I have been going to Body Logic for a number of years. I came when I had issues with my Trapezius muscle, then again for a while for Pre- Total Knee Replacement surgery, and after having a knee replacement surgery. I had different PT's each time, and felt they all had been great. The professionals are awesome. However, I have to add my complaint to all the others in regards to the nasty Gatekeeper / Front desk / Office Manager named Danielle Mitchell. After reading all the previous reviews from others explaining how rude & demeaning she is, I finally got it! I came back after having yet another Total Knee Replacement surgery, for post surgical PT. This was part of my 2020 plan to have BOTH knee replacements and the recovery during the COVID year, since I could not travel any way. I came for my first post - surgical PT appointment on December 7, 2020. When I handed her a copy of my ID card, I also handed her a paper with the phone number to get a Authorization from my insurance (Anthem Blue Cross) for additional visits. She all of a sudden turned very rude & told me they "don't do authorizations" and that "the owner made a decision to no longer call for authorizations". I told her that it was just a formality, since I just had Total Knee Replacement Surgery, that they would OK them. It only was because I used up my visits WITH THEM on the previous knee surgery for this year. All they had to do is make ONE phone call, and I would follow up with my insurance. At this point, since I already paid my yearly out of pocket maximum, all services for the rest of the calendar year will be paid by my insurance at 100%, and my copay is ZERO!! She became adamant and when I told her I had been going there a long time, she could care less! I asked her to make sure and tell the owner that a longterm patient was left behind and will NEVER come back there, her reply was, "Yea ok, I'll tell him we are going to lose THOUSANDS and THOUSANDS of dollars because you aren't coming back". (Condescending Bi#$H!). When I got home I called back and asked her to please have the owner call me. She was all sweet and nice over the phone, but I'm sure she never told the owner, and I never received a call or email. Maybe a negative review will get the owner's attention? Probably not, as I read over and over again that this Office Manager has a horrible reputation, and she is still working there. BUT, guess what will get his attention....I happen to be a successful health insurance agent, and I filed a complaint with the Blue Shield & Blue Cross association. As an in-network provider of the "Blue Card " program, they are REQUIRED to follow the protocol of obtaining pre-authorization for their patients whose insurance dictates it. If they don't they are in peril of losing their provider contract. They will be looking into this and if the provider continues to ignore their contracted provision, they will cancel their contract. I am guessing if they no longer get to be in-network providers for any of the "Blue" providers (Blue Shield, Anthem Blue Cross, or the Blue Card program with any Blue Cross or Blue Shield providers of any state), then they will lose a LARGE number of patients who don't want to pay out-of-network copays, because the Blue Shield and Anthem Blue Cross carriers are the largest health insurance network in Nevada County. Maybe a loss of patients and a loss of income will make the difference at some point to the owner to maybe take notice of what is happening behind his back with his own employee sabotaging his business.
As of January 1 2021 I have full 24 visits again. I just needed them to place one phone call for December visits. But will I go back in January? Hell to the NO! If they refuse to do the right thing, then they don't get my business. No matter how wonderful their Docs are!
Unhappy to have to find a new PT provider, but you can't have this attitude and keep customers (patients) in this small town! read more