ComplaintsforOrlando Health Clinical Labs

• Initial Complaint

  01/11/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Resolved

  More info

  Went for preventive screening visit that is covered 100% by my insurance. Was charged $50 during the visit, then received bill for $395. After contacting my insurance and confirming the coverage, contacted the business with evidence that the service is 100%. Asked for $50 refund and cancellation of new bill, was told they would need to run by review department. Then received an adjusted bill for $194.27 so called again and was told that the visit became "diagnostic". Asked by email in writing twice for the $50 refund and bill balance removal, emails were read but ignored. Service date: 3/1/2023

  Business response

  02/05/2024

  This patient did not pay any amount at the time of service so there are no dollars to refund. As a courtesy we have adjusted the balance to zero.
  After full review, the bill was accurate, the screening service became diagnostic and the insurance plan assigned the balance to patient responsibility. 
  I have left a message for the patient on two occasions at ************ and have not had a return call. 
  I have also emailed the patient at **********************.

  Thank you, 
  **********************************
  Senior Director
  Patient Accounting Physicians
  Revenue Mngmt- Patient Advocates
  *********************************************************** | ** 65 | Orlando, **,32806
  Tel: ************
  Fax: ************

  Customer response

  02/07/2024

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me although I am not satisfied with the company saying it was done as a courtesy. I feel this is all due to the unfair and horrible ways by which both health insurance companies and doctors in this country are allowed to get away with charging anything they want and legally take advantage of patients with ridiculous bills for services that dont require accountability, responsibility or morals from any of many involved service providers. 
  I have here attached an explanation from my insurance that said there were no charges owed by me. Neither the insurance nor the doctor cared to stay true to what they had told me. 
  
  Sincerely,
  
  ***********************

• Initial Complaint

  04/24/2022

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  I have learned that if the provider/biller does not file a claim timely, it will be denied and payment for 100% of charges fall to the unsuspecting elderly. If the organization accepts Medicare that payment would be SIGNIFICANTLY. Orlando Health, owned by HCA, has spurred me along, stating that they will correct billing issues, but all the time waiting for filing deadlines to pass, then sending Collections notice for the full amount. After Medicare notified me of this issue, as an experienced RN (50yrs) and former manger for national insurance companies, I refiled over 10 claims from OH. In the process, was sent to collections 3 times. First, I feel that I am being unfairly charged for services that I did not receive and have disputed with Dr *****, Medicare and OH billing since DOS 4/1/22. Dr. ***** was unable to do my annual physical in February (see attached). I advised the office & Doctor that I was scheduled for physical 3/9 and that I would keep it. My daughter, a Board-Certified FNP, was witness to the fact that no physical was conducted. I also had a list of items for discussion, none were charted in the notes. I requested correction of errors of omission, and inaccuracies. The notes looked as if they were talking about someone else. I cancelled June and all future office visits, noting that I lost confidence in Dr. ***** and Orlando Health. July, I received a bill for an unauthorized physical, $379.95. OH billed my 3rd insurance, who paid as the "primary" carrier, leaving a balance of $69.25, which I promptly paid. I followed up with a letter to OH Billing and a copy of the EOB. I spoke with Stephanie, Pt Business Sup who said she would not accept the Tricare EOB. I called Tricare, who confirmed OH was sent an EOB, yet they continues to balance bill. In a 2nd case, DOS 3/8 OH refused to rebill Medicare and sent my account to collections for $55, after I was able to get Medicare to pay. Now OH refuses to bill my 2nd carrier or write-off $49.13.

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