ComplaintsforAkron Billing Center

• Initial Complaint

  08/08/2024

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Answered

  More info

  I began receiving bill notifications from TEAMHealth in spring 2024 via email. These bill notifications said that they concerned medical services provided to my son. I ignored them because 1)my son had not received services from any physician at this organization 2) My son is double insured through my employer and has Medicaid coverage through adoption support so his medical care is covered 100%. I began paying attention to emails on 6/10/2024 when they mentioned collections. I also received a paper bill from them. I did research on the organization and it seemed legitimate so I called. The representative claimed the reason Medicaid had not covered the service was because they had "requested additional information from me." I told her I was not sure what that was referencing, so she said to follow up with Medicaid. The representative from Medicaid said there were no notes of this sort on any of the Medicaid claims for my son. Additionally she said that each claim listed my obligation for services at $0. This was confirmed when I checked my claims on our online account. I called TEAM Health (Akron Billing Center) back and told her that I would not pay the bill because Medicaid said I was not obligated to do so. She said it was my responsibility to make sure Medicaid had the info they had requested. I told her the Medicaid representative was unaware of any information that they needed, and asked how I could provide them info they did not actually request. After I continually told her that it was their responsibility to follow up with Medicaid not mine, she finally agreed to re-bill Medicaid. I then continued to receive bills via email on 7/15/2024 and paper on 7/18/2024. These bills do not mention the Date of Service or Services being billed for and do not match amounts on my EOBs from my insurance or Medicaid. There are several similar complaints against this company on Google Reviews.

  Business response

  08/19/2024

  Hello ****** ****** ******,

  
  Thank you for reaching out to us with your concerns regarding ***** ******** emergency room visit at Skagit Valley Hospital on date of service 01/16/2024 for our providers Northwest Emergency Physicians LLC.  Please note, we are the emergency room provider (doctor, nurse practitioner, physicians' assistance) billing which is separate from the facility charges. 

  
  Per review of the account, primary insurance made a $274.81 payment on 02/19/24 and a $789.49 adjustment was applied.  A balance of $68.70 was left as co-insurance due.  We are currently billing our claim to the secondary Medicaid insurance and are pending their reply at this time.

  
  If you wish to review the account further or confirm Medicaid information on file being billed, please contact our National Patient Service Center at ************.

  
  Thank you,
  **** *******, Patient Services Supervisor

• Initial Complaint

  05/27/2024

  Complaint Type:

  Customer Service Issues

  Status:

  Answered

  More info

  I went to ER Jan 1,2024 The attending tech could not find reason to give me medication I have ****************** They paid *************** in WinterGarden Fl $1122.11. Now Team Health wants me to pay a separate bill of$ ****** for the attending Doc . I have never heard of such a thing !!I have called numerous times . They continue to harass me!

  Customer response

  05/31/2024

  They are billing me for a Doc visit at *************** in ******************* was an ER visit. My 2 ins companies paid the hospital. I should not be charged again for ER Doc visit . My ins paid the hospital. 

  Business response

  06/04/2024

  Hello **********************,

  
  In order to locate and review your account we are in need of additional information; can you please provide us with the account number or your date of birth?  I will be happy to assist and review further.

  Thank you,

  ***********************, Patient Services Supervisor

  Akron Billing Center

• Initial Complaint

  05/22/2024

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  I am being billed for physician services, but these services were not rendered. I went to the St. Francis hospital for pains in Columbus, GA on 18 June 2023, around midnight. I waited several hours but there were no doctors until later in the morning. I signed a waiver refusing further care and treatment and checked myself out. I was never seen by a provider and waived all additional medical support from St. Francis Hospiital.Now I am being charged a separate physician's fee for that night. I was not provided care by a physician, not was any treatment or information sought from or provided to a physician.I understand there would be separate charges had I been seen, or medical work been provided by a physician, but this did not happen. I paid in full for the services I obtained, and no results ever came from the testing due to me signing the waiver and checking out early.I am currently disputing this with St. Francis, but Team Health, listed as Inphynet Primary Care Physicians on the bill, will not allow me to dispute and is threatening me with collections. I have a right to further dispute this claim and believe the bill to be fraudulent.

• Initial Complaint

  04/09/2024

  Complaint Type:

  Customer Service Issues

  Status:

  Answered

  More info

  I need proof of billing. When delivered Itemized billing, it is in fact not itemized. The *********** 1305. With no explanation as to how that number was reached. I assume there is price gauging taking place along with some illegal business practices. When contacted I was provided with no resolution or itemized billing. They were also unable to provide proof of billing.

  Business response

  04/10/2024

  Hello ******************,

  Thank you for reaching out to us with your concern for date of service 02/11/24.  Northwest Emergency Physicians LLC is the emergency room provider billing for the doctor, nurse practitioner, and/or physician's assistant who treated you while in the ED.  Per review of your account for this date of service, our level of service for our provider billing care is *** ***** with a charge amount of $1,305.00.  I have also mailed you an itemized statement along with a letter explaining the *** ***** code. 

  If you have active health insurance coverage for this date of service or any further questions, please advise by calling our ************************ Center at ************ and a team member will be happy to assist.

  Thank you,

  ********************

  Patient Services, Supervisor

• Initial Complaint

  03/07/2024

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I was in a car accident in 2022. The accident was not my fault and the person that hit me was responsible. The company that I am turning in has harassed me since then to pay. I have given them the claim number, the adjusters name and phone number and they stated to me that they cannot call out. I was sent to the hospital with broken ribs and a gash on my face. They are stating that I owe the money because I was the patient. Her insurance company is Allstate. Her name is ******* *****. She told the policeman that the wreck was her fault.

  Business response

  03/18/2024

  Hello Ms. ******,

  Thank you for reaching out to us with your concern for our emergency room provider bill for ******** ******, DO with Emergency Services of Oklahoma PC at Integris Oklahoma West FSED.  Per review, your account was with our auto vendor and a claim was unable to be processed.  At this time, we are past our file limit, I have put in a request to adjust this date of service 02/10/2022 to a zero balance.

  Please let us know if you have further questions.

  Thank you,

  ******** *******, Patient Services Supervisor

• Initial Complaint

  01/04/2024

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  On March 7, 2023, I drove to the Emergency ********** of St. ****************** in ***********. I was seen by PA, ***********************. I requested a tetanus shot as I had cut my thumb with a metal blade. The PA wanted an xray and discussed stitching as treatment. I refused treatment and she didn't like that, stating, "It's your thumb, do what you want". I then received a tetanus shot from *****, RN. My thumb was rinsed in betadine, followed with saline and wrapped in gauze. I was discharged and drove home. Through my medical portal, I read where I was hooked up to a cardiac machine and had tests ran.This was a lie. The billing for the hospital was a level 4. I argued this with the hospital through the portal. Eventually, my bill coding was changed from a level 4 to a level 1, and my insurance was billed at a level 1. My bill remained at a level 4, for hospital ********************* I argued the bill until they looked at my records. There was no cardiac machine involved nor any testing; just a tetanus shot and wound dressing. I paid $250 until they adjudicated my bill. I also requested a correction of my medical records from what was written by ***********************, PA. She lied. They dropped the remaining $200+ of my bill and made my balance $0.00. However, my records of that visit were never corrected by ***********************, PA.Now, December 2023, I get a bill for doctor ********************* I never saw a "Doctor", at all. I saw a PA. (Hence, one reason that level 4 billing is inaccurate.) Also, tests were never run; aka a cardiac machine, (second reason that level 4 billing is inaccurate). There was no eminent decision of treatment; (third reason that level 4 billing is inaccurate).My record has not been corrected, even though customer service agreed with me and let my payment of $250 stand. The basis for level 4 billing is fraud. I was told they have no form for a person to file an appeal. This is discrimination and why they let my payment stand. My medical record remains uncorrected.

  Business response

  01/12/2024

  Hello ****************** Bone,

  
  Thank you for reaching out to us with your concern for our emergency room provider bill for Emergency Physicians of Mid-******* PC on date of service 03/07/2023.  Please note, we are separate billing from the facility for the ED provider only, our provider on this date of service was ***********************, PA with assisting ***********************,DO.  Coding has reviewed your level of service concern and stated CPT ***** is clearly within scope of moderate number and complexity of problems address at the encounter.  Your health insurance has also processed our claim as of 10/31/23 leaving your patient responsibility of $34.26 which is co-insurance.

  
  Taking into account your concerns for the provider care and documentation, I am sending your dispute to our VP of Operations for review of medical records and care with the facility Medical Director.  Please allow a minimum of ten business day for review.  Outcome of review will be mailed to you via ***** or you may follow up by calling our ************************ Center at ************.
  

  Thank you,
  ********************
  Patient Services, Supervisor

  Customer response

  01/17/2024

  CPT ***** Moderate and CPT ***** Minimal are for different MDM levels. My visit was "Straightforward", not Moderate. It was a Minimal Decision. Especially since I told them that all I was there for was a tetanus shot and that's all I got, in addition to a gauze wrap. You erroneously billed my insurance with the wrong CPT. I demand that my insurance bill be corrected to reflect CPT ***** and that *********************** correct my medical records of that visit on 03/07/2023. I will happily pay the corrected copayment. The hospital made their correction now you need to correct yours. I won't pay for fraud and you are being unethical, and you know it.

• Initial Complaint

  12/07/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I am not liable for this debt with acs primary care. I do not have a contract with *************************.they did not provide me with the original contract as requested.

  Business response

  12/12/2023

  Hello ***************************,

  In order to assist with review of your account and concern, we are in need of additional information.  Please provide patients first and last name, date of birth and date of service or the account number associated with the claim in order for us to review and assist you further.  You may also reach out to our ************************ Center at ************ to speak to a representative. 

  Thank you,

  *******************************, Patient Services Supervisor

• Initial Complaint

  09/05/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  Im not liable for this debt with acs primary care physicians sw pa I do not have a contract with acs primary physicians sw they did not provide me with the original contract as requested..

  Business response

  09/11/2023

  Hello ********************,

  In order to locate and review the account, we need additional information including date of service and patients date of birth.  Please reach out to our ************************ Center at phone number ************ for assistance.  Please note, we are billing for emergency room provider services.

  Thank you,

  ***********************

  Patient Services, Supervisor

• Initial Complaint

  08/07/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I am not familiar with ACS ************* PHYS PA, I do not have a contract with ACS ************* PHYS **,they did not provide me with one at any point.

  Business response

  08/08/2023

  Hello ********************,

  ACS ************* PHYS PA is an emergency room provider group, our physicians provider care in the emergency room and we do billing for their services.  In order to assist with locating your account, *** I please have patients name and date of birth?  I can then review our system for further information.  You *** also contact our ************************ Center at ************.

  Thank you,

  Jenn A

  Patient Services, Supervisor

  Customer response

  08/08/2023

   I am rejecting this response because:

  Hello,
  Thank you for the prompt response regarding the unfamiliar credit **** on my report related to ACS ************* PHYS PA.
  As requested, the patient's name is *************************** and the date of birth is 07/11/1992. Please use this information to locate the relevant records in your system.
  I would like to express my concerns about this **** on my credit report. It has negatively impacted my credit for a significant period of time, and I find it distressing that I was not informed of this debt prior to it being sent to collections. I would appreciate an explanation for the delay in notifying me.
  I remember the visit in question, which was primarily due to a panic attack. To my recollection, there were no major procedures or treatments that should warrant a high bill. Therefore, I'd like to request an itemized breakdown of the charges to understand the cost associated with my visit.
  I am willing to work with you to settle this bill amicably. However, given the distress and the negative impact this has had on my credit report, I'd like to negotiate a reduced and reasonable amount. Upon agreement, I will make the payment under the condition that the negative **** is entirely removed from my credit report.
  I look forward to your understanding and a positive resolution to this matter. Please advise on the next steps.
  Thank you for your attention to this matter.
  Best regards,
  ***************************
  
  
  
  

  
  

  Business response

  08/09/2023

  Hello ********************,

  Thank you for supplying the additional information, I was able to locate your account.  I show on date of service 04/13/2018 you visited Memorial *********************** ** and our providers *********************, NP and *****************************, DO provided care to you in the **.  The balance of $1,814.00 are the charges for our providers under ACS Primary Care Physicians - Southwest.  Per review, no health insurance was provided for date of service 04/13/2018.  If you had active health insurance coverage, please fax proof of coverage to me at ************ or email to ******************************************************************************.  Please be sure to include your name and date of birth on any documents in order to locate your account in our system.  Also of note, if you had any financial assistance from Memorial ***********************, please send me any documentation to support.

  Statements for this bill were previously sent to you on 04/29/2018 and 06/17/2018 from our billing center.  Account was transferred to an internal collection agency HRRG on 07/29/2018, followed by a final transfer to Account Resolution ******************** (ARS) on 05/21/2019.  An itemized statement will be mailed to you for your review.  If you need copies of your medical records from date of service 04/13/2018 please reach out to Memorial *********************** directly.

  If you were uninsured, you will need to reach out to ARS at phone number ************ to make payment arrangements, as the charges have been transferred over to their collection.  I will request ARS place the account on a 60 day hold to allow you time to obtain any insurance information or to make payment arrangements to them.

  Thank you,

  Jenn A

  Patient Services, Supervisor

• Initial Complaint

  05/08/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I am not liable for this debt with *** ******* **** ********** SO and I do not have a contract with ********* * **********. They did not provide me with the original application like I ask.

  Business response

  06/19/2023

  Hello ***************************,

  Thank you for reaching out to us with your concerns.  In order to review further and locate account(s) in question we will need additional information.  Please contact our ************************ Center at phone number ************.  Once a team member has located account(s) in question request to be transferred to the direct billing center for review of your collection concerns.

  Thank you,

  -************

  Supervisor, Patient Services

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