ComplaintsforDynamic Urgent Care

• Initial Complaint

  02/23/2024

  Complaint Type:

  Order Issues

  Status:

  Answered

  More info

  I visited Dynamic Urgent care on 12/26/2023. The doctor was the person at the desk. He stated the price would by $150. I attempted to pay the $150 before I left. They would not accept. They stated that they had to file with my insurance. They never filed with my insurance provider. I called them 3 times attempting to pay the $150 dollar agreed price. They told me I must pay $252 and sent me invoices for this amount. The prices for their services are listed online as well for the service I received and it states $150. Please help me in resolving this issue.

  Business response

  03/08/2024

  When a patient visits an urgent care for a sick visit, they can either use their insurance to pay or use the advertised self-pay rate. This form is chosen upfront at the time of registration or during the visit. If the insurance information is provided, we must file the visit with the insurance and accept their payment as final. If the insurance is not used to pay, we will collect a self-pay rate at the time of service. We generally prefer a self-pay rate because the money is collected upfront, and the rate is higher than the insurance contracted rate. When the patient uses his insurance for a visit, and it turns out that his insurance is not valid, it does not default to self-pay rate, but it defaults to full standard payment. And the full standard payment now defaults to the patient because there is no contract between the patient and the insurance he presented. That's why he was billed for the full standard payment. The billing at dynamic urgent care is contracted out to a third-party billing service. They are extremely professional and all they do is urgent care billing services. The billing is not handled in our office.
  The problem with the patient is that he called the billing company and our office, alleging that we committed "insurance fraud" and he will report to several agencies. His allegations are troubling but not true, and I look forward to any proving that there is no wrongdoing here. 
  He claimed that he offered to pay but it was rejected, this is not correct because the self-pay rate is higher than his contracted insurance rate and we would have gladly accepted the self-pay rate and not file an insurance claim. 
  I did speak with the patient when he first called, and I told him I will call the billing company to look into it, but he went ahead to call billing company and made these allegations. We are all about helping our patients and will do anything that is right to build and maintain relationship, but we would not succumb to blackmail or threats of negative reviews.
  Lastly, I have reached out to the patient multiple times to explain my finding, but he has not responded to my calls. He can call our office to discuss further. We will work with him.

  Customer response

  03/11/2024

   
  Complaint: 21319009
  
  I am rejecting this response because:   I clearly asked the doctor(the only one there when I arrived) the cost of the visit.  He clearly stated $150.  I agreed and set up an oral contract for the service.  This is also the price listed online for the service I was provided.  I attempted to pay when I left with my Benefits Wallet card( high deductable insurance benefits card) and they refused several times.  They copied my insurance card,  but never filed against my insurance carrier.  If they had filed there would be a report of this action.  There is none.  When I spoke to the doctor when he called my house,  he started saying something about if I was wrong I had to pay him $1000 so I ended the conversation.  I payed the $150 per our oral contract and wrote on the check for total payment of the bill.  This check was mailed in and accepted(cashed).  I have no idea how a service listed for $150 goes up to $252,  but maybe they(Dynamic urgent care) can convince the court.  
  
  Sincerely,
  
  ***********************

  Business response

  03/13/2024

  As I explained in my previous response, a self-pay rate is available at the time of service not afterwards. You presented insurance that was not active and the visit was not covered by your insurance, hence you are still liable for the visit. The billing company charged you for the full rate of the visit   If you sincerely wanted to pay for the service that day, why did you not pay? Why present insurance as a form of payment?  Your action is an afterthought.

  If we offered a self-pay rate, we collect the money immediately. That the ***************-pay

  And the main issue is the allegation of wrongdoing. I look forward to proving this!

  Customer response

  03/14/2024

   
  Complaint: 21319009
  
  I am rejecting this response because:   There was also another person there in the office.  I tried 3 times to pay with my HSA card and she refused.  Please bring her to court with you so she can be questioned by the judge.  I also paid for my virtual visit with you with my HSA card and it was accepted.  My insurance was of course valid and I will bring this to court as well.  Looking forward to seeing you and your co-worker in court.  
  
  Sincerely,
  
  ***********************

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