ComplaintsforRegional Gastroenterology Associates of Lancaster, Ltd.
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Complaint Details
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Initial Complaint
10/24/2022
- Complaint Type:
- Billing Issues
- Status:
- Answered
I AM BEING CHARGED UNDER A PROCEDURE THAT SHOULD BE COVERED BY THE *** AND MY INSURANCE. THE PROVIDER IS CODING THE PROCEDURE AS DIAGNOSTIC TO GET PAID MORE MONEY AND IS BLACKMAILING ME TO PAY BY RUINING MY CREDIT.Business response
12/14/2022
I received the documentation for the complaint ID ********.
Regional Gastroenterology Associates of Lancaster provides the same service to patient regardless of their insurance and is reimbursed at the same rate regardless of a diagnostic versus screening determination. All documentation is reviewed and coded by coders, not by the providers to ensure accuracy of claim submission. Based on the documentation, the insurance carrier applied the contracted amount as patient responsibility, which if unpaid is referred to collections per our financial procedures.
Customer response
12/14/2022
[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
Complaint: ********
I am rejecting this response because: They are passing the buck and charging for an item covered by the ***. Blaming the coders is what the insurance companies do.Regards,
***** *******Initial Complaint
05/10/2022
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
6/1/2021 had colonoscopy. Covered fully by insurance. Payment made by insurance on 10/2021 and again 2/2022. Have been receiving bill for varying amounts (Ranging from $304-$550) for more than 6 months. Have called insurance and Regional Gastro more than 10 times. Insurance company (Independence admin) says claim as been paid at 100% per in network contract. I have tried calling on a conference call with insurance rep and me but Regional GI does not answer call. Insurance rep said it is illegal for Regional GI to continue to send me bill when this was in network claim.
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Customer Complaints Summary
6 total complaints in the last 3 years.
3 complaints closed in the last 12 months.