Consumer complaint received 2024-09-27
Product: Debt collection — Medical debt
Issue: False statements or representation — Attempted to collect wrong amount
Company: W&A Intermediate Co., LLC (TX)

Good day. I write to ask for your help. In XX/XX/XXXX, I contacted XXXX XXXX XXXX XXXX in XXXX  XXXX, XXXX  to request an appointment for my annual dental checkup. I have the XXXX XXXX XXXX plan as an employee of the XXXX XXXX XXXX. 

XXXX provided an in-network provider - XXXX  XXXX XXXX XXXX XXXX XXXX ). I went into visit in early XX/XX/XXXX and during the visit, they said I needed a XXXX XXXX  and XXXX  XXXX. I then asked them to provide a treatment plan detailing my costs ( patient ) and the insurance costs ( provider ) in order to make a judgment if I could afford the patient costs. 

Subsequently, XXXX provided me a hard copy of the treatment care / treatment plan with detailed costs per line item to include patient costs and insurance costs ( I have hard copy still ). Based upon the treatment plan provided to me, I decided to move forward with dental work. 

The treatment plan had XXXX visits planned and the first visit was for XXXX XXXX listed as {$630.00} ( out of pocket, patient ), which I paid. I then scheduled the dates for XXXX XXXX  and XXXX  XXXX on XXXX. As part of plan, I had to come into XXXX a week or so before XX/XX/XXXX and get medicine / instructions for the XXXX since I paid ( out of pocket, line item for {$390.00} ) for XXXX  XXXX. Also, I had to pay for the XXXX  XXXX  and XXXX  XXXX which came to {$830.00} patient share listed as a line item for XXXX visit for a total of {$1200.00} ( $ XXXX {$830.00} ). Following this XXXX, I was scheduled for XXXX more visits for various dental work. 

All was well until XXXX XXXX, when XXXX sent me a link to make payment for {$1500.00}. I was exasperated and called immediately XXXX. I asked what this was new bill was for since I made full payment according to my detailed XXXX  treatment plan. The XXXX finance person said XXXX made a computing error and things will work out- they asked me for patience. I immediately asked them for a detailed bill so I could find out what this new bill was for - however the entire fall of XXXX, they never sent an itemized bill and after months of calling they finally send an itemized bill in XX/XX/XXXX. 

They said it was XXXX 's fault and I stated I needed to pay as the treatment care / plan was just an estimate. I could see how a computing error may cause a 5 % or 10 % difference but they said I owe over 110 % more than my treatment plan. Also, NO WHERE on my XXXX  treatment plan document does it say this document is just a guess / estimate - it is an itemized detailed plan for services and costs presented to me separated by patient and insurance costs. I would have never agreed to service/ payments if the document was just a guess/ not real/ etc. Who would? 

I continued to ask them what was going on and XX/XX/XXXX, they sent me an email, stating .... '' Your insurance did not deny any of your treatment they just did not pay at the percentage of coverage as they provided us when we originally verified your dental coverage. " I then requested a XXXX way with XXXX and XXXX which happened in early XX/XX/XXXX. During the call XXXX stated you can not upcharge patient after the fact, nor did XXXX ever mention on call that XXXX mislead them. During the call and afterwards, I was told to be on standby for information - if needed. However, from that XX/XX/XXXX call until XXXX XXXX, XXXX, I did not receive XXXX email from XXXX or XXXX, when I received a credit alert via XXXX stating an alert / inquiry was made by a WAKEFIELD & Associates. I Wakefield & Associates XXXX XXXX XXXX XXXX XXXX XXXX, XXXX, XXXX  XXXX Questions? I would like to see the paperwork of communications between XXXX and XXXX the first request in XXXX  XXXX - when I stated I wanted a treatment / plan with costs/ itemized treatment BEFORE I agreed and made payment. What did XXXX supposedly lie about? Did XXXX send in the requests on time? Or did they send requests AFTER I began treatment? Etc. 

I want XXXX to honor the treatment plan / itemized costs/ services and ask XXXX to remove the credit inquiry. 

Thank you, XXXX XXXX