ComplaintsforOakhurst Medical Center
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Complaint Details
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Initial Complaint
02/10/2022
- Complaint Type:
- Billing Issues
- Status:
- Answered
I've tried unsuccessfully to receive a return call from *******************************, the billing manager, concerning an August 2021 invoice #*****A9679 that was billed incorrectly by her office.Background:I had a virtual (Tele Med) visit with my doctor in August **** Infection)According to my insurance company, Ambetter, This visit was INCORRECTLY billed as an ****************** (Code: 99213)This service should have been billed as a Tele ********* (Code: 99441[15 minutes], ***** [30 minutes] or ***** [1 hour].As per Ambetter, my Tele Med virtual visit is covered in full by my insurance company.The invoice is attached.Business response
03/08/2022
The patient's initial visit was in August of 2021 and the claim was billed incorrectly. It was a telehealth visit but was inadvertently billed as a regular office visit. It is our understanding that the patient had trouble getting in touch with an individual on our billing staff to have this error corrected. There appears to have been some confusion on how to follow up with the patient within our billing department. We have since spoken to the patient, apologized for the error, and have corrected the billing error as well as applied a credit to the patient's account.Initial Complaint
12/16/2021
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
My son have a mental disorder.This clinic have been through 3 different doctors in 6 months. He seen the doctor last thursday. He still have not got his medication. They **** his insurance 4 times a month but he still do not have his medication. When I call back they say the forgot to talk tyo somone about his medication. This clinic do not take mental illness serious.When my son is not on his meds he is uncontrollable.Business response
01/28/2022
Attached you will find the patient complaint that was addressed to us dated December 16. Let me begin by apologizing for the delay in responding, but due to the holidays and many of our staff being out due to COVID, I'm just seeing this patient complaint today.
********************************* was seen by Dr. *** for years and his mother was very unhappy when he left our organization. During the time he saw Dr. *** there were frequent documented complaints by the mom that he wasnt getting his medicine. Each time Dr. *** checked, the refills were there as expected.
We then brought on ************ to replace Dr. *** and encountered the same complaints about the meds not being filled. *********** refilled the scripts one month at a time.
Mr. ********* care was then transferred to **************** who saw him on 12/10/21. Mom voiced the same concerns to her about his meds. **************** put in refills and his next appt is on 2/10/22. **************** wanted to change ************************ medications around a bit but the mom refused.
We have made numerous referrals to Vocation Rehab for ******************** as a next step, but the one-page referral form has not been completed by the family.
Overall, with three different psychiatrists having the same issues, we believe we have done the best we can. We stand ready to continue to treat the patient.
Here at MedCura Health (formerly Oakhurst Medical Centers) we are committed to the well-being of all who come to us for service
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Customer Complaints Summary
2 total complaints in the last 3 years.
0 complaints closed in the last 12 months.