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  • My employer's HQ is on the east coast so the employer provided medical/dental insurance plan is for Out of Network employees like myself who are on the west coast. (UPMC/Multi-Plan, also from the east coast.) I initially contacted my health insurance provider (UPMC) in order to find a Doctor in my area for my 14 year old daughter. The rep I spoke to guided me through their website so I did my research and found Dr Capella at the 2210 Mesa Dr Ste 300 Oceanside, CA office. I was assured by the receptionist there that they accepted my insurance, paid the copay and the vist with the Dr. Was great. The problem started during my daughter's second visit when I was then told by the receptionist AFTER the appointment that my insurance wasn't accepted. I called my insurance again on a three way call with North County Health Services central billing to verify this and was told that all the billing department had to do was send the claim to the right people. I just recieved a bill from North County Health Services. The letter is dated June 28th but the bill is dated June 16th. North County Health Services Central Billing is billing me for the initial visit. I called my insurance to see if they recieved any claims from North County Health Services and was informed that NONE exist from them. This means that I will most likely recieve another bill from them for the second visit. I blame my insurance provider for not keeping their "participating providers" site up to date and North County Health Services for claiming that they do accept my insurance plan and charging me for the full amount without even filing the claim. I would not recommend this facility to anyone, due to the way the receptionist and billing department handled my situation. I also would not recommend UPMC to anyone who is not on the east coast due to the lack of information (outdated website) and support available.
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