Consumer complaint received 2018-01-02
Company: Capio Partners, LLC
State: FL
Product: Debt collection
Sub-product: Medical debt
Issue: Attempts to collect debt not owed
Sub-issue: Debt is not yours

Complaint:
Between XX/XX/2016 to XX/XX/2016, I was referred to XXXX XXXX XXXX XXXX XXXX 's XXXX XXXX by XXXX, the company that handles the VA 's Veterans Choice program. The appointment was made for me by XXXX and I followed directions and showed up for my scheduled appointments. 
Whether it was due to the construction of the office going on at the time or a simple mistake, my claim was sent to XXXX underneath my Social Security number as I did NOT have my patients choice ID with me at the time and was told that my Social Security number was fine. It would have been except that the facility, XXXX XXXX, billed XXXX ( healthcare provider for XXXX XXXX, XXXX  and dependants, ) who sent a denial statement that the treatments were not going to be covered for " the veteran '' underneath my Social Security number. This is because I am NOT enrolled in XXXX to begin with. 
XXXX sent both XXXX XXXX and myself a denial notice around a month after the first visit. XXXX  's notice does not contain the information that my claim was denied because I was not enrolled in XXXX, it simply states that the coverage for the treatment has been denied. 
I went personally to the XXXX XXXX office and explained that it needed to be billed to XXXX. I was told by the receptionist ( I did not get a name ) that she understood and I assumed that it would be corrected. After I began receiving notices that I owed a debt that my " insurer '' would not pay, I finally went to the off premises billing office who then attempted to send the bill correctly. 
However, because the XXXX account had not been posted to, the authorization had been sent back to the VA as if I had never shown up for my appointment. Because they billed XXXX, Patients choice, ( aka XXXX, ) thought that I was a no-show. When they finally sent the bill to the correct entity, XXXX 's authorization had been closed, giving another denial to XXXX XXXX. 
I have been to the billing department at XXXX XXXX multiple times, I took them the original authorization code and then later I took them a physical copy of the authorization which they have. They refused to do more then send a bill in order to square away the problem, which with no explanation or supervision was of course denied. The computers that handle claims seem to have only a yes, or a no answer. 
Since then I have been back to XXXX XXXX where the billing department can not find a copy of the original denial ( that was from XXXX, ) and when I took them the authorization number from XXXX ( the correct insurance ) it updated in their system and no longer shows anything except refusals and who my insurance currently is marked in their system. 
The billing department of XXXX XXXX first sent my " debt '' to their in house debt department, an entity called " XXXX, '' who refused to work with me and contact XXXX in person. XXXX ( part of XXXX XXXX XXXX XXXX ) has since sold the debt to XXXX XXXX. 
XXXX XXXX is refusing to contact XXXX, instead asking me to pay out of pocket a reduced amount and seek reimbursement. XXXX XXXX XXXX Medical Center either refuses to acknowledge their mistake or can not see the original billing in their system and has little interest in doing so, they have sold the debt and written it off. 
I can not find a way to have an investigator from XXXX XXXX XXXX Medical Center, Capio Partners or XXXX to get on the same page. If XXXX XXXX would contact XXXX and submit the bill again, there has been an amended authorization since XXXX opened up for billing. But if they do not get this taken care of in a timely manner then the authorization will again expire. 
I am being victimized by a Hospital that has sold a debt that was not payed due to their error and taken a right off, and I am being victimized by a debt collection agency that has no interest in correcting a mistake that is not theirs. 
This goes against everything that the Patients Choice program was created for and it is now on my credit report. I had plans to get married, buy some property and move to Tennessee after I finish college underneath the Veterans Affairs Vocational Rehabilitation program ; this debt that is not mine and was not my mistake has caused me to have to delay my future plans, potentially in a permanent manner and I hope that you can assist me with getting this corrected.

Company response to consumer: Closed with non-monetary relief