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[personal profile] nekosensei
Remember how I got a bill from the physical therapist in March saying that I owed $1100 dollars? Well, they were at it again. This time, they were in rare form.

Back in March, I called them up and told them that the services I received were covered by insurance. I explained to them that the reason that my insurance company kept rejecting my claims was because they billed them under the wrong name. The ones that were billed correctly had been paid. The office manager told me that she would resubmit the claims that hadn't been paid, that I was supposed to disregard any further bills from them, and that the problem would be taken care of. Well, yesterday I got a letter saying that they closed my account and were going to send me to collections in ten days because I wasn't being "responsive." They also told me that I owed $1000 instead of $1100. Seriously. WTF?

[livejournal.com profile] doomsey looked up my account information online and discovered that the claims hadn't even been resubmitted! He also didn't understand where they were pulling the $1000 from when originally it was $1100. I called her up yesterday evening and complained because I was under the understanding that this had been taken care of a long time ago. She tried to tell me that she resubmitted them to the insurance company, but they hadn't been paid. Huh?

I got really pissed off. I told her that I didn't understand what they were trying to pull. They told me repeatedly that they were in-network and all I was responsible for was the copay. And by repeatedly, I mean at least three separate times. After we started seeing that the insurance was rejecting the claims, they told me on two separate occasions that they were in-network and that they had billed the insurance wrong. On both occasions, they assured me that they would fix the problem and that I wasn't responsible for any of the charges. This was my third ride on their little merry-go-round of fuck-ups. Today, I told the office manager that I wasn't going to pay and that she could send me to collections for all I cared. I had had enough. Essentially, what they were trying to do was bill me for the money they couldn't collect because they were too lazy or too stupid to bill the insurance properly. I'm sorry, but I'm not going to shell out a thousand dollars because someone there couldn't do their fucking job right. The lady at the other end said something to the effect that maybe they weren't in-network after all and that someone had given me the wrong information. Um...no. The claims that were billed to the insurance company correctly had been paid. The ones they submitted in October under the wrong name were not. They were definitely in-network. She then told me that she was going to talk to her boss and that she would call me back the next day. Okaaaaay.

Today, she called me back and said that she had talked with someone at my insurance company. They had resubmitted the claims back in March, but the insurance company didn't do anything with them because they thought they were duplicate claims. She assured me that the problem with the insurance was straightened out and that I didn't owe them anything. This time, I learned my lesson that you can't trust these bozos to get it right. I'm going to call them up in about two weeks to make sure that the claims are paid and that they're not sending me to collections. Sheesh. (I'm also going to tell my doctor not to recommend them anymore the next time I see her).

Just watch...they're going to fuck it up again.

Oh...before the office manager called me this afternoon, I phoned my insurance company and had a little chat about the ride Chicago Rehabilitation Service has been taking me on. They now have a complaint lodged against them for abuse of name / network. There's a slight chance that they might be dropped from the network because of this. They thought it would be cute to not do their job and dick me around. Well...now the shoe's on the other foot. Let's see how they like them apples.

By the way, if you live in the Chicago area, do not go to Chicago Rehabilitation Services. They have four locations: two in Chicago, one in Oakbrook, and another in Cicero. Their billing is absolutely atrocious.

Date: 2008-06-06 02:14 pm (UTC)
From: [identity profile] judygs.livejournal.com
On the other hand, I completely endorse ATI. They weren't in-network for my insurance but arranged it so they were. And the PT that I had was wonderful. And the people who work there are wonderful. They even have a driver who picks up people who can't drive. (Lots of people who need physical therapy can't drive.)

And the best thing is that my shoulders both work now. After over a year not working.

Date: 2008-06-06 05:12 pm (UTC)
From: [identity profile] theamaranth.livejournal.com
LORDISA!

i work for an insurance company, and insurance TERRIFIES me. i have the employee helpline on speed dial so i can call them with stupid little questions so i can make sure i'm not getting fucked. i take their extension and employee id or name when i talk with them, and record what information i was given. always keep records. cover your ass.

Date: 2008-06-07 10:07 pm (UTC)
From: [identity profile] lucy-burb.livejournal.com
Move to Canada. We rock in the healthcare department. Or Mexico, I heard they're better than us!

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