ComplaintsforDoctors Emergency Room Corp PC

• Initial Complaint

  04/01/2022

  Complaint Type:

  Delivery Issues

  Status:

  Answered

  More info

  I went to the emergency room after breaking my finger and developing built up pressure and blood in my finger. I never received a **** from this provider in order to communicate with them that they needed to **** my auto insurance instead of my primary medical insurance as I was not aware my primary did not pay the balance. This week I received communication from a collections agency on their behalf for the **** when I was never billed originally or called in order to clear up any billing issues they were having that I was not aware of. This is now going to hurt my credit and leave a **** as Im not able to pay the **** since I had coverage for this visit. As everyone knows credit is very important and mine is now damaged due to their failure of communication with me.

  Business response

  04/20/2022

  Better Business Bureau Great West + Pacific
  12639 *****************, Suite 200
  *****, ** *****
  

  Attention: Resolution Specialist
  

  Subject: ** Number ********
  

  To Whom It May *********************** is in response to Complaint ID ********. ****** is the revenue cycle management company that handles the billing and coding for our client Doctors Emergency *********** PC (****). The following is concerning one claim (***************************** #********* with the date of service 4/03/2021):
  4/19/2021 Claim were billed to ********************************, which was provided by patient to 
  hospital upon emergency room visit, for $341.00.
  

  4/20/2021 Claim resubmitted to ********************************.
  

  5/02/2021 ******************************** denied claim due to insufficient information.
  

  6/06/2021 ******************************** denied claim due to injury/illness is the liability of no-fault 
  carrier. 
  

  9/02/2021 Third Party Liability information needed, released statement for patient involvement.
  

  9/07/2021 Patient was sent statements for the entire amount of $341.00, also on October 4, 2021, and a Final Notice on November 1, 2021 to the address patient provided to the hospital, upon 
  emergency room visit, and the provider received based on those demographics. There has not 
  been any returned mail sent to the providers billing company from the United States Postal 
  Service.
  

  12/26/2021 The account was sent to collection.
  4/2/2022 Patient filed a BBB Complaint.
  

  The demographic information received from the hospital facility indicated the insurance plan as ************************************* and her residence address as *****************************************************************************************. There has been no returned mail on her account received in our office, therefore it is assumed that the statements were received at the address indicated in the demographic information. Further, if there was any other available insurance for the care rendered, it should have been provided at the time so the entity could have been billed timely. The complainant failed to provide any auto insurance information which she admits should have been billed instead of her primary medical insurance. 
  

  We are still awaiting information regarding the auto insurance carrier so that an attempt can be made to **** this claim to the correct entity. To date, we still do not have this information. In addition, this information was not provided when complainant received the last collection agencys communication prior to filing this complaint.
  

  Having not received any payment, on November 1, 2021 a final statement was sent to her for the balance of $341.00, indicating if she did not contact our office or make payment arrangements, that her **** can be referred over to a collection agency. Accordingly, without any further information, with denials from her primary insurer, and no payments from complainant the account was sent to collections.
  

  If there are any further steps that need to be taken, please advise. 
  

  Sincerely,
  

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

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