ComplaintsforOgata Chiropractic Inc.

• Initial Complaint

  01/09/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  10/28/2022 I had an appointment on this date, for a sprained muscle in my back. When I made the appointment, first thing I asked is if they accept ******************* The receptionist assured me they did. During my visit, Dr. ********************** said he felt necessary for ex rays. Then said make another appointment for treatment. When I insisted he do something to reduce my pain, and that is why I came in. He reluctantly did a partial treatment. When I went to the receptionist desk, she said I needed to Pay $150.00 and would see what the insurance would cover. Before my next appointment, I phoned my insurance company to find out they are NOT in the network. I cancelled my appointment because of this and told the receptionist why. I then got billed for 2 treatments and now owe $212.23 Thus is outrageous and unethical in my opinion. They charged me a consultation fee which they never told me upfront. 01/09/2023 My husband, ******************* called to complain. They argued again about them taking my insurance, united Health Care.They never told my as a first time client, I would have to pay a consultation fee. I agree to 1 treatment and ex rays, but not 2 treatments and not a consultation fee.

  Business response

  01/10/2023

  Patient had an initial visit on 10/28/2022.  Standard practice for an initial visit is to have an exam and **rays completed for the protection of the patient and the doctor.  A follow-up appointment is then scheduled to review the **rays with the patient and adjust the patient at that ****.  This gives the doctor **** to review the **rays thoroughly and discuss a treatment plan with the patient.  In this case, the patient was examined and **rays were taken. At this point, the patient was upset that she wasnt getting worked on at this ****, so the doctor explained that this was not typical procedure without spending **** to go over her **rays and doing an analysis. So after the doctor looked at the **rays and the patient was adjusted on the first visit, and the doctor advised the patient that he would explain why and what he did when he could go over the **rays with her during the report of findings visit
  The patient has a United ******************* Advantage plan.  We do accept that insurance and have several patients with the same plan.  We are not in network with United Healthcare, but we do accept it and will still bill insurance.   ******** will not cover exams and **rays, and patients are advised of that.  However, some****s the ******** Advantage plans MAY cover those charges, and therefore, this is the reason this patient was told we would wait to see if her insurance would cover any part of her visit and requested only a partial payment.  The insurance processed the exam and **rays as a non-covered charge and made the patient responsible for the total of those charges, and the adjustment was processed as her co-pay.
  The patient was not charged a consultation fee. The charges consisted of the standard exam, **rays and adjustment fees for a new patient.  She was not charged for 2 treatments, all charges were from her initial visit on 10/28/2022 Exam,**rays and an adjustment at the ******** rate.
  We do not charge for the report of findings, which typically takes ***** minutes to go over the **rays with the patient where the doctor explains what hes found, how long it may take to get improvement, which includes how many visits and what treatment may be necessary.  This patient scheduled a report of findings visit, but cancelled it.
  We can only provide patients with an estimate of what insurance may pay and not guarantee the amount insurance may or may not cover.

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