ComplaintsforFox West Medical LTD
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Complaint Details
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Initial Complaint
06/06/2024
- Complaint Type:
- Order Issues
- Status:
- Answered
I received a certified letter on June 5, 2024, from *******************, ********************************** wife, that was dated June 2, 2024. The letter demanded that I pay $547.23 payable by June 15, 2024.The amount of $547.23 is being billed for 3 office visits because ********** fell out of network with ******* and didnt realize it until I asked ******* why my claims werent being paid. I was told by numerous Premera agents that Dr. **** credentials expired with them. He was able to produce documentation that he submitted his credentials that covered the time I had my office visits, but he failed to reinstate his in-network status in a timely manner to cover the visits. During those visits, the front desk clerk took my $20 co-pays on each visit and obviously didnt know about Dr. **** failure to submit the in-network paperwork because nobody from his office knew at that point. Because of this mess up on his part, payment is being demanded of me to honor those visits. ****** is using the documentation from Premera to demand payment because it states that part about patient responsibility. As a school psychologist, Im a professional, too and I take full responsibility of making sure my credentials are renewed and submitted in a timely manner. If I had known ********** fell out of network, I would have gone to another doctor that was in-network. ******************* said that patients were notified that he was out-of-network. Perhaps at some point some of his patients were notified. I was never notified because I was the one who brought the information from ******* to his attention. I wrote a letter explaining why it wasnt my responsibility. ****** intercepted the letter and responded with the certified letter for the demand of payment. I seek resolution to this issue for the amount of $547,23 be written off of my account.Business response
06/11/2024
****************************** the $547.23 to Fox West Medical as her deductible. Dates were over a year ago. What does the "disputed amount $78" mean?
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Customer Complaints Summary
1 total complaints in the last 3 years.
1 complaints closed in the last 12 months.