ComplaintsforRocky Mountain Gastroenterology
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Complaint Details
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Initial Complaint
04/08/2023
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
Billed the wrong insurance. Called them to resolve. Never called me back, just sent it to collections. When I did finally get in touch with someone, it was too late. This is over about 200 dollars too. Not like thousands. Terrible and predatory billing practices.Initial Complaint
09/09/2022
- Complaint Type:
- Product Issues
- Status:
- Answered
I went to Rocky Mountain Gastroenterology (*********, **) for an infusion of Remicade in February 2020. After the treatment, they sent me a bill almost a year after service. There was some disputes in the bill which I was told was because they were still waiting on insurance. In October 2020 I paid them $453.80 as the clinic instructed me to. There was a remaining balance of $61.16 that I was told was still pending insurance. I did not hear from the clinic again regarding this bill. In September of 2022 they sent my remaining balance to a collection agency, without any type of notification. They state they sent notifications in the mail in December of 2020 and January of 2021, but nothing after that date. I did not receive these notifications. It was very disappointing and frustrating to get taken to collections without any type of a warning. When I asked about a phone call they stated they do not have enough employees to call all individual patients regarding bills.Business response
10/04/2022
Our billing department spoke with the patient and resolved the matter. We appreciate the feedback.Initial Complaint
06/15/2022
- Complaint Type:
- Order Issues
- Status:
- Resolved
I went for an appointment on 9/27/2019 and used my insurance policy that was active at the time with ********** Blue Shield (Policy ending in ****). I received notice from the provider early in 2021 that my insurance claim was denied. I knew that my company had switched our insurance policy at the end of ******************** 2020 I had a new insurance number (policy ending in ****). I gave them that new number, thinking maybe there was an issue with the first one I gave. That was also denied because it was inactive in 2019. That filing came with a note that if it is denied due to timely filing, the charge would come back to the patient (me). However, in speaking with BCBS (many times), they have no record of an initial filing under the **** policy number until May 7th 2021. I have gone back to the provider to ask them for proof of timely filing but they have declined to provide me any evidence, saying the case has now gone to a collections agency and is out of their hands. BCBS recommended I file this complaint. So there are two possibilities:1) The provider is telling the truth and filed within the 6 month timely filing window but BCBS somehow lost the claim. If this is the case, they should be able to provide proof of timely filing (which they have so far refused to do) and insurance can pay the claim.2) The provider is lying and has no evidence of timely filing in which case they are liable for the payment.I have attached the explanation of benefits for both policies which show what records BCBS has for this claim. I have also attached the explanation of benefits that the provider shared with me after I asked them to show proof of timely filing- that document does not show any filing within the 6 month window that they are claiming they met.There are also a number of other complaints about the office operations for this provider on their Yelp page (including one from me). https://www.yelp.com/biz/rocky-mountain-gastroenterology-littletonCustomer response
06/17/2022
Hello, I just filed complaint ******** and was notified the business couldn't be located. The address of the actual location I went to was not listed when I searched for "Rocky Mountain Gastroenterology" so I entered the address closest (which may have been their previous location). Their current address is ****************************************************************. Please let me know how to move forward with a complaint against this business location.
Customer response
06/21/2022
The provider just reached out to me and said they would handle the charge and deduct it from my account. Since they were willing to take responsibility for this issue in the end, we can close the complaint. Amazing how quickly things moved when I mentioned reaching out to the BBB!
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Customer Complaints Summary
3 total complaints in the last 3 years.
1 complaints closed in the last 12 months.