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Tart Cherry Jam
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Default Dec 23, 2022 at 10:46 PM
  #1
She signed me up for neuropsychological testing. Did the testing. Was incredibly late with the results. Said that she would be available any time for further discussion. Was not available. Did not give me the bill so I could not file for partial reimbursement with my insurance. I sent numerous emails about both the bill and the need to follow up as she promised. During the year, I received one email that said that she was traveling. That was it.

I am considering filing a board complaint. My primary goal is to obtain a superbill so that I can get reimbursement. Neuropsychological testing is not cheap.

I understand that she might get hurt as a result of a board complaint, if I file it, and I do not want this to happen to her, but I do not know how else to obtain the bill.

Note that her assistant whose job it was to supply me with the superbill has also gone incommunicado.

I have never dealt with a provider like this. Had I known she would refuse to communicate or provide documentation, I would gave engaged a different neuropsychologist: I did my research and narrowed down to several options.
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LonesomeTonight
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Default Dec 24, 2022 at 05:44 AM
  #2
That sounds incredibly frustrating. Could you try reaching out to both the neuropsychologist and the assistant one more time and say something like, "If I don't get a response, my only option will be to file a board complaint. And I''d prefer not to have to do that." Then you're showing you're serious and giving them one last chance to comply with what you need. If you don't hear back in a reasonable amount of time (I wouldn't count this upcoming week, as many would be on vacation), then go ahead and file it. Or perhaps contact the board and ask if they have any suggestions.

It would be completely reasonable to just submit a complaint now, though, if you don't want to or can't wait (like if you'd need to file with your insurance by a certain time to get reimbursement for services from this year). Though a complaint might take a long time, so trying one more contact first could potentially be faster, if they actually respond.
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Default Dec 24, 2022 at 10:10 AM
  #3
I like LT’s suggestion. Send a certified letter so they have to sign for it and you have evidence of your efforts.
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Default Dec 24, 2022 at 10:14 AM
  #4
Quote:
Originally Posted by ArtleyWilkins View Post
I like LT’s suggestion. Send a certified letter so they have to sign for it and you have evidence of your efforts.

Good thinking with the certified letter!
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Default Dec 24, 2022 at 11:23 AM
  #5
I will do that! Good suggestion! I did not think of that.
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Default Aug 10, 2023 at 11:02 PM
  #6
I ended up involving my attorney. He sent her a certified letter, not mentioning a board complaint (it is against the law in California to threaten someone with an administrative action in an effort to gain advantage in a civil dispute). At first she did not respond. Almost before the deadline he gave her, she responded and she attempted to falsify her records by giving me a bill with dates of service in April of this year. My attorney explained to her in writing that I could not file a claim with falsified dates of service because then I would be committing insurance fraud. He further explained to her that given the passage of time, there is no way now for me to get reimbursement with a genuine bill. So he demanded a refund.

Initially she did not want to do that but ultimately she realized that it is better to give me a refund but in return get a no disparagement agreement from me. So we settled, my attorney drafted a settlement agreement at her request in which he incorporate a mutual non-disparagement clause, and today I received a check from her as payment in full.

So I won't be reporting her to the Board.

I hope she has learned from this experience and will be responsive and diligent with her other clients.
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Default Aug 10, 2023 at 11:31 PM
  #7
She even fights against the attorney. For the sake of other clients I think she should be reported to the board.
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Tart Cherry Jam
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Default Aug 10, 2023 at 11:39 PM
  #8
I cannot do that. I signed the settlement agreement in which I agreed to the following:

Each Party agrees not to make a communication that would cause or tend to cause the
recipient of the communication to question the business condition, integrity, competence, good character, or product quality of the other Party.
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Default Aug 13, 2023 at 02:10 AM
  #9
Do what you have to do, Take care of your needs. They obviously have been to busy taking care of theirs.
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