Business ProfileforNorthwest Medical Center

This complaint is lodged against Northwest Medical Center for failing to receive prior authorization, failing to notify me as the patient, billing me as self-pay (when all other procedures I had before and after this all year were billed to my insurance), and then after I paid it not realizing what was happening, failing to reimburse me for charges they should not have billed me for in the first place. On May 12, 2023, I went to Northwest Hospital for a procedure. At check-in, they told me my share was $633.59, so I paid it. Fast forward to August - after being out of town for a month, I returned to a pile of bills, including a number of medical bills, all of which I paid, just assuming it was my share of costs minus insurance. Those bills included an addition $848.52 for the procedure in question. By early fall, when I realized that my payments exceeded my $6900 deductible and out of pocket costs, I contacted my insurance company to compare the claims with my payments, and realized that a number of payments were missing entirely. First, I tried to rectify the situation with Northwest Medical Center; a patient advocate realized I was billed as self-pay and that it was a mistake. At no time did NWHC notify me of self-pay, nor did I sign anything consenting. I was hoping NWHC would realize this was a simple clerical issue, make a change, and credit me for the charge, but they did not. Instead, they insisted I was wrong, so I filed a claim with my insurance company. In February I got a call from the Ambetter representative working on my behalf, Malakai Corvus, stating that despite all their pursuits, NWHC was unresponsive to them, and that this violates their contract with the insurance company. NWHC owes me $1,482.11, and that is significantly above my deductible. I am asking for the BBB to help me resolve this issue. I'm a self-employed business owner. My out-of-pocket costs are close to $13,000 before insurance covers anything. That's why this matters.