Orthopedic Applliance & Braces, Inc.

The provider (orthopedic appliance) notified me that they would refund me $and *** *** would refund the remainder of the payment I made($120) *** *** has no record of this agreementThey indicated that the provider was reimbursed on the claim the provider filed and that *** *** should have forwarded the full amount that I paid to them($205.00)
Regards,
*** ***

Patient came to our office for services that were provided to them. Upon delivery, their insurance company indicated that they had an deductible which we charged the patient for at the time of delivery. Also, the patient paid for additional service that was not covered under our
contract with the insurance carrier. The patient then chose to submit a bill to their insurance carrier for the services that were not covered. The patient's insurance upon paying us for our services also paid for the deductible that was met and they sent us payment for the bill that the patient submitted themselves. We contacted the insurance carrier and when we spoke with the representative we indicated that the payment was made to us in error because we did not submit the bill that the patient did. The representative indicated that they would research the claim and we asked them following protocol to recoup the payment that was made in error. We then issued a check to the patient for the deductible that they over paid on. The patient is not satisfied with this process, he wants us to reimburse him the amount the insurance paid us in error and we have had conversations with him indicating that we followed the process that our contract with the carrier specifies. Because these types of issues take time to be reviewed internally they do take longer and the patient is unhappy because he has not been made whole from his insurance carrier. If you have any questions, please feel free to contact our office. * *** *** * *** *** *** *** ** ***