<prompt> Human: I live in a big US city, if thats relevant with a good health insurance PPO plan. I found a Therapist within my network, so I just have a 30 co-pay.I found a Therapist 1 that was part of a group practice and made several appts. But we decided that I would meet with one of his colleagues 2 whose schedule was a better match. I went to the appt for Therapist 2 and she never showed. Receptionist didnt know where 2 was. Several hours later, she called me for 18 minutes to apologize that she didnt know I had an appt with her and find out more details about how I booked the appointment and why I was switching. Unbeknownst to me, she charged this as a 30-minute tele-health session.I met Therapist 2 for a proper session later that week, and we decided to continue. I did not knowrealize that the TherapistGroup did not movecancel my appointments with Therapist 1, so I got billed for a second appt with him as a no-show.Ive never experienced such weird billing mistakesissues with a medical practice before. And I dont know what would be the appropriate way to handle this. Do you have any suggestions of how to approach this? Should I have been charged for a tele-health session, when I didnt even know we had a session? Should I be charged a no-show fee for the appointment that wasnt cancelledmoved? Can I receive some sort of credit for the appt that the doctor missed? Or should I just find a new therapist?To make it more complicated, it seems that this practice has separate entities: receptionists who are in one location, therapists in another, and billing in another...I wonder if they are separate companies.Also, note that all of this transpired verbally, but I will start to track it via email with them too. Thanks!  <response>: If it were me, I would call the billing office or speak with the office manager at the clinic, and tell them 1 therapist 2 missed your appointment and you were not informed you would be billed for answering a phone call from her - and unless the tele-health bill is cancelled you will complain to your insurance company and to whatever state agency licenses therapist 2, and 2 therapist 1 referred you to therapist 2 and it was therapist 1s responsibility to cancel any future pending appointments, and you will take the same steps noted above unless the clinic can see a way to cancel the bill for 1s missed appointment. If they do not cooperate with you, you can decide how to follow through -- you can write a letter to your insurance company explaining that these two charges seem fraudulent to you you were billed for services not requested telehealth care and not provided, and you can complain to the state licensing agency for psychologists. None of this may actually work, but it is a path forward.Start off nice, ask the clinic manager or billing office to fix an obvious mistake, and if they do not do so then decide how far you want to take it. Obviously if you complain to the state licensure agency about either 1 or 2 you will likely need to find a new clinic -- that particular well would be poisoned!Dont let the practice make it your problem that their business model splits up different staff to different worksites -- that is their problem to coordinate, not yours. 