ComplaintsforNational Medical Billing Service
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Complaint Details
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Initial Complaint
03/04/2024
- Complaint Type:
- Billing Issues
- Status:
- Answered
I had 2 surgeries (July 19, 2022 & ***** 25, 2023) at the *******************, LLC. (a ******** Certified ************************** (ASC) with 1 Operating Room)at **************************************************************************************************** ************** They use National Billing now rebranded as Nimble Solutions as their medical billing company.They overcharged me for both - $175 each time. though, according to UHC and OptumCare (my insurance I owed only $75 for July of 2022 and nothing for ***** of 2023 because I met my out-of-pocket-*** in 2023. UHC sent Nimble Solutions my copay, but ****** Solutions refuses to refund it to me and claims that they have the ***** HEALTH CENTER, LLC. listed as a hospital.I have spent over 70 hours on the with UHC, OptumCare, National Billing, and ******************* office and can not get the money they fraudulently took from me and my insurance company.Business response
06/07/2024
nimble solutions is not responsible for the refund and it is the carrier, UHC, who is responsible for the refund. The nimble team has been trying to work with the patient to get the reimbursement from the provider and have attempted 3 way calls to help get this resolved. nimble solutions is not the responsible party and the carrier, UHC, is.
Below are the details of the case.
DOS: 7/19/22 Optum paid $6,562.33 with a patient responsibility of $175.00 on 8/3/2022.
DOS: 4/25/23 Optum allowed:$20,434.52, paid: $20,402.96, sequestration: $408.69, patient resp: $0 on 3/5/24. However, no payment was made due to an offset.
Offset was due to 2 claims that were recouped due to missing drug code.
Claim 1: DOS: 5/11/23 Overpaid Amnt: $22,819.10
Claim 2: DOS: 2/21/23 Overpaid Amnt: $23,623.90
Patient paid $175.00 on 4/25/23. No reference if the patient paid $175.00 for DOS 7/19/22.
The provider, UHC is telling nimble patient does have responsibility of $175 for one date of service. The client needs to provide a receipt for the second payment of $175 the patient is claiming she has made, we do not have record of that. As it stands, the patient is not owed a refund for the payment we do have record of.Customer response
06/07/2024
Complaint: 21383144
I am rejecting this response because: The response is rambling. The insurance company owes me 100 and 125 and this company refuses to refund it. I want the company's response sent to UHC.
Sincerely,
***********************Initial Complaint
12/17/2022
- Complaint Type:
- Billing Issues
- Status:
- Resolved
On 4/29/2022 my wife received medical services from a practice that bills through National ASC Billing. ******** paid their portion of the bill and then my wife's secondary insurance paid the remainder on 6/2/2022. Since then we have received a bill from National ASC Billing / ********* every month. We have called after receiving most of the bills. We have discussed the problem with our secondar insurance company and National ASC Billing / ********* both together on the phone several times. Our secondary insurer insists that they paid the bill. We have provided copies of the applicable EOB to National ASC Billing / ********* several times. The issue remains unresolved. We do not owe any money and will not pay. National ASC Billing / ********* continue to harass us by sending bills.Business response
12/30/2022
To Whom It **************************************************** have reviewed the patient account and have closed out the account, the patient does not owe the balance. I have emailed the patient and apologized for the error. If you need anything additional from me, please do not hesitate to contact me. My cell is ************
Ginger
Customer response
12/30/2022
Better Business Bureau:
I have reviewed the response made by the business in reference tocomplaint ID 18605146. Provided that we do not receive another bill for the services provided, the issue is resolved to our satisfaction.
Sincerely,
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Customer Complaints Summary
2 total complaints in the last 3 years.
1 complaints closed in the last 12 months.