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ComplaintsforPawleys Podiatry
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Complaint Details
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Initial Complaint
12/12/2021
- Complaint Type:
- Product Issues
- Status:
- Resolved
I was scheduled to have surgery on January 21, 2021. I was told by Pawleys Podiatry that I would have to pay out of pocket $200 for a pain pump that would be implanted during surgery. That insurances do not typically cover the pain pump and therefore I would need to have it paid for before surgery. On January 20,2021 my husband paid the $200 for the pain pump using his credit card. We requested Pawleys Podiatry to bill the pain pump to insurance anyways to see if they would cover it. I would rather it get billed to insurance and get denied than not and never have the possibility of it being covered. Our insurance typically covers items/ procedures that most insurance companies would deny. I had the surgery on January 21, 2021 as scheduled. Pain pump was implanted. Pawleys Podiatry refused to bill it to insurance stating that the code for the pump was outdated and never had a new code in place to bill it with. After 7 months of back and forth, they finally found a code (XXXXX) and billed it to our insurance. In August 2021 insurance approved the request and covered the pain pump at 100% of the discounted rate for the Anthem BCBS discount provider. With Pawleys Podiatry being a Anthem BCBS provider they receive discounted rates for procedures/items through Anthem BCBS. Therefore, they received a discounted rate for the pain pump of $57.50. Which my insurance covered at 100% of the $57.50 cost. This is reflected in our insurance claim number XXXXXXXXXX which can be provided for review upon request. The problem is, Pawleys Podiatry has been now paid two times for this item. Once by me at $200 and once by insurance $57.50. Pawleys Podiatry is refusing to reimburse me the $200 I have paid back in January 2021. I just want my money back in full.Business response
05/05/2022
Consumer Response /* (2000, 9, 2021/12/30) */ Thank you. The issue has been resolved. *** ***** ***** ***** ******* Georgetown, SC
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Customer Complaints Summary
1 total complaints in the last 3 years.
0 complaints closed in the last 12 months.