ComplaintsforProviders Medical Billing LLC

• Initial Complaint

  08/02/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  1. My company engaged Providers Medical Billing LLC (Providers) to process insurance claims & obtain payment for my practice.2. Providers neglected to submit some claims & incorrectly submitted others resulting in numerous rejections from health insurance companies. I objected to paying their invoice for services until this was rectified.3. Providers then threatened to "cancel" $34,573.39 worth of medical claims they purported to have filed on my company's behalf. Since I had no reason not to believe them, I closed my practice for 1 week to gather all documentation necessary to submit those claims via a new billing company.4. I sent Providers an itemized invoice of my own, detailing the cost of the hours I spent reestablishing the validity of these claims with insurance ********************* the cost of engaging a new billing company and admin fees. When I subtracted that from the outstanding invoice from Providers, I felt they were due $98.40. 5. I sent payment for $98.40 with a note, that accepting this payment was settlement of my account.6. ********************** responded by sending me a demand letter alleging civil theft.

  Business response

  11/21/2023

  As you may be aware, the agreement signed by your company and our, clearly states that you will receive your monthly invoices on the 1st or 15th day of each month and that you have up to 10 days to pay such invoices. Also, the agreement clearly states that in the event that you decide not to pay such invoices, our company will void all claims pertaining to invoice not paid. It is essential to underscore that your failure to fulfill your financial obligations by not remitting payment for the outstanding invoices constitutes a clear breach of your contractual agreement with us. As outlined in your agreement with us, you were well aware that Providers Medical Billing, LLC retains the right to void claims in cases of non-payment.
  

  It is important to note that, despite our companys clear right to void claims under the terms of the agreement, Providers Medical Billing, LLC has refrained from taking such action. This
  underscores our companys commitment to working in good faith and upholding our companys end of the agreement. Any investigation or claim filed against our company with the Better Business
  Bureau is, therefore, unjustified and based on incorrect information.
  

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