ComplaintsforParkview Medical Center

• Initial Complaint

  11/23/2022

  Complaint Type:

  Product Issues

  Status:

  Resolved

  More info

  9/22/22: preventative yearly visit with obgyn, $138.25. I left voicemail message for Parkview on 10/18/22 @ 2:06 pm about the bill. I chatted with Parkview on 10/21/22 in regard to this bill, guarantor account #*********. I was told to contact *****. I chatted with Cigna on both 10/21/22 & on 11/16/22 as Parkview had told me on 11/11/22 that a supervisor would be in contact with me, and I still received another bill for the same dated service. Both ************** had informed me that Parkview had filed the claim under an expired tax ID number. Cigna **************** worker ***** told me through chat on 11/16/22: "The claim under *********** dated 9/22 from ****************** was processed as out of network. Based on our records, teh (sic) contracted under tax ID ********* ended last 07/01/2022. We need a corrected claim under tax ID ******** as this was the contracted tax ID that we have from them." ***** then proceeded to contact Parkview on my behalf. He stated that he had been transferred to a different department as the number on my bill was for a facility, but the claim was for a physician. He stated that for my reference, I should note that the actual number to contact Parkview is ************. ***** went on to say that he tried calling ******** at Parkview on 11/16/22 @ 8:50 AM and was always routed to a voicemail. Today, 11/23/22, I heard back from a supervisor at Parkview, who stated that they had the correct tax ID as it should have been for a provider. However, the bill was from Women's Health Center of Parkview, not from a physician. Regardless,****************** is still in-network, as shown on the Cigna website. I have been a patient of ********************** for 13 years, receiving the same annual exam every year, and this is the first time I have received a bill in regard to a preventative service. I have also remained a Cigna customer throughout that time. The supervisor said he would get back to me. I worry I'll get sent to collections.

  

  Business response

  11/28/2022

  Dear *********************, Dispute Resolution Specialist:

  Our Director of ***************************, *************************, has reviewed the patient's complaint.  **************** states that the patient is correct in that she should not have a copay for this visit.  Cigna was incorrect in their response, as we are still in network and our contract has not termed with them.  The claim was billed appropriately, but was denied by Cigna in error. 
  
  The patient spoke with our *** Office Supervisor, *******************, on 11/23/22, and he explained to the patient that it was billed correctly under the correct tax ID and that we would look into this further.    

  Per ****************, we will reach out to Cigna to rebill the claim. **************** called the patient this afternoon and left her a voicemail message for the patient to return a call so **************** can explain everything and to reassure the patient she will not go to collections.   

  If the patient has further questions, she can call *************************, Director of *************************** at **************.

  Let me know if you need anything further.

  Sincerely,
  

  *******************, Director Patient Relations - **************

  Customer response

  11/28/2022

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
  
  Sincerely,
  
  ***************************

• Initial Complaint

  09/23/2022

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  *********************************************** was my neurologist after moving from ******, ** to ******, ** for recovery reason related to a motorcycle accident, which required nearly two years of recovery to learn how to walk again. I was attempting to contact him in order to see about making sure that I have a renewed prescription of Zonisamide 100mg back in May of 2022, but found that he has since retired and has moved all his patients to Parkviews location for treatment. Unfortunately, the his has been 5months going on 6months in my countrless attempts to be assigned a new neurologist and the problem is that the majority of my records are located at ******************************* Medical Campus- Neurology and my local PCP in ****** is NOT comfortable in providing me a prescription since it has been over two years since I have seen a neurologist, but this is due to the Pandemic and my recovery needs to learn how to walk again. I don't understand why this is so difficult to get medical treatment for someone who clearly has had over 20+ years of epilepsy. I have no medication left and have begun driving a car again, although I have not had a seizure since 2018. I am extremely concerned that this will not end well for me. Since I have already taken an EEG, as recommended by my PCP, Parkiew Neurology still indicates they are waiting for approval to be seen by a Neurologist. Why can't State hospitals have the capability of being able to share medical records with other major hospitals by placing them in a ******************** especially for special circumstances such as this when patients have long-term medical conditions/illnesses? It would be great if I could actually be provided the Medical Care that I would expect to receive from an A+ certified Hospital. Situations like this when doctors decide to retire must be planned ahead of time, regardless of Pandemic, so other providers can manage them while recognizing the need to provide prescription renewals for patients.

  

  Business response

  09/27/2022

  The Practice Manager with Parkview Medical Group (PMG) Neurology spoke with the patien, *************************** this morning, 9/27/2022:

  Customer Information:
  ***********************
  *************************************************** 81004
  Daytime Phone: **************
  E-mail: *******************
  
  The patient actually goes by *************  He had previously been referred to a neurologist not in our health system in June 2022. He was referred to PMG Neurology on 08/17/2022 and the medical assistant reached out to him on 09/08/2022 with no response back to us. It appears we had several phone numbers on him that were incorrect:  ************ (Home Phone), ************ (Mobile), ************ (Mobile)

  
  Parkview Medical Group Neurology staff has reached out to **************** today using the phone number provided in the complaint, and we have scheduled an appointment for him this Friday, 9/30/2022.

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