ComplaintsforMidwest Gastrointestinal Associates, P.C.

• Initial Complaint

  09/28/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  start in may 2023 they billed me $262 for ** ********* that did nothing for me for 5 min wanted me to do stomach study with xray dies and dies i cant do cause i have 4th stage kidney disease and my dr said never do dies that will kill off the kidneys. i dont feel i should be billed this much for only seeing that dr 5 minutes and then he walks out. then september i see ** ******** at ******** **** and they bill me again another $262, which is fine, but he told me he would send small intestinal bacteriall infection xifixan medicine to ***** and i call the office to ask why the dr never sent it there 3 weeks ago, they said cause of a past bill in may that ******* **** and medicare never paid for $262.i gave them all the cards in may and september to bill the correct billing but their billing dept is so stupid they cant figure how to bill ******* **** or medicare or ***. i told them thats patient abuse refusing to help a patient because insurance is behind on paying a bill,thats not my fault its their billing dept fault. they refuse to read my test results or give me this medicine in the last 3 weeks the bacterial infection moved to my kidneys now from my small intestine and them refusing to send over the prescription that ** ******** said he was sending over, that is patient abuse i feel. i will be suing them soon for patient abuse, if they dont send over that prescription over asap. they said all the mail they mail is sent back, they are lieing not true i got every one of their bills they sent to me or letters. they say ******* **** refuses to pay them thats not true i called ******* **** they said they never billed it correctly. and medicare said they never billed them at all, and the 2nd bill was to be billed to *** not medicare and to helathy blue since i changed insurance and they keep billing the wrong places. so this is not my fautlt their billing people are idiots and cant get nothing correct. my address is all correct they have correct address.

  Business response

  10/02/2023

  The patient received services on 5/24/2023 and was billed out to the insurance ******* **** (Medicaid) as this was the insurance provided by the patient. On 6/7/2023, we received notification from ******* **** that stated secondary payment could not be considered without the identity of or payment information from the primary payer. On 7/20/2023, the account was reviewed, and we billed the patient by sending a statement. On 7/21/2023, a call was placed to the patient to get accurate/updated insurance/address, but there was no answer. On 7/31/2023, we called ******* ****, and they stated the patient has Medicare; however, we could not locate the ID # on the Medicare website. We called and left a message for the patient to return the call about primary insurance. Statements returned due to incorrect address. On 8/23/2023, another call was made to the patient, and we left a message to call.  
  The patient was seen on 9/7/2023 for an office visit, charges were posted, and the patient was billed as self-pay due to refusal to provide an updated address and insurance information, despite request. 
    
  On 9/11/2023, the patient arrived at our Midwest GI Lakeside location clinic to pick up kits needed for further testing. The patient refused to provide a current address and accurate/updated insurance card(s). A call was made by staff to the Director of Nursing, and the patient stated she had a Medicare card but discarded the card. The Director of Nursing explained that we need this information to bill insurance and that if it is not provided, she will continue to be considered a self-pay patient. 
  
  Unfortunately, the patient has continued to refuse to provide current information. We explained to her that she would need to call ******* **** and coordinate benefits. She stated that her phone was broken, and she could not make a call out. We advised her that she would have to call. The patient has been disrespectful to our staff and indicated that it is our job to research her insurance. The patient then indicated to the Director of Nursing that she gave her insurance cards to the front desk, which did not happen. She guaranteed her mailing address was correct despite the return of mail. 

  We have attempted multiple times to obtain appropriate insurance information with no cooperation from the patient. She is challenging to redirect and has been yelling at every staff member trying to assist. Patient will remain as self-pay until an accurate, current insurance information, both primary and secondary if applicable, is provided to include an accurate mailing address. If obtained, we will gladly bill the insurance company for patient services.

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