Health Care
ProHealth Care, Inc.This business is NOT BBB Accredited.
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Complaint Details
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Initial Complaint
12/09/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
These people from ProHealth came to our house after my Ostomy operation and didn't have a clue as how to care for it!After several leaks, the guy ordered up an ambulance to take her to the ** and they sent her right back home as nothing was wrong!My complaints with this company are mostly about their ineptitude but now we're getting bills for the ambulance that these people called and we didn't even authorise it!!!!Plus we had to pay $120.00 taxi fare home when this ProHealth idiot said all the rides were taken care of!!!Initial Complaint
11/29/2024
- Complaint Type:
- Delivery Issues
- Status:
- Unanswered
Received notification from collections agency on 11/25/24. Spoke with prohealth care billing on 11/25/24. This is for date of service 11/22/23 and prohealth care sent bills Jan, Feb, March, and April to an incorrect address that differed from the address provided to them and sent to a collection agency. Prohealth billing also indicated on 11/25/24 phone call that they did not bill any insurance. Insurance information was provided to Prohealth at date of service.Initial Complaint
07/26/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I went to Pro Health care in Oconomowoc to get a refill on blood thinner medication I only had 4 left. The nurse was very rude and put the ** cuff on very tight so my ** read high but wasn't. The ** *********************** told me I had a blood cot on my heart which isn't true and would not refill my medication. I walked out because she kept arguing with me about the blood clot. ***********************Initial Complaint
05/31/2024
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
I was overbilled for lab services. They list 93$ each online for anthem PPO and i was billed 327$ each I was also billed for 2 lab services when i only requested 1. They told me they were required to request both tests, even though i only needed one of them. this doubled the bill. If both are required together it should be one bill. *** never had a bill not match the online published rates in the past. I tried contacting this healthcare provider, they claimed their was a glitch in the system and offered a small discount but the discount does not cover even 1/4 of the discrepancy. what they originally billed me (after insurance discount) was actually higher than the bill would have been if i walked in, claimed i had no insurance, and paid cash. On my most recent call, the billing representative tried to deny this being the case.Initial Complaint
02/16/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
I receive between 5-10 calls a day regarding ****************** I have tried telling them I do not have either. The calls keep coming. This is harassment, plain and simple. Please help me to stop this.Business response
03/07/2024
These calls are not coming from ProHealth care.Initial Complaint
02/12/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
******** calling even after I advise them I am not ******** eligible. Multiple calls daily and sometimes after 9P and before 8a.Business response
03/07/2024
These calls are not coming from ProHealth Care.Initial Complaint
09/19/2023
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
I receive medically necessary Botox injections for migraine headaches at Waukesha Memorial Hospital. Every time I get these treatments something happens with the billing. There are 2 issues happening currently: 1. Only part of my preauth goes through with my insurance because Prohealth fails to send a list of meds that were tried and failed. I have a long list of these and I know it's on file with the doc. notes. So every time I have treatments I have call back and forth between my insurance (UMR) and Prohealth many times. 2. There is a bill from May 23, 2023 that says I owe ****** with ****** still pending with insurance. It says I may become responsible if insurance doesn't respond, for a total of 1303.51--this makes no sense because I was paying less than this when I had a UMR plan with a higher deductible (I had the bronze plan, now I have silver) When I talked to billing they said my ins. isn't paying according to contract. I contacted UMR and they faxed over paperwork proving they honored the contract. I have been going back and forth on this for months and have called and messaged Prohealth MANY times. I want this bill finalized so I can pay what I owe and be done with it. I'd also like Prohealth preauth **** to follow through with all the doctor's notes and medical files necessary to get UMR to cover what they owe. I have spent hours on hold, and spoken with many people at both the insurance company and Prohealth and have gotten no where, please help.Initial Complaint
01/30/2023
- Complaint Type:
- Billing Issues
- Status:
- Resolved
I'm a 100% disabled vet and entitled to have the VA pay my hospital emergency care. I have spoken to several times to several different people at Pro Health Cares billing phone number, as has my *** office of finance people. We have explained several time what the *** needs in order to pay PHC invoice. As of today *** has still not rec'd the required invoice and I continue to receive email notices stating the invoice is owed. It is not owed by me. It will be paid in full by the *** I've been told, once they have the invoice with the details we have defined several time.I am totally frustrated at this point. I have been waiting for a call back form PHC automated return call system for several hours now to once again follow up on having checked and found they have still not provided the necessary invoice to ***. ************************* ************ Home phone ************ Cell PhoneBusiness response
02/10/2023
We have submitted this to the VA on 2/1/23
I did review all of the notes:
12/22/22 First call from the patient. Said **** at the ************ said we need to submit the claim to them, but patient was a little fuzzy on the details and did not provide an auth number which we need to bill to the VA. Customer Relations did ask the billers to review this.
12/29/22 Patient called again before the billers had reviewed.Patient said that **** at the VA would call us with the authorization for this claim.
12/29/22 ****** called the VA and spoke to a ******* who had no idea what we were talking about and did not show record of a conversation with *********
1/06/23 Customer Relations left a voicemail mail for the patient asking him to call us back or have **** at the VA call us with the auth number.
1/06/23 Patient called back after speaking to a ***** at the VA who said she didnt know why ******* could not see all the notes, and that **** at the VA admitted that he dropped the ball and forgot to call us. ***** provided us with the address of where to bill and the auth number. This info was sent to the billers to submit the claim.
1/17/23 Patient called to check on status he was advised we are still waiting for billers to submit the claim.
1/30/23 ******* from the VA called with the patient on the line, stating that Humana needs to be refunded before the VA will pay.
At that point I received your email and got ******/hospital billing team lead involved. She called the VA to confirm details and sent the claim out today along with medical records that the VA also requested. I do apologize that it took us so long to bill this out, but part of it was waiting on the correct info from the VA which took from 12/22 to 1/6 then after that,waiting for the billers to respond and submit the claim.Customer response
02/14/2023
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
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.
Regards,
*************************Initial Complaint
09/22/2022
- Complaint Type:
- Customer Service Issues
- Status:
- Resolved
I have tried to called ProHealthCare to be removed from their advertisement mailing list, but each person I spoke with could not help and I just kept being transferred to another person. Please remove my address from mailing list. Was not asked if I wanted to receive information in the mail and I don't. My address is ******************* *******************************************************Business response
09/22/2022
I will let the appropriate department know to have her removed.Customer response
09/23/2022
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
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.
Regards,
*******************Initial Complaint
08/22/2022
- Complaint Type:
- Product Issues
- Status:
- Unresolved
I am being billed for a test I was never billed for before due to getting a new doctor at same clinic. Previous doc had always billed my yearly tests as routine. New doctor put a code in that does not pay for my Vitamin D test, even though it was paid through all the years. When I asked my doc about, she put in writing that she would change it to screening, but, a manager jumped in and told me I couldn't talk to doc about this anymore. I asked where to appeal, and sent all info to email address given which did not come back undeliverable. After some time past, I contacted ****** under MY Chart again and was then contacted by ******** who called to say she never received my info and their denial of service stands. WITHOUT MY ADDITIONAL INFO?!! She tells me a letter was sent telling me so. No. No letter. So after reading the emailed letter from ********, the board admits they made a mistake all previous years, but now I have to pay, because I am prescribed Vitamin D. I certainly would have told them not to test, as buying vitamin D is way cheaper than paying for this test I was never billed for before. I sent a certified letter to the appeals board, but they are ignoring me now. I should have been warned about this SURPRISE bill. I want this bill rescinded.Business response
08/24/2022
This complaint was reviewed by the **** appeals committee and that is the final review. We will not be able to remove charges for this visit.Customer response
08/24/2022
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear beloI still have a right to have all questions answered in writing. As you can clearly see, the doctor said she would change it to screening so I would not be charged. You reviewed without this information. Please explain your position with the extra added information, like the doctor stating she would change the coding. You know very well my information was swept under the rug even though I submitted in a timely manner to ****************************** Please answer my questions submitted so I may further understand why the doctor stated it would be changed to screening and she did not. And you sure can change it. Worked in the filed long enough to know. You admitted to your incorrect coding, now please take responsibility and change the coding so this claim will now be paid in full. Thank you.
Regards,
*********************
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Contact Information
Customer Complaints Summary
14 total complaints in the last 3 years.
6 complaints closed in the last 12 months.
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