Total Access Urgent Care PC

We are in receipt of Case ID [redacted] Thank you for forwarding the complaint We take these issues very seriouslyUpon careful review of the case and discussion with the treating physician, it is clear that this patient had a medical history performed by the physician along with a careful physical exam to include direct visualization of the upper airway and pharynx and auscultation of the lower airwayThe patient refused all other recommended testing including x-rays and went to the ER.The only charges the patient received were for this assessmentThe patient was charged a $copay as required by her insurance plan and the remainder of the bill is presently being adjudicated by her insurance carrier but the total will be less than $($would be the maximum remaining charge after her $copay).We feel badly that she had any negative perceptions of her care and hope she is doing wellHer charges were appropriate and fairTotal Access Urgent Care was founded solely to provide the StLouis community with an affordable, fast, and friendly alternative to conventional Emergency DepartmentsWe are far more technologically advanced than any other urgent care in the StLouis area, and provide our patients with the highest rated (Google, Yelp) care in the region at 1/8th of the cost of the hospital alternativePlease let me know if you need any additional information regarding her care

Please modify (or tell me how to modify) Complaint #between parties Lace N King and Total Access Urgent CareSpecifically, please note within my complaint that I do not consent to being contacted by phone by the establishment thanks to documented, harassing phone calls that I have received from their proprietor in past yearsThe proprietor of TAUC was notified, in writing and prior to submission of my Revdex.com complaint, that I do not consent to ANY phone contact from him or his establishment under any circumstances, ever(I can provide dated documentation of this notification if necessary)I provided two alternative methods of contact for the establishment (postal mail and e-mail) in my complaint, so in the event they come to you and allege they could not contact me, please do not accept their excuses; if it is legally acceptable to contact me by postal mail to demand my money, it surely is acceptable to contact me by postal mail for questions or issues pertaining to my complaint, tooIt would be unwise and unfortunate if this Revdex.com office refuses to comply with this matter and thus puts itself in the position to be held liable for further illegal conduct and emotional distress caused by TAUC proprietors, by demanding that TAUC have my phone number in order for my case to be satisfactorily resolved.Please respond to this e-mail detailing your understanding and acceptance of my complaint modificationThank you,

Complaint: [redacted] I am rejecting this response because: I was promised a refund by [redacted] ***Service wasn’t provided because podily injury was was occuringNothing came from visit, except higher BP from dispicable serviceI do have pics of my arm after lack of IV skillAdministrative staff are a bunch of liarsNo test results came to meI didn’t and could not get better at the “Urgentcare”, especially after lack of professionalism and lack of skill from staff Sincerely, [redacted]

TellThank you for your response.I have attached a copy of our server log showing the email address used for emailed statementsI hope this clears up any confusion regarding statements sent on the balance due Also attached is a copy of the refund of Convenient Pay charges The Convenient Pay refund was made on 10/2/when the patient called and requested the refund It takes three to five business days for the funds to be posted to the patients account This is standard banking process and had nothing to do with the patient contacting his bank or Total Access Urgent Care delaying a refund requestTotal Access Urgent Care made every attempt to work with this patient and the patient agreed to a payment plan when he called in on October 2, and requested a refund No payment was made until the December 20, payment When no payment was received in February, two months later, the patient was moved to the “send to collections” workbasket which triggered the collections letter on February 23, 2018, the same letter the patient attached to his rejection statement.We make every attempt to work with our patients to resolve issues The balance due is the patient’s responsibility and is a result of the patient’s insurance company stating he owes his deductible If the patient will set up a payment arrangement and adhere to the payment arrangement we can approve a one-time courtesy waiver of the collections fees We pride ourselves on taking care of our patients from the time they visit for medical concerns and all the way through the billing processThe patient has made no attempt to contact Total Access Urgent Care to discuss this issue since making a one-time payment in December The first contact we have had regarding this issue from the patient was through the Revdex.com Complaint HubTotal Access Urgent Care has sent email statements, four text reminders and a collection letter in addition to setting up a previous payment plan with the patient.Please feel free to contact the Billing Department to set up a payment plan The Billing Department can be reached at [redacted] If no payment is made prior to March 7, 2018, we will have no choice but to send the full amount due, with collections fees, to an outside collection agencyus why here

We are in receipt of your Complaint # [redacted] Thank you for forwarding the detailed concerns; we always take these complaints, the integrity of our business, and our customer’s satisfaction very seriously.When this patient visited our facility in December, 2017, she signed financial responsibility and agreed to our Convenient Pay program This program is a convenience for our customers designed to make our billing process as seamless and efficient as possible, passing on the convenience to the patient and granting Total Access Urgent Care (TAUC) permission to securely encrypt and save the patients credit card information for payment of the patient’s portion of their claim after the insurance company adjudicates the claimThe patient was made aware of the Convenient Pay Program by a minimum of four methods of notification She signed the intake form agreeing to the programI have encrypted and emailed the agreements to the patient She was notified after each visit on their receipt at check-out, copies of which have also been encrypted and emailed to the patient We email the patient a detailed summary of the Convenient Pay Program, and include a PDF statement of their balance due notifying them that their card on file will be charged within 3-business days of the date of the emailThis patient was emailed at the email address she provided ( [redacted] @yahoo.com) regarding her balance due on Confirmation of the emails leaving our server has been sent to the patient The patient’s insurance company sends an explanation of benefits notifying the patient of their portion of responsibility The amount due TAUC from this patient is based on her contact with her insurance carrierTAUC is required by the carrier to collect the amount the insurance company designates as due We regret and apologize for the frustration this standard insurance practice has caused the patient as we deeply value each patient This Revdex.com complaint is the first we have heard from the patient that they were upset with the process I have emailed the patient to let her know I am happy to refund the charges and work out a payment plan with her to pay the refunded payment and the balance which is still due on the account.Please let me know if you need any further information from me.Tell us why here

We are in receipt of your Complaint # [redacted] Thank you for forwarding the detailed concerns; we always take these complaints, the integrity of our business, and our customer’s satisfaction very seriouslyThis patient has multiple complex billing concerns surrounding her caseWe have provided the patient with all of our records including her payment history, medical records, and any other pertinent informationOn 04/03/2016, the complainant brought her adult daughter in and explained to our receptionist that she was assuming financial responsibility for her daughter The daughter is an adult On 05/24/2016, Total Access Urgent Care (TAUC) received a letter from the mother requesting amendments to her daughter’s record As there was no documentation of power of attorney (POA) in the chart for the adult daughter, TAUC attempted to contact the daughter to obtain her permission to make the amendments requested by her motherThe mother answered the phone number on file for the patient and refused to allow us contact with her daughter The mother then stated that she held the POA for the daughterThe mother faxed TAUC a copy of the POA, which was then scanned and made a part of her daughter’s chartTAUC then complied with the mother’s request to add amendments to the chartAt the time of time of service, the daughter’s financial responsibility was applied to her mother’s account as the mother had explained multiple times that she was financially responsible for the adult daughterWhen the mother received a statement for her daughter’s balance, the mother immediately contacted TAUC to let us know that she would not be financially responsible for the daughter’s balance dueIn the following weeks, the complainant sent TAUC multiple faxes including scanned images of processed checks, illegible writing, and unclear requestsTAUC attempted to contact patient by phone to more clearly understand her request, but were sent to voicemail each timeAfter multiple attempts to contact the patient, TAUC received a fax correspondence from the mother with the same information as before This fax included a cover sheet requesting we not contact the patient by phoneAs of this date, TAUC has not received payment on any open account, the oldest of which dates to July of We are unable to reach the patient, or the patient’s mother TAUC has exhausted all avenues of resolution with both accounts and they have been turned over to an outside collections agency for further collections actionsPlease let me know if you need any further information from usRespectfully, [redacted] Senior Director of Strategic Operations

We are in receipt of your Complaint # [redacted] Thank you for forwarding the detailed concerns; we always take these complaints, the integrity of our business, and our customer’s satisfaction very seriouslyWhen this patient visited our facility on January 13, 2017, with a chief complaint of eye discharge, a very appropriate visual acuity examination was performedPer the American Medical Association requirements, which legally must be followed by Total Access Urgent Care (TAUC), the visual acuity exam is a separately billable procedure that is performed to rule out acute conditions of the eye which could have caused the manifestation of this patient’s symptoms and chief complaintThe patient’s insurance dictates the final price of the procedures for which we billIn this scenario, [redacted] allowed $for the visual acuity exam and placed the entire allowed amount into the patient’s responsibilityThis contractual allowable is a contract between the patient and his insurance company There are thousands of different insurance contracts between employers and their insurance plans availableIt is not reasonable to expect our clinical staff to know the intricacies of each patient’s plan, and to know whether a service will be covered by their insurance or notOur in-house billing department, is unaware of the patient specific allowed amounts and responsibilities until the claim adjudicates with the insurance company and an explanation of benefits is received We are always more than happy to explain how the claim was adjudicated and work with the patient post-adjudicationThe patient called twice on Tuesday June, 6th and spoke with a representative in our billing departmentThe representative was unable to make the patient happy, so she escalated the patient complaint to management, per our protocolA supervisor of the billing department called the patient back later in the day on June, 6th from his cellphone, to discuss the patient’s concernsWe apologize that the patient felt our less than 12-hour response time was not acceptableDuring this call, the supervisor discussed the adjudication process, and how ***’s decision to allow the CPT code is part of the patient’s contract with his insurance companyDespite trying to explain otherwise, the patient still felt Total Access dictated the price of this exam, did not see the propriety of the exam, and thought it was not separately compensableAfter reflecting on the situation, and the patient’s frustrations, and before notification of this review; the same supervisor called the patient back on 6/13/to offer a discount to the patient for his frustrationsThe patient did not pick up, so a voicemail message was leftThe discount was applied to the account, and we had not heard back from the patient until notification of this Revdex.com complaintWe pride ourselves in our ability to provide fast, friendly, and, affordable care and understand the patients frustration with the convoluted nature of insurance as we are bound by the same frustrationsTAUC, in an effort of good faith, discounted the eye test to appease the patient even though it was his insurance company that controls how procedures are billed, sets the price for the procedure, and, dictates how much of the cost is the patient responsibility This all took place prior to the patient’s post on the Revdex.com website We hope our efforts have settled the concerns of this patient and are happy to discuss the process again if necessary Please let me know if you need any further information from me

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me
Sincerely,
*** ***

Initial Business Response /* (1000, 6, 2015/12/11) */

We are in receipt of your Complaint #***. Thank you for forwarding the detailed concerns; we always take these complaints, the integrity of our business, and our customer’s satisfaction very seriously.Total Access Urgent Care (TAUC) was founded based on providing fast, friendly and
affordable healthcare in every community. We apologize for any frustration the patient has experienced regarding her billing or with billing staff. There is no record of the patient being told that she had a zero balance, only conversations that we were working with her insurance company to process her bill. While TAUC made the patient’s insurance company aware of her visit on December 9, 2017, the patient’s insurance company did not process her claim until March 8, 2018. The time it takes the patient’s insurance to process her claim is completely out of TAUC’s control.As soon as the patient’s insurance company processed her claim, the patient was made aware her balance by a minimum of four methods of notification. 1. On March 8, 2018, an electronic statement was sent to the patient via email to the email address the patient provided on her visit ***. Our EMR system dates and time stamps the patient record when statements are sent. This field is not editable as it serves as an audit trail of actions on the account. A copy of the statement audit trail is attached.2. On March 16, 2018, a paper statement was sent to the patient via USPS to the home address the patient provided on her visit. A copy of the Intake Form filled out by the patient is attached. Our EMR system dates and time stamps the patient record when statements are sent. This field is not editable as it serves as an audit trail of actions on the account. A copy of the statement audit trail is attached.3. The patient was sent telephone one recorded telephone message and three text messages regarding her balance due. These messages were sent to the telephone number provided by the patient. A copy of the Intake Form filled out by the patient is attached. When there was no response from the patient, we turned the account over to our outside collections agency who specializes in connecting with patients we have difficulties contacting. Once the account is sent to collections, the fee TAUC is charged by the collection agency is passed on to the patient as the account incurs additional expensesThe collections agency was successful in contacting the patient, and we therefore owe them for their servicesThis patient has never had a card on file added to her account and has made no payment other than the copay collected on her date of visit. The patient did pay online in the amount of $yesterday. She still owes for the principle balance and $for the collection fee. As a one-time courtesy for this patient and due to her frustrations, we will waive the additional cost of the collection agency and the balance.Please let me know if you need any further information from me

Complaint: ***
I am rejecting this response because:
There is no confirmation of the emails the business claims they sent me leaving their servers other than a disclaimer note, which doesn't show the email was send to the email address on fileAs a result of TAUC carelessness my account was overdrafted an I had to pay a $fee from my bank to move funds from my savings account to my checking accountTAUC billing department was notified by me personally hours after I noticed the charge on my accountI asked them to reverse the charge before I notified my bank that this charge was not authorized they agreed to refund the $and never didDays later my bank credited my account after their investigation and deemed this charge as unauthorizedOn the documents attached page of states on 2/that a "payment hasn't been made in over months-- sent to collections", but there was a payment made on 12/which makes the statement that a payment hasn't been made in "over months" falseOn a separate note I would gladly have made payment arrangement with TAUC if I wasn't advised by my insurance company to not pay anything to TAUC , so now I am being charged an additional $in late feesThis to me seems nothing short of a RIP-OFFAttached is the notice I received from TAUC just a few days after I made this complaint.I am open to making payment arrangements with the business to avoid any further collections attempts and risk them damaging my credit, I ask that the business wave the late fees .During this process I have never felt more discouraged with how this business has handled a simple billing misunderstanding that could have been easily resolved with a simple phone call.TAUC is great with sending multiple texts to remind you that you owe them money but do not give you the resources to speak with someone who will hear out your situationFor what its worth my family and I will not be visiting TAUC again .Sincerely,
*** ***

I would like to know what I was charged for months later, I would like a billand possibly a refund if there was no just cause for this chargeI would also like them to stop with the practice of processing payments without authorization or without billing the customerAfter reading through the
reviews and complaints on Revdex.com - I can see this isn't just an isolated incident

We are in receipt of your Complaint #***. Thank you for forwarding the detailed concerns; we always take these complaints, the integrity of our business, and our customer’s satisfaction very seriouslyWhen this patient visited our facility, she presented her *** insurance card and her active coverage was verified online. We have access only to see if the patient’s coverage is active or not active, there are no further details regarding either deductibles or copays due from the patientOur Clinicians are highly trained professionals who are responsible for ensuring the patient’s health outcome. Our Clinical Team is trained to listen to the patient’s description of symptoms and order appropriate tests to confirm and/or rule out diagnosesConsidering the patient’s acute clinical presentation, the treatment rendered was appropriate and a CT scan followed the standard of care in ruling out concerning diagnoses. Clinicians are unaware of the details of contracts between the patient their health insurance carrier and unable to comment on balances due. They are only concerned with the patient’s health and welfareFollowing health insurance billing practices, the claim was sent to the insurance carrier who adjudicated the claim and transferred the copay and deductible amount according to ***’s contract with the patient’s unpaid deductible for 2016. The amount the patient pays in copay, coinsurance and deductible is based entirely on the contract between the patient and her insurance carrier. Total Access Urgent Care (TAUC) has no way of knowing, at the time of visit, what portion of the deductible the patient has met, or even if she has a deductible. We are required to collect the amount designated on the patient’s insurance card if it is available. There was no copay amount reflected on this patient’s cardIt is only after the insurance carrier adjudicates the claim that we are sent notification of how much, if any, the patient owes for her coinsurance or deducible balances. The contract between TAUC and the carrier requires that we collect all copay, coinsurance and deductible amounts owed to TAUC as reflected on the Explanation of BenefitsThe amount due TAUC from this patient is based on her contact with her insurance carrierTAUC is required by the carrier to collect the amount the insurance company designates as due. We regret and have apologized for the frustration this standard insurance practice has caused the patient as we deeply value each patient; however, the balance due is determined solely by the agreement between the patient and her insurance carrier. We are proud we were able to help the patient feel better (at 1/8th the cost of the ER) as that is our missionPlease let me know if you need any further information from me

Please withdraw complaintThis was resolvedThank you

We are in receipt of your Complaint [redacted].  Thank you for forwarding the detailed concerns; we always take these complaints, the integrity of our business, and our customer’s satisfaction very seriously.When this patient visited our facility in February 2017, she signed financial...

responsibility and agreed to our Convenient Pay program.  This program is a convenience for our customers designed to make our billing process as seamless and efficient as possible, passing on the convenience to the patient and granting Total Access Urgent Care (TAUC) permission to securely encrypt and save the patients credit card information for payment of the patient’s portion of their claim after the insurance company adjudicates the claim.The patient was made aware of the Convenient Pay Program by a minimum of four methods of notification. 1.      She signed the intake form agreeing to the program. I have attached a copy with this response.2.      She was notified after her visit on the receipt at check-out.3.      We email the patient a detailed summary of the Convenient Pay Program, and include a PDF statement of their balance due notifying them that their card on file will be charged within 3-5 business days of the date of the email. This patient was emailed at the email address she provided ([redacted]) regarding his balance due on three separate occasions.  Confirmation of the emails leaving our server are attached as well as the verbiage contained in the email notifications.4.      The patient’s insurance company sends an explanation of benefits notifying the patient of their portion of responsibility.  According to the insurance company, this particular patient owed more for coinsurance than was collected on the date of visit. The amount due TAUC from this patient is based on her contact with her insurance carrier. The balance due represents the patient’s coinsurance and is in addition to the $20 paid on the date of visit.  TAUC is required by the carrier to collect the amount the insurance company designates as due.  We regret and apologize for the frustration this standard insurance practice has caused the patient as we deeply value each patient. We have no record of the patient trying to contact us regarding this issue prior to this complaint with the Revdex.com and her review on Facebook which was posted simultaneously with the Revdex.com review.Please let me know if you need any further information from me. Tell us why here...

TellThank you for your response.I have attached a copy of our server log showing the email address used for emailed statements. I hope this clears up any confusion regarding statements sent on the balance due.  Also attached is a copy of the refund of Convenient Pay charges.  The Convenient Pay refund was made on 10/2/2017 when the patient called and requested the refund.  It takes three to five business days for the funds to be posted to the patients account.  This is standard banking process and had nothing to do with the patient contacting his bank or Total Access Urgent Care delaying a refund request. Total Access Urgent Care made every attempt to work with this patient and the patient agreed to a payment plan when he called in on October 2, 2017 and requested a refund.  No payment was made until the December 20, 2017 payment.  When no payment was received in February, two months later, the patient was moved to the “send to collections” workbasket which triggered the collections letter on February 23, 2018, the same letter the patient attached to his rejection statement.We make every attempt to work with our patients to resolve issues.  The balance due is the patient’s responsibility and is a result of the patient’s insurance company stating he owes his 2017 deductible.  If the patient will set up a payment arrangement and adhere to the payment arrangement we can approve a one-time courtesy waiver of the collections fees.  We pride ourselves on taking care of our patients from the time they visit for medical concerns and all the way through the billing process. The patient has made no attempt to contact Total Access Urgent Care to discuss this issue since making a one-time payment in December.  The first contact we have had regarding this issue from the patient was through the Revdex.com Complaint Hub. Total Access Urgent Care has sent email statements, four text reminders and a collection letter in addition to setting up a previous payment plan with the patient.Please feel free to contact the Billing Department to set up a payment plan.  The Billing Department can be reached at [redacted].  If no payment is made prior to March 7, 2018, we will have no choice but to send the full amount due, with collections fees, to an outside collection agency. us why here...

Complaint: [redacted]
I am rejecting this response because: I was promised a refund by [redacted]. Service wasn’t provided because podily injury was was occuring. Nothing came from visit, except higher BP from dispicable service. I do have pics of my arm after lack of IV skill. Administrative staff are a bunch of liars. No test results came to me. I didn’t and could not get better at the “Urgentcare”, especially after lack of professionalism and lack of skill from staff.
Sincerely,
[redacted]

We are in receipt of your Complaint #[redacted].  Thank you for forwarding the detailed concerns; we always take these complaints, the integrity of our business, and our customer’s satisfaction very seriously. When this patient visited our facility on January 13, 2017, with a chief complaint of...

eye discharge, a very appropriate visual acuity examination was performed. Per the American Medical Association requirements, which legally must be followed by Total Access Urgent Care (TAUC), the visual acuity exam is a separately billable procedure that is performed to rule out acute conditions of the eye which could have caused the manifestation of this patient’s symptoms and chief complaint. The patient’s insurance dictates the final price of the procedures for which we bill. In this scenario, [redacted] allowed $23.00 for the visual acuity exam and placed the entire allowed amount into the patient’s responsibility. This contractual allowable is a contract between the patient and his insurance company.  There are thousands of different insurance contracts between employers and their insurance plans available. It is not reasonable to expect our clinical staff to know the intricacies of each patient’s plan, and to know whether a service will be covered by their insurance or not. Our in-house billing department, is unaware of the patient specific allowed amounts and responsibilities until the claim adjudicates with the insurance company and an explanation of benefits is received.  We are always more than happy to explain how the claim was adjudicated and work with the patient post-adjudication. The patient called twice on Tuesday June, 6th and spoke with a representative in our billing department. The representative was unable to make the patient happy, so she escalated the patient complaint to management, per our protocol. A supervisor of the billing department called the patient back later in the day on June, 6th from his cellphone, to discuss the patient’s concerns. We apologize that the patient felt our less than 12-hour response time was not acceptable. During this call, the supervisor discussed the adjudication process, and how [redacted]’s decision to allow the CPT code is part of the patient’s contract with his insurance company. Despite trying to explain otherwise, the patient still felt Total Access dictated the price of this exam, did not see the propriety of the exam, and thought it was not separately compensable. After reflecting on the situation, and the patient’s frustrations, and before notification of this review; the same supervisor called the patient back on 6/13/17 to offer a discount to the patient for his frustrations. The patient did not pick up, so a voicemail message was left. The discount was applied to the account, and we had not heard back from the patient until notification of this Revdex.com complaint. We pride ourselves in our ability to provide fast, friendly, and, affordable care and understand the patients frustration with the convoluted nature of insurance as we are bound by the same frustrations. TAUC, in an effort of good faith, discounted the eye test to appease the patient even though it was his insurance company that controls how procedures are billed, sets the price for the procedure, and, dictates how much of the cost is the patient responsibility.  This all took place prior to the patient’s post on the Revdex.com website.    We hope our efforts have settled the concerns of this patient and are happy to discuss the process again if necessary.  Please let me know if you need any further information from me.

We are in receipt of your Complaint #[redacted].  Thank you for forwarding the detailed concerns; we always take these complaints, the integrity of our business, and our customer’s satisfaction very seriously.When this patient visited our facility in June and July, 2017, she signed financial...

responsibility and agreed to our Convenient Pay program.  This program is a convenience for our customers designed to make our billing process as seamless and efficient as possible, passing on the convenience to the patient and granting Total Access Urgent Care (TAUC) permission to securely encrypt and save the patients credit card information for payment of the patient’s portion of their claim after the insurance company adjudicates the claim. The patient was made aware of the Convenient Pay Program by a minimum of four methods of notification. 1.      She signed the intake form agreeing to the program. I have encrypted and emailed the agreements to the patient. 2.      She was notified after each visit on their receipt at check-out, copies of which have also been encrypted and emailed to the patient.3.      We email the patient a detailed summary of the Convenient Pay Program, and include a PDF statement of their balance due notifying them that their card on file will be charged           within 3-5 business days of the date of the email. This patient was emailed at the email address she provided ([email protected]) regarding her balance due on ten different            dates.  Confirmation of the emails leaving our server has been sent to the patient.4.      The patient’s insurance company sends an explanation of benefits notifying the patient of their portion of responsibility.  Regarding the claim that the patient states has not processed with insurance, the claim did process with insurance.  The patient’s insurance company sent a request to the patient asking for additional information.  The request went unanswered.  Following standard billing processes, when the insurance company notifies the provider that the patient has not responded to their requests, the full balance of the account is the patient’s responsibility. I have forwarded a copy of the explanation of benefits we received to the patient as well.The amount due TAUC from this patient is based on his contact with her insurance carrier. TAUC is required by the carrier to collect the amount the insurance company designates as due.  We regret and have apologized for the frustration this standard insurance practice has caused the patient as we deeply value each patient.  The patient was notified on October 9th, that we would refund the charges under the Convenient Pay Program if she would like to pay under a different payment method. Our Operations Analyst, [redacted], spoke with the patient and explained this process.  The patient was understanding and receptive.Please let me know if you need any further information from me.

We are in receipt of Case ID [redacted].  Thank you for forwarding the complaint.  We take these issues very seriously. Upon careful review of the case and discussion with the treating physician, it is clear that this patient had a medical history performed by the physician along with a...

careful physical exam to include direct visualization of the upper airway and pharynx and auscultation of the lower airway. The patient refused all other recommended testing including x-rays and went to the ER.The only charges the patient received were for this assessment. The patient was charged a $40 copay as required by her insurance plan and the remainder of the bill is presently being adjudicated by her insurance carrier but the total will be less than $86 ($45.18 would be the maximum remaining charge after her $40 copay).We feel badly that she had any negative perceptions of her care and hope she is doing well. Her charges were appropriate and fair. Total Access Urgent Care was founded solely to provide the St. Louis community with an affordable, fast, and friendly alternative to conventional Emergency Departments. We are far more technologically advanced than any other urgent care in the St. Louis area, and provide our patients with the highest rated (Google, Yelp) care in the region at 1/8th of the cost of the hospital alternative. Please let me know if you need any additional information regarding her care.