Consumer complaint received 2019-05-18
Company: HCFS Healthcare Financial Services of TeamHealth
State: FL
Product: Debt collection
Sub-product: Medical debt
Issue: Attempts to collect debt not owed
Sub-issue: Debt was paid

Complaint:
Medical Claim from date of service : XX/XX/XXXX for {$980.00}. Was not informed of this debt until XX/XX/XXXX when debt was placed on credit report,. Debt collector Account Resolution Services,  could not provide proof I was informed of this debt, no correspondence has been received, certified or otherwise. Representative from Account Resolution Services stated insurance did not cover claim and I owed the full amount. Contacted insurance, XXXX, which stated claim was denied because provider billed claim incorrectly, without a modifier. XXXX also claimed the provider rebilled it, again incorrectly. Contacted provider ( XXXX XXXX XXXX ) 's billing service, XXXX, which stated appeal was sent in XXXX, but insurance did not pay, or respond. Contacted XXXX, they stated there was no record of an appeal. Contacted XXXX, they stated the ONLY way for re-submission is for me, the paitent, to have a conference call with an insurance representative and the billing provider, XXXX 's representative, claim would be appealed and resubmitted, and paid within 30 days. Contacted insurance, XXXX after 30 days, insurance stated appeal was voided by provider. Contacted XXXX, as well as Account Resolution Services, representatives from both companies could not find records of any appeal being sent to XXXX, or any appeal voided by them. Contacted Account Resolution Services  as well as XXXX multiple times in XXXX, XXXX, and XXXX attempting to view, or see medical billing records, or to have claim resubmitted. XXXX stated they will not re-submit claim and that XXXX does not have my medical billing records, Account Resolution Services  has all records for account. Account Resolution stated multiple times they do not have records and can only send me statement stating amount that I owed. Account Resolution Services  stated they will not re-submit claim, provider has to re-submit claim. Sent certified letter requesting full and complete medical billing records to review them, in order to file this complaint for incorrectly sending me to collections, when XXXX billed the claim incorrectly, on XX/XX/XXXX to XXXX XXXX XXXX ( tracking number : XXXX ), XXXX ( tracking number : XXXX ), and Account Resolution Services ( tracking number : XXXX ). Did not receive any correspondence, certified or otherwise, or phone calls in return. I have been unable to contact the provider ( XXXX XXXX XXXX ). Account Resolution Services  and XXXX both refused to re-submit this claim, or claimed they re-submitted it with the insurance having no record of this. The companies Account Resolution Services  and XXXX also both tried to have me pay the full amount multiple times, without the insurance paying their part, another possible breach in their contract with XXXX. The billing provider ( XXXX ), as well as Account Resolution Services, refuse to acknowledge that the claim was billed incorrectly on their part, was never followed up on in XXXX, and now in XXXX, refuse to resubmit the claim they incorrectly submitted, send me pertinent medical billing records, as required under HIPPA laws. Separate complaints have been filed with HIPPA for non-compliance of medical billing records.

Company public response: Company has responded to the consumer and the CFPB and chooses not to provide a public response
Company response to consumer: Closed with explanation