Complaint Review: Atlas Chiropractor

I work in the medical field and just looked at what our contracted rate is for x-rays for Blue Cross and an entire spine series (cervical, thoracic, lumbar and lumbosacral)is $212.50. So even if we billed $280.00, we will still only get $212.50.

Unless you had either not met your annual deductible or have a plan that only pays 60% or went out of network, you shouldn't have to pay anything. We NEVER make a patient pay up front if they have valid, verifiable insurance. It is the provider's responsibility to verify coverage, copayments, etc. In addition to reporting him to Blue Cross, please also notify your state board of Chiropractic, as they frown upon such practices.

I work in the medical field and just looked at what our contracted rate is for x-rays for Blue Cross and an entire spine series (cervical, thoracic, lumbar and lumbosacral)is $212.50. So even if we billed $280.00, we will still only get $212.50.

Unless you had either not met your annual deductible or have a plan that only pays 60% or went out of network, you shouldn't have to pay anything. We NEVER make a patient pay up front if they have valid, verifiable insurance. It is the provider's responsibility to verify coverage, copayments, etc. In addition to reporting him to Blue Cross, please also notify your state board of Chiropractic, as they frown upon such practices.

I work in the medical field and just looked at what our contracted rate is for x-rays for Blue Cross and an entire spine series (cervical, thoracic, lumbar and lumbosacral)is $212.50. So even if we billed $280.00, we will still only get $212.50.

Unless you had either not met your annual deductible or have a plan that only pays 60% or went out of network, you shouldn't have to pay anything. We NEVER make a patient pay up front if they have valid, verifiable insurance. It is the provider's responsibility to verify coverage, copayments, etc. In addition to reporting him to Blue Cross, please also notify your state board of Chiropractic, as they frown upon such practices.

I work in the medical field and just looked at what our contracted rate is for x-rays for Blue Cross and an entire spine series (cervical, thoracic, lumbar and lumbosacral)is $212.50. So even if we billed $280.00, we will still only get $212.50.

Unless you had either not met your annual deductible or have a plan that only pays 60% or went out of network, you shouldn't have to pay anything. We NEVER make a patient pay up front if they have valid, verifiable insurance. It is the provider's responsibility to verify coverage, copayments, etc. In addition to reporting him to Blue Cross, please also notify your state board of Chiropractic, as they frown upon such practices.

If the chiropractor is within network, that it, a listed, contracted provider for your insurance plan, he cannot charge more than the contracted rate, which is probably the $280.00 he actually billed your insurance company. If he did charge you above the contracted rate, they can immediately remove him as a network provider.

Definitely something fishy if he only billed the insurance company a portion of what he told you the cost would be. That is why people need to carefully examine their Explantion of Benefits (EOB), which shows clearly what the allowable rate is per the provider's contract versus what they billed. Keep whatever evidence you have that you were charged considerably more and send this to your insurance company ASAP.

I just filed a report on Glenn Neiderhiser-a Chiropractor in the Bloomsburg area-he was sued recently and decided to try and start a home improvement business and possibly sell his practice-he ripped us off and took terrible advantage of our trust in him because he was a Doctor. I thought they had a Code of Ethics to follow-perhaps not. So apparently he was no more trustworthy as a Chiropractor than he is in his home improvement endeavors. Insurance companies do not like to pay out-period. That is why so many Doctors inflate their fees. If they are not panel providers(meaning if they will not accept just what the insurance company pays)then you have to make up the difference. It sucks, doesn't it? Seems like the world is full of nothing but liars and cheats.