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My doctors office scammed me!!

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  • #595757
    Laurie
    Participant

      Back when I went to see a specialist they told me that services were not covered under my insurance policy. I brought in my insurance rider to prove that they were and even had a pre-authorization letter. The office told me that they talked to the insurance company and only my first office visit was covered but I had to pay out of pocket for everything else. Sooooo after spending over a thousand dollars to see this doctor I get a letter in the mail from my insurance company saying they paid the doctors office for my care. WHAT?! So now they have been paid twice! I called the insurance company and explained that the doctors office charged me upfront and now they have been paid twice. The insurance company told me to march down to the doctors office with my paperwork saying they have been paid and demand my money back. After I get my refund they want me to file a complaint against them since contracted doctors offices are not allowed to charge members upfront for services they provide when its covered under the insurance company. I’m so mad right now!

      #491817
      Laurie
      Participant

        #595758

        Oh, I would be mad also. I hope something good comes out of it tho. Maybe you will get money for the baby or Windstones.

        #595759
        Laurie
        Participant

          Yeah I want my money back. Then I can buy baby stuff and windstones 😆

          #595760

          Hopefully you have your receipts to have proof that you paid them already.

          #595761

          Hopefully the doctor’s office is cooperative and refunds your money right away.

          If they give you any trouble, one possible option is to see if your insurance company can take back whatever money they gave to the doctor and reimburse you with that money.

          #595762

          😕 I hope that gets straightened out without any trouble and you get your money back. And I’m glad at least your insurance is upfront about things!

          #595763
          .
          Participant

            Grrr! I would be mad too! Make sure the doctor’s office doesn’t play around getting the refund to you. I think they should write you a check immediately or if they need to “double check” things then a week at most. Just don’t let them drag you around for week after week with no $$. If they do start playing games, go through your insurance and let them be your advocates. If that doesn’t work, there is always legal cousel. Most lawyers will write a letter for you for $20-50 and that is usually enough to get the ball rolling.

            I wish you the best of luck and keep us posted.

            #595764
            tc_cat333
            Participant

              Oh mand that would piss me off… I would freak on them..

              #595765
              dragonmedley
              Participant

                I don’t believe this! You’d think they make enough…

                But you know what? It might actually be an honest mistake. I hope you can straighten everything out. If it wasn’t a mistake, I’d change doctors.

                Read my books! Volume 1 and 2 of A Dragon Medley are available now.
                http://www.sarahjestin.com/mybooks.htm
                I host the feedback lists, which are maintained by drag0nfeathers.
                http://www.sarahjestin.com/feedbacklists.htm

                #595766
                Laurie
                Participant

                  I know it wasn’t a mistake, I was having problems with them so I stopped going. I have all my reciepts since I was going to take it off my taxes. I have to wait till Monday to find out what is going on since the billing office for the dr said they would call me back and never did. Now the office is closed so I can’t do anything about it until Monday.

                  #595767

                  purpledoggy wrote:

                  I know it wasn’t a mistake, I was having problems with them so I stopped going. I have all my reciepts since I was going to take it off my taxes. I have to wait till Monday to find out what is going on since the billing office for the dr said they would call me back and never did. Now the office is closed so I can’t do anything about it until Monday.

                  Find out what hours the billing office is open and go down there. That is when you will get the best results.

                  #595768
                  Laurie
                  Participant

                    Its out of state so I can’t just go down there. Its a billing office that takes care of like 30 different doctors offices.

                    #595769

                    Darn, that sucks even more.

                    #595770
                    dragonmedley
                    Participant

                      😯 I’m still shocked about this.

                      Read my books! Volume 1 and 2 of A Dragon Medley are available now.
                      http://www.sarahjestin.com/mybooks.htm
                      I host the feedback lists, which are maintained by drag0nfeathers.
                      http://www.sarahjestin.com/feedbacklists.htm

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