ComplaintsforWest County Radiology Group Inc.

• Initial Complaint

  03/11/2024

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Answered

  More info

  I had Emgerncy heart failure during Covid and had ********* This was for them to read my results. I didnt have a choice the hospital choose them the hospital is the one that procieed and set me up on ********* I have called and they keep giving me the run around every time for years now .

  

  Business response

  03/19/2024

  ****************** had charges totaling $1095 in October 2020. We receive billing information from the hospital via electronic files for the services performed by our radiologists. We were initially given UHC as ********************** health insurance. Those claims were denied because the insurance was inactive. We do not receive regular updates from the hospital. We have to go into the hospital system to look up any additional information. Hospital notes dated 10/13/20 say ****************** wanted to be billed and on 10/17/20 they applied a self-pay discount. The discount was reversed and ******** out of state pending was added to the account on 10/28/20. IL ******** was added to the hospital account on 11/16/20. There are conflicting notes stating the claim was accepted, rejected, corrected claims sent by mail and also a note saying the patient needs to call with updated information. The hospital received correspondence from ****************** on 1/14/21 with Anthem BC Community Health Plan of IL (******** HMO) &IL ********. However, prior to that time, the address we had on file was not deliverable and the charges were sent to collections. The patient called the office on 11/12/2021and he was given the number for our collections agency. We do not keep the balance on our account after it gets sent to them. The patient called again on 4/12/2023 and was given the same information. Our collection agency does reduce the amounts and offers multiple payment plans. I hope ****************** is doing better now and we hope he can work something out with Americollect (**************). 

• Initial Complaint

  09/13/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I have no knowledge owing any radiology bill to any company other then where I work, I work at a hospital where I can have x-rays, Ct scans and MRI’s done so I have them done there and not anywhere else, so this is a fraudulent claim and is harassment and placed on my credit which should be illegal and if I had funds I would sue for fraudulent charges on my credit. Also I never received a letter or notice, and I’m at the point I won’t speak to anyone about this issue because it comes down to my word against theirs and they are to stubborn to believe they may have made a mistake

  

  Business response

  09/14/2022

  *** ****, I reviewed your account and it appears you had an MRI at ***** ******** *** ***** on 5/17/2021 that was sent to collections on 10/12/2021. Our records also show an MRI done on 9/20/2018 that was also sent to collections. This was sent on 2/4/2019. You mention that you work at a hospital. If that hospital is ***** *** ***** or any of the hospitals in the ***** system in the Saint Louis area, we are the radiologists who read the MRI scans there. You will always receive a separate bill for those services in addition to any bill from the hospital. However, there have been instances where incorrect demographic information was given to the hospital or chosen by someone at the hospital. This is electronically delivered to our billing system, so if you did not have those scans, then I will also contact ***** to see if they had to correct the demographic information. We would not have knowingly billed you fraudulently for any services. I verified the address we have on file and it does match yours on this complaint, so I am not sure why you would not have received any of the statements or letters for pre-collections. Please feel free to call me at the billing office at ************ (direct number) or respond to this complaint to let me know if we billed the wrong patient twice for the MRI services at ***** *** *****. I would be happy to talk to you.

  Customer response

  09/14/2022

  Complaint: ********
  
  I am rejecting this response because: The hospital I work with is not associated with *****. Also isn't that what insurance is for? but I have no knowledge of MRI's done, or have I gotten any letters
  
  
  
  Sincerely,
  
  ***** ****

  

  Business response

  09/20/2022

  *** ****, I went into the ***** electronic medical record and your chart is there with the charges we filed to your insurance, as well as the same address listed on this BBB complaint. Perhaps you do not work at *****, but it appears that you have been billed by both West County Radiological Group and ***** Hospital for these services. These are legitimate bills for services performed, and are owed to us as the professionals who performed the interpretations of these services. Your insurance paid a portion of the bill and you owe the remainder, which is your deductible amount per the explanation of benefits from your insurance provider. Please contact your insurance company if you have questions regarding why you owe this amount. Thank you.

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