Date Received: 2017-05-05T00:00:00
Product: Medical debt
Issue: False statements or representation
Consumer Consent Provided to Share Complaint: Consent provided
Consumer Complaint: I ha d medical services rendered in XX/XX/XXXX . At the time I had insurance and the provider was in-network. The provider group was subsequently bought out by another company several months later. In XX/XX/XXXX I received a bill from the old group ‘s billing company XXXX XXXX XXXX XXXX XXXX XXXX for the full amount of services that were rendered. I attempted to call the company several times and finally received a call back from a man there that stated that he was the only person in the office working these accounts. I asked him if it was sent to my insurance company, he said it was. He then stated that there was no response from the insurance so he placed it in patient responsibility. I explained to him that this was adjusted to my in-network deductible and that he needed to call my insurance and obtain an EOB and adjust my account so that I can pay. He then proceeded to be very rude stating he did n’t have time to contact my insurance company and that it would be my responsibility. I tried calling the doctor ‘s office that was bought out but they said they could n’t help due to the buy out. Because of that I mailed him a copy of my EOB mailed to me by my insurance. I did n’t hear back about this unt il XX/XX/XXXX wh en I received a collection letter fro m Fidelity National Collections. I formally disputed the amount owed. I explained to them that I did n’t owe the full amount in question and faxed them a copy of the EOB that I had printed from the insurance company ‘s website. They said they would go back to the original creditor to see what they wanted to do. After many numerous follow up calls that I made to them ( they never contacted m e ), I fi nally received a response on XX/XX/XXXX . They gave a very ambiguous statement made by the original creditor of why I owed the full amount and said that I still owed the full amount even though I sent proof that I had an in-network deductible and they were balance billing me the full amount. No where did Fidelity or the XXXX XXXX XXXX XXXX state or provide in writing to me that the provider was out-of-network. I then contacted several managers, who I ended up speaking to finally was XXXX I believe his name was on XX/XX/XXXX . He said that they have to stick with what their original creditor tells them. I told him that I do not owe the full amount in question and would pay that day but only what my in-network deductible was. He said that the original creditor probably would n’t go for that. That day, I involved my company ‘s insurance broker, XXXX , on the matter and she was very helpful. We spoke to XXXX together and he stated he would get the original statement and would get back to me the next day. That never happened so we called Fidelity t ogether the next day. We spoke with a man who said that XXXX was out and that he had no direct line, no voicemail or email and said he would contact us in a week. After several weeks with no response XXXX suggested that I contact you for help resolving this claim. I am more than willing to pay what I legally owe. I have verified with the insurance company that that provider was in-network at the time services were rendered. They are trying to balance bill me for what I do not legally owe and XXXX XXXX XXXX XXXX and Fidelity National Collections a re both neglecting the legal contractual obligation of in-network services. I would appreciate any help in the matter.
Company: Fidelity Properties Inc.
State/Zip: OH 440XX
Company Response to Complaint: Closed with explanation
Was Company Response Timely: Yes
Did Consumer Dispute Company Response: N/A
Complaint ID: 2476572
The above data is from the Consumer Financial Protection Bureau. Keep in mind that every company will get a complaint from time-to-time, even the great ones. But there are a few key data points that will give you an idea about how well the company values their customers and handles consumer issues.
Look at the item Company Response to Complaint: and Did Consumer Dispute Company Response: to get a better idea of how this was resolved. And the field Consumer Complaint: can give you some context of the issue.
In particular what you are looking for was that the company response was timely and that the consumer did not dispute it. The posting of complaints has proven to be a valuable resource for both companies and consumers.