Patient is very unhappy that claim 2890846 was not coded as a Medicare initial preventative physical exam. She stated she said this is what it was for when she made the appointment, also when she was checking in and to the nurse. She filled out IPPE forms. It was sent via webex to coders and then sent to the clinic for review. Patient is adamant that she should not be billed for this.Per Cristy in coding on 4/15/26 - I am pulling action note response from nurse - Nurse spoke with Dr. Robinett and he usually does not do establish care and AWV during same appt and confirmed it was an office visit as the AWV was not completed.The paperwork the pt stated she completed apparently was not for the AWV as nothing is scanned directly towards the AWV.Patient stated she did fill out IPPE paperwork on the DOS.response about paperwork - She would need to contact their office. I don't find anything scanned in chart or noted in office visit and the nurse stated it was not completed and the provider confirmed it was an office visit. The patient has called a couple of times on this issue (4/7/26, 4/15/26, 5/22/26) and states she does not feel she should have to pay for this visit. She stated she would talk to whomever she needed to or come in to speak to someone.
Verified User
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May 21, 2026
Shawn
Verified User
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May 20, 2026
Ronald
Verified User
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May 19, 2026
Patient is disputing claim 3325983. She is stating that the physician never worked on her right ear. The coding was reviewed and found to be correct per physician note - The note states that earwax was removed from Right ear. Then the provider was removing the wax from the left ear but the patient wanted them to stop so they discontinued the procedure on the left ear. Coding guidelines state that the provider can still bill for a procedure that was started but not finished due to patient request. After relaying this information to the patient, she is still saying they never worked on her right ear.She has since left a message in the Collectly portal - Hello, It was only the left ear that was giving me trouble and that they attempted to clean out. Please correct your notes and the amount. This is very expensive, especially since it did not solve the problem. Your notes are incorrect. Please have them call me.
Verified User
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May 18, 2026
Patient has called stating that he told Dr. Islam that this was a wellness visit and he did not want anything done that was not covered. received lab bill for $27.45. It has been explained that Anthem BCBS "covers" labs 80053 and 85025 but not at 100% as they are no longer considered preventative by Anthem BCBS. He stated Dr. Islam should not have ordered these claims then.The patient has now reached out through the Collectly portal with the following message - I’ve called you twice to tell you that my physical was covered 100% and that I asked the doctor to not do any test that were not covered by my insurance. He said that this it what he would do, yet here you are trying to bill me for a test that was not covered. Please rebuke my insurance correctly or remove this from my record as an error made by your office. Please respond that this has been corrected and stop sending me a request for incorrect bill. Norman.
Verified User
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May 11, 2026
Sandra
Verified User
•
May 7, 2026
Stephen
Verified User
•
May 6, 2026
Sue
Verified User
•
May 6, 2026
GRANT
Verified User
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May 1, 2026
Howard Thomas called and stated the bill he received was incorrect. He is disputing CLAIM# 3148947, date of service 01/30/2026 with Dr. Cook. Patient is stating this visit was an annual wellness check and should have been covered by insurance at 100%. On 04/20/2026, we reached out to the coders to review this claim. The coders stated that several concerns were addressed during this visit; therefore, everything was coded correctly. This information was relayed to the patient and he is still not satisfied.
Patient is very unhappy that claim 2890846 was not coded as a Medicare initial preventative physical exam. She stated she said this is what it was for when she made the appointment, also when she was checking in and to the nurse. She filled out IPPE forms. It was sent via webex to coders and then sent to the clinic for review. Patient is adamant that she should not be billed for this.Per Cristy in coding on 4/15/26 - I am pulling action note response from nurse - Nurse spoke with Dr. Robinett and he usually does not do establish care and AWV during same appt and confirmed it was an office visit as the AWV was not completed.The paperwork the pt stated she completed apparently was not for the AWV as nothing is scanned directly towards the AWV.Patient stated she did fill out IPPE paperwork on the DOS.response about paperwork - She would need to contact their office. I don't find anything scanned in chart or noted in office visit and the nurse stated it was not completed and the provider confirmed it was an office visit. The patient has called a couple of times on this issue (4/7/26, 4/15/26, 5/22/26) and states she does not feel she should have to pay for this visit. She stated she would talk to whomever she needed to or come in to speak to someone.
Verified User
•
May 21, 2026
Shawn
Verified User
•
May 20, 2026
Ronald
Verified User
•
May 19, 2026
Patient is disputing claim 3325983. She is stating that the physician never worked on her right ear. The coding was reviewed and found to be correct per physician note - The note states that earwax was removed from Right ear. Then the provider was removing the wax from the left ear but the patient wanted them to stop so they discontinued the procedure on the left ear. Coding guidelines state that the provider can still bill for a procedure that was started but not finished due to patient request. After relaying this information to the patient, she is still saying they never worked on her right ear.She has since left a message in the Collectly portal - Hello, It was only the left ear that was giving me trouble and that they attempted to clean out. Please correct your notes and the amount. This is very expensive, especially since it did not solve the problem. Your notes are incorrect. Please have them call me.
Verified User
•
May 18, 2026
Patient has called stating that he told Dr. Islam that this was a wellness visit and he did not want anything done that was not covered. received lab bill for $27.45. It has been explained that Anthem BCBS "covers" labs 80053 and 85025 but not at 100% as they are no longer considered preventative by Anthem BCBS. He stated Dr. Islam should not have ordered these claims then.The patient has now reached out through the Collectly portal with the following message - I’ve called you twice to tell you that my physical was covered 100% and that I asked the doctor to not do any test that were not covered by my insurance. He said that this it what he would do, yet here you are trying to bill me for a test that was not covered. Please rebuke my insurance correctly or remove this from my record as an error made by your office. Please respond that this has been corrected and stop sending me a request for incorrect bill. Norman.
Verified User
•
May 11, 2026
Sandra
Verified User
•
May 7, 2026
Stephen
Verified User
•
May 6, 2026
Sue
Verified User
•
May 6, 2026
GRANT
Verified User
•
May 1, 2026
Howard Thomas called and stated the bill he received was incorrect. He is disputing CLAIM# 3148947, date of service 01/30/2026 with Dr. Cook. Patient is stating this visit was an annual wellness check and should have been covered by insurance at 100%. On 04/20/2026, we reached out to the coders to review this claim. The coders stated that several concerns were addressed during this visit; therefore, everything was coded correctly. This information was relayed to the patient and he is still not satisfied.