ComplaintsforJohns Hopkins Community Physicians
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Complaint Details
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Initial Complaint
02/18/2022
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
On Jul. 2, 2021, I had my annual physical with my primary care physician (a male), who advised me that I was due for my pap smear as well. I contacted my PCP's office to schedule an appointment with a female doctor for the pap smear and gynecological exam which took place on Sep. 2, 2021.The office billed this visit as an office/sick visit (*****) with a diagnosis code that also did not reflect the preventive nature of the visit (Z12.4). My *************** explicitly completely covers preventive care, including annual gynecological exams/pap smears. However, because of the incorrect coding, I received a **** for a copay. My insurance company has been unsuccessful at addressing the issue with Johns Hopkins.I asked Johns Hopkins to review and correct the code and they agreed to review for an appeal. I did not hear back from them except when I called back weeks later and was told the appeal was denied and the coding was confirmed, but no further explanation was given. I wrote to Johns Hopkins via their online messaging system and the message was ignored for over two months. I requested another appeal by phone and again, the appeal was apparently denied; when I asked to speak to one of the reviewers to get an explanation for the coding decision I was told it was not possible.I do not believe the procedure and diagnosis code reflect the preventive nature of the visit, and I do not believe I should have to pay for a service I did not receive.
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Customer Complaints Summary
1 total complaints in the last 3 years.
0 complaints closed in the last 12 months.