ComplaintsforGuilford Radiology

• Initial Complaint

  12/27/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  My wife went to see her doctor for a lump in her breast. The doctor advised to have both an ultrasound and a mammogram. My wife was hesitant due to her fear of a high cost. She asked if there would be a cost associated with the scans and was told there would be no cost due to them being deemed medically necessary. We then received a bill for $608. I called our insurance, *****, and was told everything was billed accurately and she was given incorrect information. My wife would have not gotten these scans if she had been told of the cost, and although this is not good medicine, this is the world we live in today. Medical costs make it so we have to forgo recommended procedures, but that is another topic. I believe this bill should be adjusted as my wife was given incorrect info, which lead to the decision to get the scans and now we have a bill that we cannot pay for.

  Customer response

  12/27/2023

  Sorry, I forgot to give you my wife’s information: ********* ******** *** *********. I am also attaching her bill for reference. Thank you!

  Business response

  12/27/2023

  This complaint is filed by someone who is not a Guilford Radiology patient.  Unfortunately, due to HIPAA guidelines, we cannot respond to this complaint.

  Additionally, on the patient's statement it clearly states a billing company phone number, or they can contact Guilford Radiology for assistance. 

  If the complainant's wife would like to contact me directly, I will gladly look into her charges and help resolve (************).  As noted above, Guilford Radiology uses **** billing services and they can be reach at ###-###-####.  Of note, Guilford Radiology is in network with *****, this claim should be covered, the balance may be deductible or co-insurance related.  But again, I cannot say anything nor look up anything without direct contact from the patient.

  Kevin O*****. Practice Administrator

   

  Customer response

  12/27/2023

  
  Complaint: ********
  
  I am rejecting this response because:

  As the policy holder for the insurance I am allowed to dispute claims on my wife’s behalf  furthermore she asked me to resolve this, but if you need her to give written or verbal consent for HIPAA that can be arranged.  
  

  From your response it is clear you did not understand my complaint. Whether or not I have deductible is not the point. One of your providers did not operate in good faith and told my wife there would be no charge for this service.  This was either negligence or dishonesty, either was the patient should not suffer for that.

  
  Sincerely,
  
  ****** *********

*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. ↩