Complaints

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

• Initial Complaint

  Date:05/19/2023

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  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.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I got 2 scans at **********************************. They failed to provide a good faith estimate prior to service. I then was constantly harassed by phone calls stating I owed $800 then $200 and never got any invoices mailed to me. Every time I stated this. I finally went in over a month ago to discuss it and they refused to provide an itemized bill even after I signed a form stating I wanted it and it could be mailed to me. Still nothing. I also disputed the bill and there is an internal review, however Ive heard nothing. I constantly get harrasing phone calls to pay said bills, and the people calling cannot help at Al with the ongoing internal review. These bills all need to be waived at this point as Ive dealt with constant harassment and multiple broken laws. I still have yet to receive any invoice.. the also use a 3rd party vendor for radiology who only texts ******************. They are unable to help me with getting in touch with their vendor as well.

  Business Response

  Date: 06/16/2023

  Respected sir/madam,
  I would like to inform you that the Patient Name ************************* did visit us 3 times on different months to the hospital. The 1st time he visited ** was on January 23rd, 2023, He came in for abdomen single view KUB scan (X-ray). The Order was requested by the doctor that he visited prior to coming to the hospital for a scan. The total bill for the first visit was $315.12. We had submitted that bill to his insurance company within 7 days.The ***************** that is ********** blue shield of ***** had processed the claim and provided $223.63 as copay/deductible amount. The ***************** always sends out 2 copies of explanation of benefits 1 for the patient and 2nd for the ***************** The patient had requested for an Itemized bill on April 26th, 2023, and He was advised to fill out a ROI form (Authorization for release of medical Information) because of ***** Policy, after that we released the Itemized bill to the patient. The Patient was reach out to collect his copay/deductible amount, as per the amount listed on explanation of benefit of ********** blue shield of *****. We sent him 4 statements about his bill, but no responses and he was also rude to our customer service representative.
  The 2nd time he visited us was on February 3rd,2023, for ** scan w/o contrast which again ordered by the same doctor, and we perform the same duties as per the ***** policies and we did release the Itemized bill to the patient on April 26th, 2023. On the same day he requested a reduction of his bill. His total bill at time was $3510.08 because it was ** abdomen and pelvis w/o contrast scan. We had sent that bill again to his ***************** for processing and they sent us Explanation of benefit, which shows $836.32 as copay/deductible amount. We did help him out with this bill by giving him a 20% discount on top of his insurance discount. So, he went ahead by himself and paid us $669.06. We had sent him 4 statements of his bill on different months plus our customer service representative tried to reach him out regarding his outstanding bill and he was rude with customer service representative.
  The 3rd time he Visited us was for the Surgery on April 19th, 2023. We performed the same duties as per the ***** policy and we sent the bill to his insurance company and this time his bill was $24459.04. We got a response that he doesnt owe us any copayment nor deductible because his insurance took care of the bill. He might have received an explanation of benefit from his insurance company.
  The price for 2 Scans is the regular prices which is been charged to the ***************** and the patient. If we talk about good Faith of estimate which in this case doesnt apply because these are the regular price for the ** and x ray scan. We let this amount known to the patient because we are trying to collect deductible amount as per your insurance plan that you have. This happens prior to your visit to the hospital. When you schedule a scan or surgery.  
  Yes, we do have separate billing for this facility. First one is from TRA which is ***** ********************* which has its separate billing department from us and we dont know how they do there billing and second is the physician Billing is also separate from us because physician have there own billing agency and the last is the facility billing which is done by inhouse billing agency.
  The patient also did dispute a bill with us and was advised to talk with the *****************.
  
  I have attached a copy of his Itemized bill along with Explanation of benefits from his insurance company. The amount that ************************ is talking about is his deductible from his *****************. 
  I would also like to bring to everyones attention that when a person buys any kind of Insurance from an employer PPO plan or else private plan through healthcare.gov, they get to choose what amount of deductible that they can afford to pay out of pocket for the service given by the provider and Insurance like ********** Blue shield always send a detail copy of what is covered and what not is covered by the plan that they selected. 

  Business Response

  Date: 06/20/2023

  Respected sir/madam,
  I would like to inform you that the Patient Name ************************* did visit us 3 times on different months to the hospital. The 1st time he visited ** was on January 23rd, 2023, He came in for abdomen single view KUB scan (X-ray). The Order was requested by the doctor that he visited prior to coming to the hospital for a scan. The total bill for the first visit was $315.12. We had submitted that bill to his insurance company within 7 days. The ***************** that is ********** blue shield of ***** had processed the claim and provided $223.63 as copay/deductible amount. The ***************** always sends out 2 copies of explanation of benefits 1 for the patient and 2nd for the ***************** The patient had requested for an Itemized bill on April 26th, 2023, and He was advised to fill out a ROI form (Authorization for release of medical Information) because of ***** Policy, after that we released the Itemized bill to the patient. The Patient was reach out to collect his copay/deductible amount, as per the amount listed on explanation of benefit of ********** blue shield of *****. We sent him 4 statements about his bill, but no responses and he was also rude to our customer service representative.
  The 2nd time he visited us was on February 3rd, 2023, for ** scan w/o contrast which again ordered by the same doctor, and we perform the same duties as per the ***** policies and we did release the Itemized bill to the patient on April 26th, 2023. On the same day he requested a reduction of his bill. His total bill at time was $3510.08 because it was ** abdomen and pelvis w/o contrast scan. We had sent that bill again to his ***************** for processing and they sent us Explanation of benefit, which shows $836.32 as copay/deductible amount. We did help him out with this bill by giving him a 20% discount on top of his insurance discount. So, he went ahead by himself and paid us $669.06. We had sent him 4 statements of his bill on different months plus our customer service representative tried to reach him out regarding his outstanding bill and he was rude with customer service representative.
  The 3rd time he Visited us was for the Surgery on April 19th, 2023. We performed the same duties as per the ***** policy and we sent the bill to his insurance company and this time his bill was $24459.04. We got a response that he doesnt owe us any copayment nor deductible because his insurance took care of the bill. He might have received an explanation of benefit from his insurance company.
  The price for 2 Scans is the regular prices which is been charged to the ***************** and the patient. If we talk about good Faith of estimate which in this case doesnt apply because these are the regular price for the ** and x ray scan. We let this amount known to the patient because we are trying to collect deductible amount as per your insurance plan that you have. This happens prior to your visit to the hospital. When you schedule a scan or surgery.  
  Yes, we do have separate billing for this facility. First one is from TRA which is ***** ********************* which has its separate billing department from us and we dont know how they do there billing and second is the physician Billing is also separate from us because physician have there own billing agency and the last is the facility billing which is done by inhouse billing agency.
  The patient also did dispute a bill with us and was advised to talk with the *****************.
  
  I have attached a copy of his Itemized bill along with Explanation of benefits from his insurance company. The amount that ************************ is talking about is his deductible from his *****************. 
  I would also like to bring to everyones attention that when a person buys any kind of Insurance from an employer PPO plan or else private plan through healthcare.gov, they get to choose what amount of deductible that they can afford to pay out of pocket for the service given by the provider and Insurance like ********** Blue shield always send a detail copy of what is covered and what not is covered by the plan that they selected. 

  Customer Answer

  Date: 06/21/2023

  I am rejecting this response because:   They are not doing anything.  I would like a refund or credit off my bill. I was never rude to any customer service agent. I just expressed frustration that no good faith estimate was provided. This is a s*** hospital that is poorly run. Unless I get a credit of some kind I will be reporting them to the medical board for fraud and illegal activity.  They are staying I was rude when I still to this day have never received an itemization *******************!!! I updated my address with them and still didnt get it. Every time they called me to pay after that I stated I never got their bill and the agent said they couldnt do anything. I even offered to come in and pick it up and they said no.