ComplaintsforValleywide Surgical Services

• Initial Complaint

  05/10/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  As you can see attached, my stated EOB for my insurance company. This company is threatening to report me to collections for not paying an almost $250 bill that I do not owe them. My insurance provider has confirmed I do not owe this company anything. I have maxed out my in and out of network deductibles. Valleywide surgical is also threatening to increase my cost with additional fees if I do not pay them the amount. As you can see, I do not owe this company. They are trying to change the narrative that theyre out of network and thats why I need to pay them more My deductible and my insurance company has confirmed. I do not owe this company anything. If you even look at the reviews on ******* they have done this to numerous people before. I am not alone in this issue.

  Business response

  05/13/2024

   

  We let the patient know that we were called in on an as needed basis for the safe and successful completion of their surgery.  A Surgical Assistant is required for this particular procedure.  
  Upon registration, the patient had signed the Condition of Admission and Treatment form which states that the Surgeon may request the services of an anesthesiologist, surgical assistant,radiologist etc. and they may bill separately. Assistant Surgeons are not employed by most hospitals or surgeons in the ******************** area. These services are called in on an as- needed basis and bill separately from the hospital and surgeon. The patient's insurance was billed correctly but and paid a low amount that did not meet the minimum requirements for payment for their particular surgery even after we tried to appeal their decision as a courtesy. Unfortunately, all efforts were exhausted, and their insurance left the balance to their insured.The No Surprise Act does not allow out of network providers to balance bill ERISA plans as there is a different arbitration process for those plans for payment. Your plan is not an ERISA plan, therefore is not covered under the No Surprise Act and the patient is responsible for the remaining balance for their procedure. The patient is covered by the SOON bill which is the No Surprise Out of Network bill that states, out of network providers can bill up to $1000. Our minimums are much lower than what we are allowed to bill, and we even deducted what the insurance paid. We explained this to the patient, and she responded with profanity so her account is marked as do not take phone call and we will only correspond via email.  The patient is responsible for the balance due.
  

• Initial Complaint

  05/07/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  I received an invoice in the mail with the following language: "FINAL DEMAND NOTICE-WE HAVE REQUESTED PAYMENT ON THIS ACCOUNT SEVERAL TIMES WITHOUT SUCCESS. PLEASE BE ADVISED THAT UNLESS WE RECEIVE PAYMENT IN FULL ON THIS ACCOUNT TO THIS OFFICE WITHIN TEN (10) DAYS OF THE DATE OF THIS LETTER, WE WILL IMMEDIATELY TURN THIS ACCOUNT OVER TO OUR ATTORNEYS FOR COLLECTION PROCEEDINGS." The only prior invoices I had received were via text message! If you think, in this day and age of identity theft and SMSishing scams I am going to click a link in a message from an unknown sender you are crazy. I find it outrageous to include this inflammatory and threatening language in a FIRST invoice sent to the patient via ***** Absolutely disgusting. I did finally receive a phone call and the person calling notified me I had a balance due. I asked when I would receive the bill. A bill in the mail is the normal way of conducting business. It is further ridiculous to state that the item will be turned over to collection after 10 days of the invoice. It took a week for me to even receive the statement in the mail. I have no issue with the bill or with the amount due. I DO have issue with the way this service provider has decided to conduct its billing practices.

  Business response

  05/15/2023

  ***************************** was sent the following message to pay her invoice on 4/26/23 and when she called asking about it on 4/27/23, we did explain that the Final Demand message was sent in error, and she should have been sent the Initial Payment Request message.  We also let her know she would be receiving her first statement in the mail within a few days.  

  Customer response

  05/15/2023

  The businesss response is a ******************** of what happened. I NEVER called them. They called me and I answered. They explained I had a balance due. I inquired when I would be receiving a bill. They indicated Inwould get it in a few days. THAT invoice is the one I received with the collection language. I am appalled that this company is now lying about their interaction with me. This is extremely problematic. 

  Business response

  05/15/2023

  On 4/27/23, we called the patient for payment, no contact was made, and the patient called back and left ** a voicemail.  We called the patient and explained why were called and she stated she would wait for the statement to come in the mail.  We were called in by her surgeon to assist in her surgery.  We billed her insurance accordingly and they denied her claim and left the balance to their insured.  As a courtesy, we sent 2 appeals which were denied.  We then sent the patient a statement--As explained before, the patient was sent the Final Demand lettering in error. Once the patient received the statement in the mail, we received on 5/1 and her account is now closed.  There is no further action required.  

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