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Is This Mental Health Provider Fraud? Who Oversees This Kind of Thing?
I can not get my psychologist to submit the balance of my office visits to my insurance company, nor can I get her to provide me a receipt for those visits so I can submit them. Neither have I been able to get her to contact the insurance company with a pre-cert or what would be now a post-certification for reimbursement. She tells me its all her bookeepers fault, meanwhile I am due somewhere in the vacinity of $8,000.00 with no cooperation in sight. In fact, now she isn’t even returning my phone calls.
(a side note- these visits came as the result of an acrimonious divorce- and some time ago we discovered that she was charging both me and my ex for my daughters visits- she refunded the ex several thousand dollars) HELP!
Do I have any recourse? She is licensed in the state of Virginia.
File a complaint with the Virginia Department of Health, link below.
My advice would be to file a complaint with the Virginia Dept of Insurance and also the Virginia Dept of Mental Health. My next step would be to obtain as much documentation of billing info and your insurance paperwork, then find an attourney and at the least threaten a lawsuit if not outrightly sue to get your money back.
You could certainly report her to the governing office. And hopefully you paid via check, so you have proof of paying her. You could tell her (in writing via certified mail) that you expect a statement from her within 10 business days, or you’ll take any necessary legal steps to report her to the authorities, and even bring her to court.