ComplaintsforClinical Pathology Laboratories, Inc.

Medical Lab and Testing

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Initial Complaint
07/11/2024
Complaint Type:
Billing Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
I have paid my bill in full and they have cashed my check & have fully acknowledged that I do not owe them the $20 and yet they keep sending me a billing statement for it. That is very unprofessional. Now none of their phone lines work and they can't be reached. Why is this? Again, highly unprofessional.
Business response
07/11/2024
Thank your for your correspondence. I have reviewed the complaint and account and have found the patient has two accounts. Both had a $20.00 copay/coinsurance patient responsibility balance after insurance processing. Account ******** for date of service 03/18/2024 was paid on 05/29/2024. However, UA181274 for date of service 04/09/2024 with a balance of $20.00 remains unpaid. Each date of service is billed separately and processed by the insurance carrier as a separate visit and can be subject to a copay/coinsurance or deductible. Please contact the carrier directly for additional information. I will put the account on a 30 day hold to allow the patient time to confirm the information provided. I can also send itemized statement of each visit to the address we have on file. We appreciate you bringing this matter to our attention and thank you for your business.
Initial Complaint
05/02/2024
Complaint Type:
Billing Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
THEY REFUSE TO SUBMIT THE RIGHT CODES TO MY INSURANCE- THSI WAS ANNUAL EXAM AND MY INSURANCE CONFIRMED IT IS ALL COVERED. I CALLED CPL AND WAS TALK EXTEREMELY RUDE WHEN I EXOLAINED THEM **** CLAIMED WITH WRONG CODES AS MY INSURANCE TOLD ME IT IS ALL COVERED.. I WA STALKED EXTREMELY RUDE BY A PERSON WHO CLEARLY REFUSES TO DO THEIR JOB .=AND ITS IS THERE TO JUST PASS THE **** I AM NOT PAYING FOR THEIR MISTAKES WHEN IT SHOULD ALL BE COVERED. THERE ARE RECORDS OF ME TOLD BY INSURTANCE OIT IS ALL COVERED ALSO THEIR TESTS ARE NOT ACCURATE AT ALL..URIMNE TEZT CAME NEGATIVE ..JUST AFTER THAT I SENT TO ANOTHER LAB BECAUSE BIG SYMPTOPMS AND IT WAS E COLI LAST YEAR I HAVE EVEN MORE LAB TESTS DONE AND I PAID ZERO ... DUE TIO ANNUAL EXAM ACCOUNTS H9913027 B7738142 I WILL NOT BE PAYING FOR THEIR MISTAKES
Business response
05/02/2024
Thank you for your correspondence. The accounts listed have been reviewed and it's noted the balance was applied to the deductible. CPL can only bill with the information provided. We can not add to or remove information unless instructed by the requesting provider. CPL has billed with all information provided and there is nothing further we can do on our end in regards to the deductible being applied. We appreciate you bringing this matter to our attention.
Customer response
05/02/2024
Complaint: 21655305

I am rejecting this response because: no my insurance was toild me you submitted wroing codes and it is all covered. you refuse to submit right codes. this is unacceptable. you refuse to do your job. MY INSURANCE HAS TOLD ME YOU SEND WRONG CODEAS AND I ALSO EMAILED YOU THEIR RESPONSE BY EMAIL. YOU HAVE TO UNDERATND SAME HAVE BEEN DONE LAST YEAR AND WITH SAME INSURANCE AND I PAUD NOTHING. THIS HAS BEEN COVERED BY INSURANCE. IF YOU DONT KNOW HOW TO CLAIM IT AS ANNUAL EAXMA THAT IS NOT MY PROBLEM

Regards,

***************************
Business response
05/08/2024
Thank you for your correspondence. CPL does not provide additional diagnosis codes on testing not submitted by the requesting provider. CPL has billed the carrier with all information provided by the requesting physician's office and the balance was applied to the patient's deductible by the insurance carrier.
Customer response
05/08/2024
Complaint: 21655305

I am rejecting this response because: LIES AFTER LIES..YOUR BIILING HAS ERRORS. I *********************** DR AN THOSE ARE COIDES F ASKED YOU TOP CPATACTTH I WILL REPORT YOU TOU ARE A PATHERTIC COMPANY AND I WILL REPORT YOU TOU ARE A PATHERTIC COMPANY AND I WILL REPORT YOU TO ***** MEDICAL BOARD. ****** NO CLUE WHAT YOU ARE DOING AND PUT NO EFFORT TO WORK. YOU SHOIUDL BE CLOSED

Regards,

***************************
Initial Complaint
02/20/2024
Complaint Type:
Billing Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
VM069336 AND VM069345 / $266.20 (Maverick) and $332.75 (*******)I am writing to file a formal complaint against Clinical Pathology Medical Company regarding an outstanding refund issue. My children, ******************* and *************, had items from the doctor's ****** sent for testing to Clinical Pathology with a Date of Service (DOS) of 11/18/2022. The first bills were received in March of 2023, and I promptly paid them on March 17, 2023. However, in August 2023, I discovered that my FSA card was frozen due to the medical bill not being for 2023. Upon contacting Clinical Pathology on August 2, 2023, I was informed that my insurance had not been billed, despite receiving it from the doctor's ******. I was assured a refund would be issued within 4-6 weeks, but to date, I have not received any refund despite numerous emails, calls, and requests for a three-way call with the insurance.I have also reached out to my insurance provider, BCBS, who confirmed that they had paid for the services, and I should have received a full refund of $598.95 in August 2023. Despite requesting a three-way call with BCBS to assist in resolving the matter, I have not received any cooperation. After reviewing similar complaints from other customers, I am left with no choice but to seek your intervention in resolving this matter. I kindly request that Clinical Pathology Medical Company issue the refund within one week to avoid further escalation of this issue.I appreciate your prompt attention to this matter and look forward to a swift resolution.
Business response
02/20/2024
Thank you for sending in your complaint; however, it has been directed to the wrong company. All the attachments are referencing a different company called, Clinical Pathology Laboratories, you have filed the complaint against Clinical Pathology Associates. Please direct your complaint to the correct company.
Thanks
Business response
02/20/2024
Thank you for your correspondence. I have researched the complaint and found account ******** denied by insurance and was not paid. I have reached out to our Insurance Follow-up department to review the denial since VM069345 was paid, so its unclear why VM069336 was denied as unable ID. A refund for this account is currently pending. A refund has been issued on VM069345 and it should be expedited for mailing this week. We will follow-up with further details after our review and possible appeal to your carrier to your address we have on file on our findings for account ********.    We apologize for the delay in your refund and for any inconvenience. We appreciate your business and thank you for bringing this matter to my attention.
Customer response
02/20/2024
Complaint: 21317261

I am rejecting this response because: THey have been telling me this since August and I was told it would be resolved in 4-6 weeks. Anthem BCBS show they have not request it from them and why I wanted to do a three way call and have requested it multiple times so there would not be this back and forth. I am sorry but my insurance would have approved both if it was truly sent to them They are on the same insurance and it was for the same testing. They can not this many months later still be waiting to hear from the insurance.

Regards,

************
Business response
03/04/2024
Thank you for your correspondence. I have reviewed the accounts and show a refund in the amount of $332.75 was submitted to the patient on 02/20/2024 for account ********. An error was discovered in the policy number for VM069336 today (03/04/2024) and a refund is being requested today for this account to be sent to the patient. It should be generated to the patient on or before 03/08/2024. I apologize this error was not caught earlier, but a claim has been resubmitted to the carrier today to reconcile/resolve the charges on VM069336.
Initial Complaint
01/16/2024
Complaint Type:
Billing Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
On April 18th, 2023, my care provider sent me to Clinical Pathology Laboratory in ********, **, for lab work. I went over the information carefully, including do not sent mail to my physical address in ******** as we do not receive mail there. On November 14th, 2023, my daughter in ***** calls me to announce I have been turned over to a collection agency for failure to pay a bill. The bill had been sent to her in *****. I have health insurance. I immediately went online and did not see where this had ever been presented to my health insurance at all. The collection agency in question that works for this company announced I had to pay the $706.30 immediately to prevent my credit from being affected. I paid. I called the company and asked why they had never filed my insurance. They never gave any satisfactory reason except they may have had old information.I was told at this time they would file and I would receive my money back in 30 days. Since that time, i have called on 12/07/2023, 12/12/2023,12/26/2023, 1/03/2024/, 1/08/2024, *** 1/16/2024, always being told my insurance has paid the bill and my refund is in processing. I have also been told my refund is red flagged for immediate attention. They have said this could take up to 30 days. I strongly believe that there is something very wrong here. i simply want back what should never have been paid in the first place.
Business response
01/26/2024
Thank you for your correspondence. A refund check was mailed on 01/17/24 to the address on file. We apologize for the delay and any inconvenience caused. We appreciate you bringing this matter to our attention.
Initial Complaint
10/10/2023
Complaint Type:
Billing Issues
Status:
Resolved
The complainant verified the issue was resolved to their satisfaction.
Dear bbb please help I am ready to go to the medical board of ****** however I filed a complaint against this people I visited the office of where I had my service but they never resolved my situation and now they are threatening me with collections and if that happens I am going full buck wild legal on them for they don't allow me to access online to submit my insurance they will not call me so I can't resolved this issue I will be going on my 30 + million views on ****** maps to review them since they want to play games and keep trying to slander me on behalf of ********************************** I am not refusing to at my bills I simply need to know if they billed my insurance as my insurance says they have not received a bill and because they want to not answer my calls, then not give me a customer number to access online I am done trying please forward a copy to the medical board and Consumer Affairs I need all hands on deck to help with this unethical wreckless wicked people
Business response
10/23/2023
Thank you for bringing this matter to our attention. We have resubmitted the charges to the patient's secondary carrier and pending a response. There is currently nothing further due from the patient. The charges were initially billed to the primary insurance and denied.
Customer response
10/23/2023
Better Business Bureau:
Thank you BBB all I wanted was for them to correct it bless y'all and them for finally putting this to rest.
Thank you both.

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

Regards,

***************************
Initial Complaint
09/20/2023
Complaint Type:
Billing Issues
Status:
Resolved
The complainant verified the issue was resolved to their satisfaction.
My Mom (*******************, DOB 1/1/1962) and dad (MD *********************, DOB 1/1/1951) don't have any income. They live with me. So they got Lone Star Circle of Care Level 1 benefit. Per this benefit, their lab tests are included in a $20 co-pay for a Doctor's visit. After their doctor's visit, we got several bills from CPL as Lone Star sent their lab work to CPL. I submitted all the bills to Lone Star. Their billing department took care of those bills. But still, we are getting those bills several times. Then I talked with Lone Star; they told me they took care of those and not to give any money to CPL. Now CPL sent those bills to collection even though they already got money from Lone Star. I need to resolve the collection scenario. All the bills are on my parent's name.
Business response
09/25/2023
Thank you for your feedback. I have reached out to LSCC and they have confirmed the charges should be billed to their office. The billing has been updated and charges have been updated. There is nothing further due from the patients. We appreciate your help in resolving these issues and thank you for bringing this matter to our attention.
Customer response
09/25/2023
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.

Regards,

**************************
Initial Complaint
07/13/2023
Complaint Type:
Billing Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Darn it BBB I filed I need to file a complaint against y'all too I typed up my entire complaint I then go to attach a file and it kicked me back to the start talking about it looks like you started a complaint then I click okay and it erased all my typing grrrr Anyway please fix that Dear bbb of ***** I received a third notice from CPI labs it looks tacky and has a few errors it is mentioning a balance of $305.75 saying my insurance did not pay I never got notice 1 or 2 so that alone getting a third notice trying to demand a payment does not sit well with me specially when I never dealt with them they give an account # ******** Please help me get rid of these evil scammers trying to fish me out for information or money Not today Satan Thank you I need confirmation plus an apology my insurance pays all bills when they are presented I pay hundreds in insurance monthly.Also send a copy of my complaint to other governing agencies there not to your attorney general I don't like your representatives in DC
Business response
07/14/2023
Thank you for your correspondence. The complaint and account has been reviewed and charges were denied by the patient's carrier as routine testing is not covered by their plan. The patient should reach out to their insurance carrier for specific provisions regarding their insurance plan. Our statement vendor showed no deficiencies in mailings and all statements were sent to the address listed in the complaint. As a courtesy, the patient may contact our office for discount options available to the account. We appreciate you bringing this matter to our attention.
Initial Complaint
07/10/2023
Complaint Type:
Billing Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Acct #********. I am receiving a bill for ****** that doesn't really explain why I allegedly owe that money. It says the tests were not approved by *****. Why were they done if the doctor knew what insurance I have? This seems scammy to me.
Business response
07/12/2023
Thank you for your correspondence. I have reviewed the account and complaint and the "not approved" amounts are the amounts written off due to PPO discounting. Aetna applied $107.37 to the patient's deductible, which is the amount currently being billed. The patient should reach out to Aetna for further clarity on the deductible applied if necessary.
Customer response
07/12/2023
Complaint: 20289824

I am rejecting this response because: It is unacceptable.

Regards,

***************************
Initial Complaint
06/29/2023
Complaint Type:
Billing Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
On March 30, 2023 I did a toxicology screen at my doctors office , for which I paid a copay and therefore Clinical Pathology Labs was not to bill me. This has happened before and my doctors office said they , Clinical Pathology Labs, were not supposed to bill me too. I have tried to resolve this, but once again have gotten no resolution. This is a mistake Clinical pathology labratories seems to continue to make.
Business response
08/01/2023
Thank you for your correspondence. The account was billed to the requesting client on 07/31/2023 and there is no longer a balance due from the patient. We apologize for any inconvenience caused and appreciate you bringing this matter to our attention.
Initial Complaint
06/28/2023
Complaint Type:
Billing Issues
Status:
Answered
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
FOR SOME UNKNOWN REASON I AM BEING BILLED SEPARATELY FOR LABS DONE ON THE SAME DAY. I AM BEING CHARGED $10 FOR 3 DIFFERENT BILLS THUS FAR AND IT'S FOR THE EXACT SAME DATE OF SERVICE AND I HAVE MADE NUMEROUS ATTEMPTS TO RESOLVE THIS ISSUE WITH MY INSURANCE AS WELL AS WITH THIS LAB. NO ONE HAS RESPONDED.
Business response
06/28/2023
Thank you for your correspondence. I have reviewed the complaint and accounts and found there were 4 different dates of service/accounts found. ************* carrier indicated a $10 cost share on each as the patient's responsibility. Each date of service creates a new account, which is why there are 4 remaining outstanding accounts with $10 patient responsibility balances. The patient should reach out to their insurance carrier for additional information on copay/coinsurance cost share amounts. Thank you for bringing this matter to our attention.

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ComplaintsforClinical Pathology Laboratories, Inc.

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