Business ProfileforPhysicians Regional Healthcare System

On 3/29/24 I had an annual physical/wellness exam (claim # ********) and on 4/2/24 l had lab work (account # ******** as a part of my annual wellness exam. Both of these services are fully covered by my insurance and I do not pay out of pocket. However, Physicians Regional has coded both services as being a part of a normal office visit and submitted it to my insurance accordingly. This has resulted in my insurance not fully covering the costs, me having to pay $677.94 out of pocket to avoid this going to collections, and being disqualified from receiving a $500 HSA incentive from my employer for completing the annual wellness exam.My medical records clearly indicate the reason for this visit was a physical exam and that my doctor performed the exam at my appointment. I have made multiple attempts to get this corrected and pointed out the coding mistake, but I have been told this was clearly not a physical despite records clearly showing it was. I even spoke to a patient advocate, but they were told the same thing I was by the practice manager.It should be noted this is the 2nd year in a row Physicians Regional has billed my annual wellness exam as a normal office visit. In 2023 they corrected it after I pointed to the evidence, however in 2024 they are refusing to correct it when being shown the same evidence. There appears to be an inadequacy in their system that leads to appointments being coded as normal office visits either unintentionally or intentionally and individuals are unwilling to correct the mistakes.I am seeking the following from Physicians Regional to rectify the situation:1.Correct the coding of both the exam and the lab work to be consistent with an annual wellness exam, then submit the amended claim to Anthem BCBS.2.Send a refund of $677.94 to my original payment method. I will not accept a credit to my patient account for future bills, as I no longer live in ******* and will not be remaining under the care of Physicians Regional.