ComplaintsforChild and Adolescent Health Associates

• Initial Complaint

  11/17/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  The office sent notice in August they were canceling taking our instance in Sept. We prompted called a new provider but it was months wait to get in anywhere. My son was due for a new Physical in October, so we would not be charged for that appointment per our policy and we could have waited if it weren't for their late notice. Further they did not fill out last years form correctly so I called to gets new one sent to the school and the reception could not figure it out and said to just make an appointment. The business, and I say that because that's clearly what they are-they do not care about patient care,insists most people could change their insuranc to a different form of ******* which simply isn't true for everyone. They left us in a lurch with poor notification, timing, made erros, and insisted I needed to come in. I did not expect such a large bill and rather than admit their errors (WRONG FORM sent to school) they would make no concession or apologies. I do not feel this bill is appropriate and should be waived. I'd also like an apology for the heartless way they've acted.

  Business response

  12/09/2022

  Our office mailed notication letters out to our ****** ******* patients on July 15, 2022 stating that as of913012022 we were no longer going to be an in network provider for ****** *******. Please see attached letter.This family had ****** ******* Select which would still allow them to be seen at our office but to my knowledge there was never a call or inquiry made as to what they should do or what their options were.Patient became new to our office in November of 2021 and at the time of visit, parent was unsure of vaccine administration and requested bloodwork to be ordered to see if there was immunity to any of the diseases that the patient needed to be vaccinated for. There was never a form completed at that time nor was one sent to patients school.In April of 2022, parent contacted our office and requested a form be sent to the school and it was at that time that the provider asked the receptionist if the parent had decided if they were going to vaccinate the child? Parent just asked for the form to be done and sent and would call back to schedule an appointment for vaccines. Form was still not done or sent at that time. Parent called back in September requesting to speak with provider regarding paperwork and vaccines. Due to insurance purposes and not being able to have another well check until November of 2022, provider requested the patient to be seen for an office visit to discuss vaccine concerns and to review bloodwork. Because the family had ****** *******Select, an office visit was subject to a out of pocket expense which is how they received a bill for $56.29.Parent called me on November 10, 2022 very upset that she had received this bill since it was our office that had made so many errors and 'be didn't know what we were doing because the wrong form was sent and our staff couldn't figure anything out so they just made an appointment." Again, a form was never sent from our office and it was the provider's request for receptionist to make the family an appointment.After full review with our office manager and managing provider, everything was done correctly and deemed accurate on our part. A service was provided to the patient which generated a claim to the insurance. We were not rude or "heartless" to this family and we will not be waiving the balance at this time.Sincerely,Office Manager

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