Billing issue. Poor customer service and unwilling to provide a corrected invoice to BCBS. Even the billing numbers does not add up (gimmicks) in it.
On June 26, 2013 I had had a serious chest and abdominal pain in the morning. My wife took me to the Howard County General Hospital for emergency treatment. After I was admitted to the hospital, the Hospital did a blood draw to assess the cause of my pain and did other examinations for treatment. I was paid my co-pay $73.50 (with a discount of $1.50) at front by Visa credit card. In addition to that, I have paid $75.00 co-pay for the Doctor when I received the bill.
On July 19, 2013, I have received a bill (Account No. XXXXXX) from the Howard county Hospital $372.70 for the treatment services that I was provided. My Insurance **** ***** **** ******* on their Expllanation of Benefits Payments Notice, indicated that they have paid $147.36 made to the Howard County General Hospital. I made a phone call to BCBS and spoke with Mr. ***. He has explained me that the Howard County General Hospital did not bill based on the insurance agreement. Also, he has stated that the General Emergency treatment should be with 72 hours of the symptoms. However, the Howard County Hospital recorded the pain date or the symptom date was recorded as 6/19/13 instead of 6/26/13 (which I never said 6/19/2013). If I do not have pain and symptoms, why should I go to emergency? Hospital is a theatre or a foot ball game place to relax. Therefore, the Hospital has to correct the date of the symptom and resubmit to *****
I made a phone call to the Howard County Hospital and Spoke with *****. She has explained me that the system has generated the bill and she does not know why I was billed a full amount of treatment services. I did tell her the insurance has paid $147.36 and the remaining amount will be paid by **** after the Hospital resubmitted the corrected bill to ***** However, the Howard County General Hospital refused to correct the bill and send to the ***** For the second time, on 12/9/2013, I made a phone call to **** and spoke with ****** and I was told the same thing.
I will provide recorded conversation, voice mails and documentation from the Insurance **** and the Howard County General Hospital if necessary.
Please resubmit the corrected billing that shows the symptom was on 6/26/13 ands the insurance BCBS is willing to pay. Otherwise, I will challenge in a court with all voice records and documents provided by the Insurance and the Hospital.
The explanantion of benefits we recieved, did not chow any charges being denied, yet stated the patient had a copay (which was paid at time of service) and coinsurance of $147.37 to meet. Which is why we billed the patient for $147.37.
Today, 12/23/13, the occurance date on claim has been changed to 6/26/13, and rebilled to Blue Cross. Please allow 30 days for the corrected claim to be recieved and processed by Blue Cross.
Final Consumer Response
(The consumer indicated he/she DID NOT accept the response from the business.)
Today, 12/30/2013, at 10:42 I spoke with Mr Kevin who is a representative of Blue Cross regarding the billing issue. He has stated that still the billing information was not changed. According to Mr Kevin, the Howard County Hospital was shoed the condition I went first started in June 19, 2013 which means they "stale dated to June 19, 2012 (on set dat)" . This means the Howard County General Hospital did not change or correct the billing. My chest and stomach pain was on June 26, 2013 mooring and did not go to work. My wife took me to the hospital and I was given three days sick leave by Dr. ***** ******** ****** ** to stay at home.
I made a phone call to BCBS on 6/19/2013 and on 12/9/2013 (spoke with ******* I have requested a written documentation from BCBS regarding the issue and I will provide as soon as I received.
Final Business Response
Per Carefirst connect (website) corrected claim was recieved and in processing. As I stated before, please allow 30 days for Carefirst to reprocess claim. Thank you.