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| - LOOKS LIKE THEY ARE DOUBLE BILLING AND UPCODING TO INSURANCE, WHICH IS ILLEGAL!
I had my first visit to this clinic in June for migraines, that was 15 minutes or less.
I just got a bill in the mail from PFMC that I owe them $173.79, and that my insurance only paid $26.21 for this 15 minute visit.
Luckily, I had the sense to log into my health insurance account and check the claim.
I saw that PFMC billed my insurance for a "45 minute or more" visit. This is called "upcoding," and it's highly illegal. The service they billed the insurance for is a more expensive service than what was performed.
I saw that my health insurance has a $69 discount off the $200 billed, and that my insurance paid them $104.83, and that the amount I owe PFMC is $26.21.
PFMC may say this is "just an error," but it's funny how they flipped around the amount paid and the amount owed almost exactly, so they'd get paid by the insurance company AND paid by me, and make MORE than they actually billed if I'd just paid the bill they sent me. Sure looks like "double billing," and it's also ILLEGAL.
I WILL be reporting them to the authorities and have already reported them to my insurance for this.
BEWARE SCAMMING MEDICAL PRACTICES! Check your bill against the insurance company's records.
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