Complaints

• Initial Complaint

  11/05/2024

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  As per the attachments which include a 3rd notice medical bill for $1318.00 from Northside Sports, EOB's from my health insurance carrier and my dad's correspondence with the health insurer (UPMC), I would request that Northside Sports Medicine Network accept the insurance payment and set my account balance to *************, I want them to then cease and desist with repeatedly sending me bills, as this seems possibly fraudulent if not just simply harassment...

  Business response

  11/21/2024

  We contacted UPMC **************, spoke with ******* who confirmed claim processed and paid 1/3/2024, allowing $270.82 and paying $250.82. Patient does have a $20 copay applied. I advised ******* that the address on EOP was incorrect, should be ****************************** and not **********************************************. ******* was unable to confirm if check cleared so she sent an request for a check tracer. She requested that if check is outstanding, to void and reissue payment. Follow up after 45 business days for new payment information if check ******* is voided.

  We will continue to follow-up on this complaint.

  
  

• Initial Complaint

  10/30/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  On April 16th, 2024 my son, ***** ****** was sent to Northside urgent care for an x-ray by his pediatrician. Insurance is with **** under my name, my ex-husband, *** ****** took my son to be x-rayed. He was told payment would be $125 after he handed them insurance, he paid and assumed that was the *****. Weeks later I get a bill for over $260 stating that is my balance. I called the billing department and was told they never billed insurance and they would. **** paid the provider and my member responsibility is $0. I have asked for a refund of the $125 multiple times and they refuse to send me a check stating that insurance was never ran for the provider. Here we are 6 months later and they are still stating insurance was never ran. I am tired of calling them.

  Business response

  11/06/2024

  Good morning

  I just recieved this information from my ********** in the Atlanta clinic. It was sent via the post office. It arrived at the clinic on 11/5/24 and emailed to me later that same afternoon. I am not aware of this situation but I am going to investagate it and see what I can find out. I will report back any findings as soon as I figure it all out.

  Customer response

  02/20/2025

   
  Complaint: 22492221
  
  I am rejecting this response because: 

  Following up on my original complaint on 10/30/2024- the business did contact me, they promised my issue would be resolved and I would receive a refund for over charges. They billed my insurance company $545.72, they collected a payment of $125 from me, **** paid $226.28 per their negotiated contract and I was only responsible for $20- guess they are planning on keeping my $105 for the business savings account. Original complaint: On April 16th, 2024 my son, ***** ****** was sent to Northside urgent care for an x-ray by his pediatrician. Insurance is with **** under my name, my ex-husband, *** ****** took my son to be x-rayed. He was told payment would be $125 after he handed them insurance, he paid and assumed that was the *****. Weeks later I get a bill for over $260 stating that is my balance. I called the billing department and was told they never billed insurance and they would. **** paid the provider and my member responsibility is $0. I have asked for a refund of the $125 multiple times and they refuse to send me a check stating that insurance was never ran for the provider. Here we are 6 months later and they are still stating insurance was never ran. I am tired of calling them.

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

  Business response

  02/25/2025

  Good morning Ms. ****** -  

  Please accept my sincere apology for the delay in processing your refund of $105 associated with date of service 4/16/24 at Northside Hospital.     I understand that you have attempted to resolve the matter previously and I am sorry for the inconvenience.   The refund has been requested and is anticipated to reach you within 7 to 10 days.   

  The check number is ******** in the amount of $105.00. 

  If you do not receive the check within this time frame ,  please contact me at **************. 

  Sincerely, 

  K **** ******

  Patient Affairs, Northside Atlanta

   

   

   

   

*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. ↩