ComplaintsforAtlanta Perinatal Consultants

• Initial Complaint

  05/15/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  My wife used them for their prenatal scans. We had some disputes about billing last year and they assured me that my last payment of $1,693.50 would close out my account.I have the email proof. Here we are almost a year later and out of the blue they sent me a bill for $87.29 with no explanation. I called and they were belligerent and offered zero transparency. It is very shady billing practices and needs to be looked at more closely. ********************************* is the billing manager.I have email proof that she said last year that that was the final bill. I also have the receipt. It almost seems like they are making this up at this point as this has been going on for almost 2 years.

  Business response

  06/03/2024

  We understand that the process of medical billing at times can be frustrating and difficult . At GPC we do not calculate any benefits or patient responsibility on our end. Any balance billed to the patient is a direct reflection of what their insurance has communicated with the practice as patient responsibility. We follow exactly what the patients chosen plan details.   
  
  In this specific account the patient's spouse called our office on May 14th , 2024 immediately yelling and making harassing statements. While on this call we asked more than 4 times to review the account together, but the patient's spouse refused to provide any identification information to verify the account, and specifically stated he did not want to review the account. Because the required HIPAA information was not provided, we could not discuss anything in detail. 
  
  The patient did in fact pay their full bill previously, then their insurance plan reprocessed and sent a new bill close to 2 years later. Patient has an out of state plan, and we are only given the option to verify and discuss with an insurance company on via chat. When we reached out to the insurance company via online chat asking why the patient is getting a new bill close to 2 years from the date of service, we were told that this was due to updated rates. 
  
  GPC did not request any claims to be reprocessed, or for anything to be reviewed to initiate a new EOB to take effect. This reprocessing took place solely on the patient's insurance plan. The bill the patient received was processed by their insurance plan. 
  
  Again, we understand how frustrating this all can be. As this information is coming from the patient's plan, we advised the patient to call their plan and connect us on a three-way call. We have, and continue to offer, to join in on a three-party call if the patient calls their insurance. We cannot offer to call the insurance as unfortunately the only option we are given as a provider is an online chat. 

  Customer response

  06/04/2024

   
  Complaint: 21711732
  
  I am rejecting this response because: I have opened a case with the Georgia Insurance Commissioner. The business must respond to them.
  
  Sincerely,
  
  ***************************

• Initial Complaint

  06/30/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  Georgia Perinatal has been dealing in shady billing practices. Their billing amounts have changed from month to month and don't take into account the insurance claims that were already processed and paid. Plus they said that there were denials based on *********..but we never had ********* They are shirking their own responsibility to contact the insurance company for updates. We have contacted our insurance company who has informed us that everything was paid. This has been going on for months now.

  Business response

  07/15/2023

  Our billing team has talked with **************** multiple times about the open balance on ******'s account.  Most of the charges were applied to their BX of ************** deductible.  The team has offered to have **************** call BX of ** and hold a three way call, but he refuses.  This type of call must be initiated by the patient or subscriber.  Our billing manager, ******, was going to have copies of the attached statement and copies of the EOBs from BX of ** mailed to the subscriber so they may review the same documents we have in our possession.  The EOBs will also show what has been satisfied of their deductible of which ours is roughly 1/2 of that amount.  It is grossly unfair for someone to post a complaint about a business when they do not want to take the necessary steps (such as conducting a three way call with their plan) so that they may better understand how they created this debt.  I would be happy to get on a three way call with **************** and the BBB to further discuss.  ***************************, MBA, CMPE, Executive Director, Georgia Perinatal Consultants.

  Customer response

  07/15/2023

   
  Complaint: 20260964
  
  I am rejecting this response because:
  We have called at least a dozen times to resolve this with the business. They have told us that they cannot get through to the insurance company. The insurance company has assured me that they paid these claims.

  what is troubling is that they have changed the charges repeatedly without explanation and refuse to contact the insurance company themselves to resubmit the claims. As a matter of fact, the person in this response hung up on me the last time I called.

  Their billing practices deserve to be scrutinized by the medical board and perhaps the state attorney general.

  there has been no transparency or accountability for what the charges are, when the claims themselves were from services rendered over a year ago. 
  

  I am still open to resolving this matter with a third party involved.

  
  Sincerely,
  
  ***************************

  Business response

  07/17/2023

  ****************,  You will need to contact your insurance company as we have provided you with the detailed bill, are mailing you copies of the EOBs we received, and you should have received EOBs from your plan directly.  Most of those charges were applied to your deductible.  You should contact your ************************* to find out how your benefits work and what services are applied to your deductible.  All plans are different so neither me or my team can help you navigate that part.  If the HR Department thinks that your plan incorrectly processed the claims, then they can assist you with your request. 

  Best Regards,

  ***************************

  Customer response

  07/18/2023

   
  Complaint: 20260964
  
  I am rejecting this response because:
  Typical lack of transparency and accountability from this business and specifically a condescending response from this person. I have opened a case with the state Attorney General, due to questionable billing practices from this business.

  
  Sincerely,
  
  ***************************

*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. ↩