Complaints

• Initial Complaint

  09/18/2024

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  Date of the transaction: July 18, 2024 The amount of money you paid the business: N/A What the business committed to provide you: Peraza Dermatology agreed to provide care through the *********************** Choice Program.What the nature of the dispute is: The dispute is Peraza dermatology agreed to provide care through the *********************** Choice Program. Peraza had accepted payment for past office visits in the past from the ***********************. After my July 18th visit I was contacted by telephone by Peraza billing. They informed me the doctor decided to no longer accept me as a patient after a lengthy discussion. The billing department both complained about the difficult time they had dealing with the *********************** for payment. The billing department then continued to inform me that they had discussed the situation with the doctor to which the doctor decided to no longer accept Veterans through the Choice Program. Whether or not the business has tried to resolve the problem: Peraza Dermatology has not tried to resolve the problem. They only continue to send me a bill for unpaid balance. In order for Peraza Dermatology to get paid, Peraza billing department must follow the instructions provided to them by the ***********************s Choice Program. Peraza dermatology billing department stated to me during our phone conversation on July 18th that dealing with the VA was too much of a hassle. I find this very unprofessional and feel Peraza should follow through with the original commitment to accept VA Choice Program payment for the July 18th office visit.

  Business response

  10/22/2024

  Dear ******* ***,

  I hope this message finds you well. I am writing in response to the complaint submitted by **** ******* to the Better Business Bureau regarding an outstanding financial matter for the date of service on July 18, 2024. We appreciate Mr. ******* bringing this issue to our attention. I want to clarify the situation regarding his billing and our relationship with the VA insurance.

  On July 18, 2024, Mr. ******* received services without the patient obtaining prior authorization from the **, as required by their policies. Unfortunately, this led to a denial of our claim. Our billing department reached out to Mr. ******* to inform him of this. We also advised the pt that we tried to obtain a back dated authorization for him, but we were unsuccessful in obtaining.  The VA denied our claim and indicated that the policies they have in place must be followed in order to have claims paid.  Again, this caused our claim to be denied as well as a loss of revenue to our business. However, we have no record of formally discharging him from our practice.

  As a practice that values our veterans, we strive to maintain positive relationships with them. To that end, we will be writing off Mr. *******s balance in recognition of this misunderstanding and to ****** goodwill. Its important to note that while we will work with our VA patients, we encourage them to adhere to VA policies regarding authorization to avoid similar issues in the future.

  Should you have any questions or require further clarification, please feel free to contact me at *********************.

  Thank you for your attention to this matter.

  Best regards,

  *** *******

  
  

  Customer response

  10/22/2024

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
  
  Sincerely,
  
  **** *******

*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩