Here's the FIRST letter I sent to him two months after my epidural and nobody ever responded. The only time they contacted me was to tell me I couldn't make another appointment until I paid my bills, which, by the way, were never sent to me as you will see. WOW!!!! Be sure to read the second letter, too.
August 4, 2017
Andrew Cottingham, MD
Pain Management and Regenerative Medicine
800 W. Arbrook Blvd., #100
Arlington, TX 76015
Dear Dr. Cottingham,
I came to see you on May 12, 2017, because of severe neck and shoulder pain (and received an extraordinarily impressive bill for around 1 hour of your time I might add). You suggested giving me an epidural. Papers were filed with my insurance, the procedure was approved three weeks later, and was scheduled after many phone calls to your office during the last of which I literally had to beg someone to help me. You performed the epidural on June 5, 2017, at USMD Hospital at Arlington. During our… discussion that day, you suggested “stacking” a second epidural as soon as possible, and that insurance would be contacted.
On June 16, I saw your P.A. for follow up (a visit for which I see on my insurance statement another extraordinarily impressive amount for ~15 minutes of a P.A.’s time) during which I learned only one thing of value and that was that the procedure could be done in your office and would eliminate the hospital charges* (See Table 1 below). I did mention the “stacking” idea during the visit and thought that it might have been followed up on, but as of today, I have heard nothing.
The next contact I had from your office was a voicemail on July 11 from Chesley (sp) about a referral from my PCP (I have subsequently found out it was made by one of his office staff and not authorized by him). I called Chesley (sp) back, and she told me that she could not make any appointments until I had paid my bills. I immediately compared the statements I had received to my bank statement on line to look for the payments in question and found the first check for $497.69 had been written on June 17 and cashed on June 23. The second statement for $207.90 was dated July 5, and I told her payment was on the way as I had just received the bill, You received payment on July 13. She said she would have to check with billing. I never heard back from her, either. It appears there is some miscommunication at your office between billing and collections. Every bill I received I promptly paid. I have received no further statements from your office, past due included. The irony doesn’t escape me: I can’t make another appointment until I pay my bills, but I can’t pay my bills unless I receive a statement.
This experience has proven true, once again, lessons I learned many years ago that a) most people don’t care and are, therefore, incompetent at their jobs and b) money is the bottom line for everything. It would be nice to just feel as if someone gave a d*mn about me considering the cost, in both time and money, of a procedure that is giving me only a minimum amount of relief, if going from excruciating to agonizing pain counts!
Table 1 (according to my file records, bank statement and BCBS)
Date of Service Facility/Group Billed Amount My Part
12 May 17 US Anesthesia Partners $1,248.83 $497.69
(paid)
05 Jun 17 US Anesthesia Partners $1,666.00 $207.90
(paid)
05 Jun 17 USMD Hosp at Arlington $5,335.85 *$1,318.00
(paid)
05 Jun 17 US Anesthesia Partners $2,837.00 $409.73**
16 Jun 17 Us Anesthesia Partners $557.33 $218.81**
TOTALS $11,087.68 $2,652.13
** No statement(s) received. If so, they would be paid and put with the others in my IRS folder for tax deductions.
So, where do we go from here?
Still waiting,
Catherine Tone
P.S. It’s funny, I began this letter to complain that nobody had contacted me about a second epidural. It turns out I spent the 2.5 hours both writing and discovering that you have not billed me.
THEN I SENT A SECOND LETTER WITH ATTACHMENTS AFTER THEY FIGURED OUT THEY HAD NOT BILLED ME AND SENT ME INCORRECT STATEMENTS.
August 8, 2017
Andrew Cottingham, MD
Pain Management and Regenerative Medicine
800 W. Arbrook Blvd., #100
Arlington, TX 76015
Dear Dr. Cottingham,
The very day (Friday, August 4, 2017) I mailed the attached letter to you (Attachment A), I received two statements from USAP. I would like to clarify a few items.
According to INV #2646680 CRAWFORD CRNA, KEVIN A, this $207.90 is 31-60 days past due (Attachment B). However, I received the statement for this charge around July 9 or 10 (Attachment C) and according to my bank statement, an electronic payment was sent on July 13 (Attachment D) and received by you on July 14 (Attachment E). So, please update my record to reflect that this was paid on time and is not past due.
According to INV #2631129 COTTINGHAM MD, ANDREW, the $207.90 I paid for Invoice #2646680 above was incorrectly applied to this charge (Attachment E). As I stated in my August 4 letter (Attachment A), I had not received a statement for INV #2631129 [$409.73, which is 207.90 + $201.83 and corresponds with my insurance statement) or INV #2686323 ($218.81) (Attachment E). The only reason I figured this out for the August 4 letter was by checking on line with BCBS after my initial and only conversation with Chesley (sp?) when she said, “You can’t make another appointment until you pay
Read More