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Fri Jun 01, 2012 11:46 pm

Well I went back to the doctor and since this has 400 views I thought some of you might be interested in what happened. I brought it to their attention and they just constantly said "we don't know what these charges are" and "we never received any checks from your insurance company" and "hmm well thats weird". They acted like it was really weird and that they had no idea what was going on but had no intentions on letting me pay the "copay" or reimbursing me and insisted they didn't take insurance. I didn't want to fight with the employees or seem like I was blackmailing them so I just went on to the doctor and let it go. They finally told me to call the insurance company and see what they said about it, I haven't done that yet, but I know they are getting paid from me and my insurance company and I am not sure what the final result will be since they are denying receiving payment and "don't know" where the checks are going or who's billing it. Pretty lame explanation if you ask me....but thats what happened.

Sat Jun 02, 2012 12:07 am

Did you ask the staff or the actual doctor?

Sat Jun 02, 2012 12:18 am

I think Diary's advice would probably be 'easiest' for you.

If you just call your insurance co and tell them how much you've been paying ,,, they'll either stop paying them or call on your behalf. right???

It'd be worth a shot, and that would leave you completely outta the situation of argueing at the desk with someone.

Just trying to help :)

wish you the best

Sat Jun 02, 2012 12:56 am

halleyzcomet wrote:I am going back to the dr really soon, anyone have any last minute suggestions on how to bring this up politely?i have printed copies of my recipts and insurance claims also. Thanks in advance


Short and sweet..

"Wherez my money bitchez!"

Sat Jun 02, 2012 1:59 am

Hat- I had to deal with staff because the doctors don't deal with that kind of stuff there their admin people do all that,and they acted like they had never seen a claim form ever.definitely some odd behavior but thinking back on it they never once denied charging it just denied receiving payment,when it was sent out weeks ago(I know they got it...)and just kept saying "i don't know I don't know" til it was time for me to go back
Amber- thanks I am going to have to call the insurance company not exactly sure what I'm going to say but I know they will stop paying ASAP.
Tear- if only it were that easy!!

Sat Jun 02, 2012 6:22 am

i would take hatmaker's you got them by the ball's( ADVICE) at the beginning of this thread.
maybe thay are some what liget on some legal thing about you and them and also the contract you
have with them and legal'y not knowing they can say you really owe the full 600$ visit.
would they really be so stupid to do this out in the open!! it sounds funny to me :lol: it just don't add up".
you got them by the ball's and they no it or don't no it? and i'm sure if you pursue this, you sure would find some one
to help you with it and your treatment all together anyway. you would be killing 2 birds with one stone, getting rid of them
and continue your suboxone treatment.

Sat Jun 02, 2012 6:34 am

oh :lol:". hallyzcommit wellcome to the forum. i hope to you there not one of those place's that are not there for long
and take the money and RUN? just ah thought, and hope it all works out for you and get your money back.
those BEOCHISS!!

Sat Jun 02, 2012 9:17 am

I think denial is usually someone's reaction when they get caught doing something they know is wrong..."What?? I don't know anything about that!" LOL

Hahaha TJ...Show me the money!! Yes, if it were only that easy. Good laugh though!

Sat Jun 02, 2012 9:39 am

My first thought was that you were talking to the lowly staff who don't have a fucking CLUE what's really going on. You were talking to innocent people! If it were me, I'd bring it up with the doctor himself. If this is going on, guess what, it's likely the doctor who knows it, or if not, then he needs to know that someone high up in his billing dept is screwing him.

This kind of shit does NOT happen accidentally nor without someone's knowledge. Insurance claims, correct me if I'm wrong, go through via one's social security number. Unless some other person has stolen your identity and is seeing your same doctor and using insurance to pay him (and how likely is that??), they are committing insurance fraud. My guess is your doctor is the one who is in charge of it or his number one billing person.

Sat Jun 02, 2012 9:45 am

That's true hat. I've worked in a lot of offices and didn't know what the hell the billing dept (or billing person) was doing, so the receptionist, or whoever you spoke to, might really not have a clue. I'd talk to the doctor directly too. Even if he is not in on it, he's the one who can get to the bottom of it.

Sat Jun 02, 2012 3:25 pm

Taurus wrote:That's true hat. I've worked in a lot of offices and didn't know what the hell the billing dept (or billing person) was doing, so the receptionist, or whoever you spoke to, might really not have a clue. I'd talk to the doctor directly too. Even if he is not in on it, he's the one who can get to the bottom of it.



It would surprise me if the Dr wasn't in on it. Most of these Dr's are only out to strip our pockets. If they don't accept insurance they shouldn't even ask for an insurance card. I believe something similar like this happen to me the Dr was trying to bill Medicare even after I paid cash for my office visit. Her ass got busted and she booted me from her care. I know for fact she used to bill medicare for my drug screen.

My advice to any one new If you go to a Sub Dr that only accepts cash as payment do not give them your insurance card.

Sun Jun 03, 2012 9:06 am

Is it possible to take your receipt for cash paid to the doctor and turn it in to the insurance company for reinbursment..? My insurance company would pay for it i believe, only thing is the doctgor doesnt do insurance as many doctors also do not

Sun Jun 03, 2012 1:29 pm

The place I go to is a huge clinic with a host of revolving doctors. You usually see a different one everytime you go, but they are all nice, competent and do listen well. My problem is not with the doctors guys, they don't have anything to do with the insurance, the one I saw yesterday didn't even know how much the front part of the place charged so they would have no clue. There isn't just one doctor there, its in a large city. Anyway, the person who I talked to about it, I am pretty sure is the person that did it. She handles all of the billing stuff and was the person who asked for my insurance card and said they didn't take insurance.She even called the insurance company, and then proceeded to ask about my deductable instead of the other two charges like I asked her too...wow..way to play stupid haha... I can't talk to the doctor about this, because there are several and they really don't know anything about the insurance/billing part of the clinic. Thanks for all of the ideas but I think this is between the woman at the front desk and the insurance company, she was also mad because I am coming every 30 days instead of 28 days, I think it makes it so I do 1 less appointment a year...can we say money hungry? lol she must make commission!

Sun Jun 03, 2012 1:40 pm

Wow, I'm sorry, but I gotta be honest with you. I'm seething thinking of them/her getting away with such blatant insurance fraud. I don't mean to make you feel bad, but honestly, this is why so many people/corporations get away with so much shit. Not enough people stand up and say, "Hey, you can't do that!". I know it's not easy, but sometimes you just gotta do the right thing.

I understand why you don't want to get involved, really I do. I made a discrimination complaint against someone once who blatantly broke the law and it was their word against mine. I took it to the state civil rights department. It was eventually settled, but it was a real pain in the ass for over a year and a half. (But in my case it was a bit more personal.) So really, I get why people don't want to get involved with such things, especially in your situation.

In the end, I know this isn't an easy thing that you're struggling with. I hope you find some resolution that's to your own satisfaction; that's all you can do. :|

Mon Jun 04, 2012 1:55 am

I'm very interested in this thread. Please let us know what happens when you talk to your insurance company. I wish there was a way to make the billing person at your doctor's, an insurance representative, and you have a 3-way phone conversation to get everything out in the open!

How frustrating for you!!

Amy

Mon Jun 04, 2012 1:34 pm

Amy I wish that could happen too.. and it may be the only way to resolve this. I haven't been able to get through to a person so far....the world is ran by machines. lol
Hat- Thanks for all of your advice, I honestly do appreciate it, I am trying to get through to the insurance company since they should be able to figure this out, I Know they won't want to pay if they don't have to..and it's starting to get personal haha, I don't like it when people treat me like I am stupid because they are trying to scam me. I mean, I obviously know what is going on ...

Tue Jun 05, 2012 1:36 pm

I was just looking at old claims from the Sub Dr I had that dropped me bacuase I was on medicare. I've seen where her office charged medicare up to $394.00 on some claims for a 20 buck piss test that I had paid for out of pocket. Some charges are for 25 and some are 78 and higher. This seems wrong I was paying out of pocket for these visits and she was making double. I'm about to call medicare and see if this possible fraud.

halleyzcomet

Sat Jun 09, 2012 10:45 pm

That is just absolutely intolerable! How abhorrent is this clinic!? Are you for certain that they are charging your insurance every time when you go to your appointment? If so, they are definitely scamming you. It is unfathomable that there are clinics out there that would succumb to such disreputable, vile acts.

It is fortunate that they have been treating you well, though. I understand why you are apprehensive to confront the clinic because of their favorable treatment towards you and that you are hesitant in the fact that you are weary of the confrontation leading to you being without your medication if challenged.

Unfortunately, I am at a loss for words. I wouldn't wish this scenario on any one, especially since you've been getting along with this clinic and they've been decent towards you, considering your prior experience with a doc. that didn't listen to your cries. I would be concerned about not getting my script if you were to question them, too.

All I can suggest is to pursue all avenues and options, hopefully someone from this forum can give you better advice than me! I wish I had an answer for you, but it seems your question is multi-faceted and I lack the necessary faculties to provide any reasonable suggestions. The only thing I can say is go to Suboxone.com, type in your area code and start looking for new physicians in the mean time, try to secure a new physician you get along with who treats you well, and go from there!

Hopefully that was helpful!

Take care. And I would love to find out what the outcome is of this travesty. Do let us know the consequence.



KeefSom

Tue Jun 12, 2012 3:53 pm

Just an update on this situation:
Last time I went to the doctor, the staff assured me they had no idea what it was and just kept saying "I don't know" over and over, well I checked my claims online and they didn't file one this month! lol, guess they knew I was on to them, and stopped filing with my insurance company, still mad they made an extra 500 dollars, but now I don't have to stress about this so its all good!

Wed Jun 13, 2012 8:36 pm

I know this is a little late in the game but HOLY FUCK!!!!!!!!!!!!! Are people really that effing stupid???!!!!! My jaw hit the floor when I read the first post! I feel like I screamed at my computer "What the hell!" LOL Please let us know what they do next visit....I'd flat out ask why they stopped billing your insurance. After all, if it was legit in the first place, you are gonna end up paying what ever your insurance doesn't. And I would cite that as the reason you are askin. Just say "I noticed you haven't filed a claim for my last visit yet. I'm not gonna end up owing you X amount of money for the money they've been paying you all along am I?" I'd play every bit as stupid as they are!!!! I am furious.......

Good luck to you with this one girl! YOU have def got the upper hand now! Hahahahahahahaha!!!!!!
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