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Report: #720310

Complaint Review: Dr. Michael S Bold - 5422 La Palma Ave California

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  • Reported By: Karen — Newport Beach California United States of America
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  • Dr. Michael S Bold 2628 San Miguel Dr, Newport Beach, CA 92660 5422 La Palma Ave, California United States of America

Dr. Michael S Bold does not abide by medical contracts. 5422 La Palma Ave, California

*Author of original report: Incorrect Report - PLEASE DISREGARD

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So I went to my Dr. Bold's office for some eye redness issue I have been having.  I also went back for a follow-up.  For both of these visits, the Dr.'s office informed me that I am supposed to submit the claims to Aetna since it was a medical visit and they are not contracted to cover medical issues with Aetna.  I did as requested. 

After speaking with Aetna, they informed me that the Dr.'s office IS in fact contracted through IMed to cover these visits.  Basically, the Dr.'s office needs to refund the payments I paid up front and submit the costs to Aetna.  I was only supposed to be responsible for my normal co-pay. 

The Dr.'s office denies that their office contracted this way and have been avoiding my and the Aetna's calls.  They are being very uncooperative and are convinced their contract doesn't cover medical services.  Aetna even did the research with their provider services to confirm that the Dr's office is wrong.  The Dr.'s office is not returning any calls and is being unresponsive.  I do not understand why they won't even talk to Aetna. I am growing frustrated with this and want to know if I have any legal grounds that I can charge the Dr.'s office with.  All I want is to be reimbursed and to have my claims processed properly as instructed by their contract with Aetna.

I'm afraid that if Aetna cannot get a hold of Dr. Bold's office to work out the issue, that it will never be resolved.  I do not understand how his office can legally not abide by their contract.  I'm not sure what else to do.

This report was posted on Ripoff Report on 04/21/2011 09:35 AM and is a permanent record located here: https://www.ripoffreport.com/reports/dr-michael-s-bold/5422-la-palma-ave-california-90623/dr-michael-s-bold-does-not-abide-by-medical-contracts-5422-la-palma-ave-california-720310. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year. Ripoff Report has an exclusive license to this report. It may not be copied without the written permission of Ripoff Report. READ: Foreign websites steal our content

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REBUTTALS & REPLIES:
1Author
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#1 Author of original report

Incorrect Report - PLEASE DISREGARD

AUTHOR: PO - (United States of America)

POSTED: Wednesday, April 27, 2011

To the readers of my report, please disregard my complaint.  After speaking with the Dr.'s office, I have a more full story of the situation.  Apparently, I wasn't exactly told all the information and definitely posted this in the heat of moment.  All parties, the Dr.'s office and insurance companies, are all working together get this situation figured out.  I am now in good communication with the parties and am confident this will be resolved.   I would like to remove this report as soon as possible.  Please disregard my first entry.

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