ComplaintsforRecastil, LLC

• Initial Complaint

  09/05/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  On 05/15/2023 ***************************** ******* assisted on critical life surgery on me, ******************************* itself went great. However, their billing department is not operating in good faith, neglects to file proper paperwork with my insurance company UMR, yet continues to send me bill reminders. I've talked to my insurance company, and they have yet to receive full and proper documentation from ***************************** *******, RECASTIL LLC, or Accurate Medical Billing. None of those parties are performing normal accepted practices that all other medical providers I've worked with as part of my medical journey have been willing to file with my insurance company UMR. They cannot simply send me bills, threaten collection agencies, and not operate in good faith, simply because they wish me to pay directly vs having the insurance company pay - which I'm sure they would if they provide proper documentation on services rendered. For someone in my medical condition, this is not only stressful, but medically damaging to my health as I have do deal with their threats of collection and inability and unwillingness to respond to phone calls. You can never reach a live person, must leave a voice mail, and they return about 1 out of 4 voice mails left. They offer no email either.Additionally, they performed a 2nd surgery on 07/31/2023, for which I've yet to receive a bill, but will surely go through this horrible experience again. No other doctor, hospital, nor technician has been so incompetent in their billing practices during my multiple procedures, so this is very painful to have to deal with, and the BBB needs to step in to help make them stop their behavior and instead act like all other proper medical billing agencies.date of service = 05/15/2023 chart number = MARBE000 total charge = $1978.00

  Business response

  09/13/2023

  RECASTIL LLC
  **************************;*******
  5885  ********************************************************-1029, Ph. ************ Fax: **************
  
  
  BBB Case #********
  Re: ***************************
  
  September 12, 2023
  
  RECASTIL, LLC ******************************************;is in receipt of the above reference customers complaint and appreciates the opportunity to respond. 
  
  In an effort to resolve Mr. ***********;concerns, we are sensitive to the costs of medical care and strive to provide care that is not only effective but also affordable. 
  
  We appreciate Mr. ***********;working with us while we solve this matterand we appreciate you for bringing this issue to our attention. 
  
  Insurance billing has become more complicated, and as a result, severaldoctors, as well as assistants have gone to cash up front cases, to not billing insurances at all. I feel this has hurt a lot of patients as well as the doctors and assistants that in good faith have helped the patients. But new laws that intended to help have driven doctors as well as assistants to nolonger be able to work for themselves and can only work for hospitals and larger groups. In network, out of network, appeals and SA Agreements as well arbitration, mediation as well as set fee schedule have changed the market and the rules. 
  
  
  Please note: 
   Our medical office, Accurate Medical Billing responded to and addressed **************** concern on 09/08/2023 over the phone.
   Accurate Medical Billing sent Mr. Marsh proper paperwork on 09/09/2023 by secure email.
   Accurate Medical Billing is in the process of sending Mr. ***********;appeal paperwork.
  
  In addition:
   Our medical office, Accurate Medical Billing helps with appeals over $1000.00 as a courtesy to assist them in getting reimbursed by the Insurance Company. By requesting a DOR (Designated of an Authorization Representative), this helps in winning the appeal process. 
  o DORs can be sent by our medical office and/or patients contacting their insurance company directly.  
  
  RECASTIL LLC sincerely regrets any inconvenience this issue *** have caused. Please feel free to contact me directly if you have any additional questions or concerns in this matter. 
  
  Sincerely,
  ***************************** ******* CFA
  ***************************** *******, CFA
  RECASTIL LLC
  

• Initial Complaint

  05/06/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I had an emergency surgery on June 4th where ***************************** was the assisting surgeon. My insurance is very clear that for any hospitalization I have a flat fee that I owe. I am not certain if he agreed to a reduced payment from the insurance company or he is just filing his charges incorrectly with them but he is stating that I owe him additional funds. I reached out to my insurance company about this last year and they were working on resolving this and I was informed through my HR department at my company that the issue was resolved. I then received a notice from a collections agency that he was sending me to collections, thus affecting my credit score. I have had communication with the credit agency and they have not been able to provide any signed authorization form from me that would allow them to have access to my medical records without being in violation of HIPAA and yet they still refuse to cancel the reporting to the credit agency. If ******************** feels he is due additional funds, his argument should be with the insurance company and should not be coming after me directly nor sending me to a collections agency. I am attaching correspondence received from the collections agency. I am also attaching an explanation of fees due in regards to my insurance. I am on the buy up plan and should pay a *** of $500 for the whole hospital visit. For what it is worth, I have had five separate surgeries and over a dozen hospital visits over the last 18 months and this is the only time I have received a **** outside of the normal $500 **** I receive.

  Business response

  05/14/2022

  My response to this complaint is attached 

  Thank you 

  Customer response

  05/14/2022

   
  Complaint: 17174510
  
  I am rejecting this response because: it doesn't resolve their submission of sensitive medical information to a third party in violation of HIPAA laws. Also there have been plenty of out of network medical teams that have correctly filled their bills with my insurance during many hospital visits. If the surgeon would correctly file the paperwork with my insurance stating that it was an emergency surgery at an in network hospital and I had no say in who provided the services then my insurance would pay the ****. I can't be held liable for gross negligence on behalf of the surgeon that causes my credit to go down. Sincerely,
  
  ***** Greenhouse

  Business response

  05/20/2022

      I attached my response.  ************** should talk to  the collection agency. 

      *********************** (*********************************)

  Customer response

  05/20/2022

   
  Complaint: 17174510
  
  I am rejecting this response because:

  
  

  It is a clear violation of federal law to turn over medical information to a third party without written authorization.  This doesn't include the borderline gross negligence in harming a person's credit score because the medical office doesn't know the correct way to **** for their services even though they have had continued contact from the insurance company.  The submission needs to be withdrawn from the credit agency and a reversal on any reporting that would harm the credit score as a result.  This is beyond ridiculous and I am about ready to file a lawsuit to recoup damages and financial recovery for time spent. 
  
  Sincerely,
  
  ***** Greenhouse

*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩