsUnfortunately, my information was wrong and that is why it took to long at firstShe advised that the office manager tried to reach me but no one has attempted to call me nor send me any invoicesThe first time I have heard from them is receiving a collection notice in the mailI called Tiny Totts the same day I received the collections letter and making this complaintI asked [redacted] when were these phone calls made and when did they send out these supposedly invoices to my addressLooking in the system she couldn't tell me what date these occurrences took placeShe advised me that she will send them out to me priority mail and I would have to sign for them I received those invoices so what happened to the ones prior to her sending to meSome of these statements that are being mentioned are not truei always stayed in contact with my insurance company to find out what is going on with these claims until a couple representatives advised me to stop calling because I am doing what Tiny totts is suppose to doI also was told that its between tiny tots and us(insurance company)I always pay what I should but this is not the way that Tiny Totts should be taking care of their patientsI was told that [redacted] would contact me back in weeks because of an error that she found on my claim on behalf of the insuranceThe time frame that it has taking(a year) is not my faultI kept speaking to [redacted] every time I went in for a visit and calmly I was told they didn't hear back from the insurance and your fineWell, not exactly if I am in collections and just received statements that I had to ask for on 1/27/They sent me to collections for no fault of minesI can't believe that she would say they tried to contact me and I never even receive an invoice in the mailI have never ran into a company like this until nowI will never do business here ever again Regards, [redacted]