Public Mediation

The Fairfield Clinic PC

R. W. vs. The Fairfield Clinic Pc
2000C S Main St, Fairfield, Iowa, 52556-3799, United States
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Statement of Claim
Claimant says:
"I made an appointment to see Dr. Jim Buck (who was well-recommended) for a minor health issue and to establish contact with a local physician.

I arrived at the office at 3:50pm on 7 December 2015 for my 4pm appointment. I remained in the waiting area for an hour before a nurse told me that the Doctor was ready see me. So the actual appointment began at 5pm.

Doctor Buck spent about an hour with me, during which he explained in detail the philosophy of his medical practice. He did ask a few questions of me, but the vast portion of the visit consisted of his delivery. I found the visit not reassuring and not helpful. I did not leave his office feeling better physically, nor did I come away with information that I could use to improve my health. I did not feel encouraged to enlist Dr Buck as my physician, despite the good recommendations I heard.

When the bill for his services arrived, I was shocked at the amount of the charge, $248.00 for a "level 4" office visit. The bill did explain what a level 4 office visit was as opposed to any other level.

Given the circumstances I've written above, I feel that the $248 charge is exorbitant and should be reduced. And I feel strongly that professionals should do their best to adhere to the appointment times their patients register for."
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Additional Communication Between Claimant and The Fairfield Clinic Pc Hide
  • Feb 28, 2016, Claiming party added:
  • I made an error in my original text: the bill did NOT explain what a level 4 office visit was or why my visit was a level 4 visit.

    My experience with another physician several days later was entirely satisfactory. That doctor was on time, provided practical information I used to improve my health, and her charges were quite reasonable.

What Claimant Wants Hide
Just make me happy!
Claimant invites The Fairfield Clinic Pc to make a fair offer.
1. Other – Physical delivery charges Feb 27, 2016 $2.99
Cash total : TBD
  • 0
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Respondent's Counteroffer

There has been no response to this claim from The Fairfield Clinic Pc. This claim will remain posted until resolved
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  • Question: by Matt Muprhy (123 points) — Retired Mediator
  • On: 10-01-2016
  • Any resolution on this?
  • Question: by Teresa Shipley (220 points) — Online mediator
  • On: 06-17-2016
  • Client,  what do you feel is reasonable to resolve this claim?
  • 1
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Is this a fair resolution?
  • 1
  • Contributed Solution: by Teresa Shipley On 06-15-2016
    Dr. Buck's office should explain to the client what the charges are for and invite him back in at no cost to start resolving his health issues or concerns.
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Is this a fair resolution?
  • Comment: by Teresa Shipley (220 points) — Online mediator
  • On: 06-12-2016
  • Because it seems to be unfair for level 4 cost code and the client feels he had a tremendous wait time and spent the hour in what he feels was a consult for Dr. Buck's practice without a health resolution,  the office should allow him a credit, a chance to come back to discuss his original issues and have them tended to. He had a recommendation to go to Dr. Buck and should feel good about his decision. I think it's reasonable and right to find a solution that meets both parties expectations. 
  • Question: by Ms Sandra Jovan (268 points) — I Love Helping Mediate Cases In Real Estate, Investments And Divorce
  • On: 05-13-2016
  • Do you mean "didn't not..." instead of "The bill did explain what a level 4 office visit was as opposed to any other level."  What is a level 4 visit? Is that a standardized reimbursement code or something your MD uses for his own billing?

    Unfortunately this happens all too often.  Its likely just a revenue generator for your doctor to add on charges for the initial visit.  They should have been more upfront with you in my opinion but I can't claim to know all the details.   Personally, I probably wourld't visit this doctor if they don't fix this for you.

    Assuming Sara T is correct with her excellent solution suggestion, I'd agree with her and suggest the Fairfield clinic consider it as a fair resolution.   

    Good luck.  

  • 2
  • Contributed Solution: by Sara T On 03-11-2016
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