ComplaintsforEmergency Physicians Billing Serv., Inc.
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Complaint Details
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Initial Complaint
08/13/2024
- Complaint Type:
- Billing Issues
- Status:
- Resolved
My daughter was seen at ******* ******** on 3/28/24. I am unable to send the final, itemized bill to our health share co-op for reimbursement until I receive it. I received a text on 4/10/24 with a link to an initial invoice (see attached) that stated I owed $1,607.00 but that the amount would be discounted by 76% if I paid 24% of the total ($385.68) within 30 days. I paid $385.68, and the statement (via the texted link) then reflected it was received and applied to my account on 4/23, but it continued to show a remaining balance, and I continued to receive payment reminders. I called countless times for months to ask for the $1,221.32 remaining balance (the 76%) to be removed, per the invoice notation that it would be written off. Each time, I was told it was being removed and I would receive an updated statement, but I did not. I have called at least 25-30 times to request a final statement with procedure codes. Even after being told they successfully removed the $1,221.32 and that my balance is $0, they have not sent me anything, as I have repeatedly requested during numerous calls. They have told me that they cannot sent a final invoice via a texted link (even though the original invoice was sent that way), that they cannot email me, and that they must send it by mail only, stating each time that it will take 7-10 business days to receive. Every 7-10 business days, I call back to request the same information, only to be faced with excuses that they are unable to send this information in any other format and that they A) can't send via email because it's not safe B) can't send via text because the account is paid off C) they can't send via text because they've already requested it by mail (even though I didn't want it by mail because it takes too long) and D) that they have no other option for sending me this information. It has been 4 months, and I still have never received anything at all by mail or email, and I have confirmed my address several times.Business response
08/21/2024
Thank you for the opportunity to respond and to provide a resolution for your complaint. Please see the attached for our response to complaint ID ********.
If emailing in a secure email, the copies of the requested documents is not acceptable, please verify the complete mailing address, as what is shown in the complaint varies slightly from what is on the patient account, i.e. 'Street Adress, Apt# XXXXX', or 'Street Adress XXXXX'.
Thank you,
***** *********
Business response
08/27/2024
Today, 08/27/2024, we have corresponded with *** ********** directly via email and have provided a copy of the zero-balance patient statement as well as an itemized claim statement per her request. *** ********** has replied she has received the secure email with the requested documentation.
Thank you,
***** *********
Follow-Up Assoc II / Claims Settlement / Appeals
Payment & Revenue IntegrityR1 RCM Inc. | jmcmichael@r1rcm.com
Customer response
08/28/2024
******* and ***** just successfully sent me the final statement of account with itemized billing I have requested. I am ready to accept the resolution and close the complaint.
THANK YOU!!!!!!!!!!!! This is all I have needed since paying this account off in April 2024! :)Initial Complaint
03/12/2024
- Complaint Type:
- Product Issues
- Status:
- Resolved
I have been trying to get a refund from this place for about 4 months. I had two bills for the same amount. 1 was from this place and 1 was from the emergency department. Before I realized that this was 2 different bills, I paid these people and I did not owe these people anything. I owed the emergency department. I sent the *** from my insurance company that explained that I did not owe them. I have been calling for the past 4 months and was told on the last call that it would be another 2-3 weeks. When that 2-3 weeks went by, I called again only to get a recording stating that "due to unforseen circumstances, they are not taking calls at this time". Now the ** that I do owe has sent me to collections because i can not get these people to refund me my money.Business response
03/20/2024
Please see the attached for the provider response to complaint ID *********.
Thank you for bringing this to our attention and allowing the opportunity for resolution.
Customer response
04/22/2024
Hello, In regards to complaint #********, I have reached out to the person that responded to you from Emergency Physicians Billing, ************************* with no luck. Nothing has been done to correct this issue. I called on Thursday, April 18, 2024 and was told by ******* that it would be another ***** days to process the paperwork and then another ***** days to process the refund. Just not sure of next steps. Thanks , ***********************Business response
04/25/2024
We appreciate the consumer for reaching out to further find resolution for the account in question. The insurance payment and adjustment have been applied to the consumers account causing a credit balance. I have checked the account and can verify the consumer's payment has now been refunded back to the credit card that was used in the original payment.
We are unsure why we did not receive the provider's *** in a timely manner from Cigna+Oscar. While the consumer did provide a copy of the *** they received, which was greatly appreciated, to be able to post the payment/adjustment with the appropriate details, we do require the Provider's *** to do so. The Provider's *** has additional information regarding claim details such as claim numbers, payment/check numbers, total payment amounts, detailed denial reasons and the provider's Tax ID number to verify the payment has been made out to the correct provider.
We have communicated these details to the consumer via direct email with apologies for the inconvenience and length of time this has taken for a resolution.
As always, we appreciate the opportunity to assist the consumer to meet a desirable outcome for all parties.
Thank you,
*************************, CHC Manager, Payment and Revenue Integrity
Initial Complaint
02/22/2023
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
On September 27th 2022 my son was admitted to the Emergency Room at Banner Children's Desert for a infection on the arm. He was seen briefly by Doctor *************************** DO. He was admitted to the hospital for I believe to be be two days. My insurance which is through Ahcccs Medical paid for all of my sons care. In October we began receiving a bill that is separate from the hospital bill known as a physicians statement for $2286.00. I called them and asked them to submit this bill to my insurance claims department. They then verified all his information and said they would submit it. Since then I have received multiple bills and no submitted claim to ***********************. In December I sent a copy of the bill to my insurance company directly, they then sent a letter to progressive medical assoc pllc stating that my son has had the same coverage since 2020 and should not be billed for services that are covered. They also provided exactly where they can submit this claim. The letter also states that if they continue to send me bills or send this matter to collections they may be referred to the AHCCCS ****** of ******* Integrity. They then sent me another bill and still have not submitted this claim to ***********************. The bill also says "Ahcccs Administrator, Patient ineligible for this service" But how can the Ahcccs Administrator state that this patient is ineligible for this service if no bill was ever submitted to the claims department? The letter that was sent to them on January 5th 2023 gives them the accurate address to submit claims. I called my insurance company on Feb 21st 2023 to verify if they had finally received a claim for this bill and the representative said no. They asked me to send them a copy of the most current bill dated Feb 10th 2023 to provide proof of their continued billing and has repeatedly assured me that they have not received a claim for this bill. (Also on the bill it states an address at PO Box ****** ****** ***** *****).Initial Complaint
01/30/2023
- Complaint Type:
- Product Issues
- Status:
- Unanswered
I went to Swedish hospital on 12/17/2022 and received an email from the hospital on 1/3/2023; the email address that sent me the bill had the hospital's official domain in the name, so I knew it was legitimate. I paid my balance in full on 1/18/2023. On Thursday 1/26/2023 I received the following text "You'll now receive your Swedish Med Centr ER physician statements via text. Questions? Call us: ************. Reply STOP to opt out." I then received a reminder email on Monday, 1/30/2023. The link to the bill was different from the amount that the hospital had sent me through official channels.This was odd because I had already paid my balance in full from the hospital. I called the hospital and they confirmed that I was at a $0 balance. Additionally, when I looked up the number I could not find it associated with any legitimate collections agency. What's more, I did not sign up or opt into any form of billing notifications via text.Initial Complaint
01/27/2023
- Complaint Type:
- Delivery Issues
- Status:
- Unanswered
On November 19, 2021 my minor daughter received care at Wilson Hospital in Sidney, OH for an injury in the emergency room. The doctor who treated her billed services under the name FEP of Ohio. The charge was out of network but the incident was charged to my (her father's) insurance, along with the statutory adjustments for ER trips out of network. At the time of the incident I had full coverage from my insurance and did not owe anything. Fast forward to December 9, 2022 I received a bill from FEP of Ohio trying to collect $526.00. I called at 4pm ET and spoke to Diego who couldn't figure out why we got a bill. He put the account on hold and later discovered that insurance had reversed some kind of payment and that he would call me back later with details. I never received a follow up call. That same day I called Aetna, my insurance provider, who said that FEP of Ohio had put forward five duplicate claims, that the actual claim had been paid in full, that we had no liability. On January 27, 2023 I received another bill for the same amount from FEP of Ohio and was unsuccessful in contacting the office. We owe FEP of Ohio nothing as they have received full payment as confirmed by our insurance company. This balance needs to be erased.Initial Complaint
12/06/2022
- Complaint Type:
- Delivery Issues
- Status:
- Unanswered
I was seen at Weems Hospital on 09/07/2022. I received a bill from them and paid it in full. I received a text message a few weeks ago stating I owed $2468 stating it was from the same hospital and it said do not contact the hospital to resolve the bill. I did and again I was told it was paid in full and I received a itemized print out. I Googled the # in the text and I also tried to call it. It kept giving a busy signal. Today Dec 6, 2022 I received a bill in the mail again for the $2468. I have no reason to believe this is a real charge.Initial Complaint
11/03/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I have not been to an emergency dept. in Oklahoma City last year.Initial Complaint
10/20/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
my daughter was taken to an emergency room based on her psychiatrist, we are ******** recipients with full coverage ..and somehow I'm getting $1,000 bill from this place I won't be paying it ..I don't have the money!! I don't even have a dollar like I said ******** recipients with full coverageCustomer response
11/03/2022
We had ******** at the time this was my daughter's bill the balance is 972 the date is on the bill 603-2022 the account number ********** I don't even have a dollar I can't afford groceries there's no way I'm going to be able to pay it they can send it to whoever they need to. My daughter's now 18 so maybe they can send the bill to her but I'm not going to be able to pay it that's for sureInitial Complaint
10/05/2022
- Complaint Type:
- Sales and Advertising Issues
- Status:
- Unanswered
I received a notification that EMER PHYS OF MID-******* PC had placed a collection on my credit for $645. The account appears to be from a hospital in *****. *** never visited a hospital in *****. This is a fraudulent charge and I want it removed immediately.Initial Complaint
09/26/2022
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
This company sent me to collections in 2017 and I don't have idea who they are. I can't find a way to contact this company. I don't know what emergency visit they're trying collect on. The scary collections agent at Paramount couldn't tell me. I was found permanently and totally disabled in 2019 and I cannot pay them the money they tell me I owe. I can't pay the 30% they so generously offered to settle the debt. I can't make monthly payments. I'm on SSI. It's been five years since this mysterious company stuck this debt on my credit report and they will never be able to collect. I'm disabled and I feel like at this point, it's just harassment. Please remove this debt and do not contact me further. It's chump change for you and a huge burden on me.Business response
10/03/2022
I am out of the office. Responses to my emails may be delayed.
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Customer Complaints Summary
17 total complaints in the last 3 years.
2 complaints closed in the last 12 months.