PIH Health Hospital

Lambert Radiology placed my account in collections with PROGRESSIVE MANAGEMENT SYSTEMS FOR *** for services rendered in 2017. In Jan 2018 when I received a statement I contacted LR and advised them that I had 100% medical coverage. The representative advised me that it was a billing error on their end and corrections would be made. Today I discovered that the item is on my credit report, reported as a derogatory item, negatively impacting my credit score. I contacted LR, and spoke with Supervisor *** She stated that they have been billing PROGRESSIVE INSURANCE for an auto accident for the bill. This is not my insurance company. I'm with *** and I was not involved in an auto accident. *** informed me that they would re-bill the correct insurance company but would not delete this item or remove this from the collection agency. I explained to *** that this was no fault of mine and how could they penalize me for their mistake. I also informed her that my husband passed away and that I am trying to arrange financial matters with our home and this was effective my credit score. *** had not empathy for the matter and refused to request the Agency to "delete" the item. Please assist me if you can. I want this item removed as it is having a huge impact on my finances.
Product_Or_Service: Services

The service I received did not reach the standard level of care. I was also charged a higher level of service than I received.
I received services at the PIH Health facility in Downey, CA. I went to the Emergency Room at the Downey facility on December 23, 2016. I had lacerated my leg and it required stitches.

I arrived at the facility at approximately 12:30am and they proceeded to admit me for services. It took a couple of hours to process me into the facility. They then took me into the emergency room for the required stitches. The cut I sustained was very deep and I asked the emergency room doctor if I should have internal stitches prior to the external stitches. I was told that it was not required. They proceeded to clean the cut and applied 5 stitches to the wound. They also gave me a tetanus shot. I was released at 2:45am.

I went to my Primary Care physician to have the stitches removed. When my physician saw the results of the stitches, he said that they were poorly done and would leave a big scar. He suggested that if I wanted, he would send me to another doctor to have the cut opened up and re-stitched.

I received the bill for the services from PIH Health. The total charge for my visit was $***. PIH has been paid $*** towards this bill. I also received a bill directly from the attending physicians medical facility for $*** (I filed a complaint with them and they agreed with my assessment and cancelled their bill for this service).

I called the PIH Downey facility and requested relief from the remaining balance due to the poor service I received. My request was reviewed by the Quality Department and on April 17, 2017 they sent me a letter denying my request. I then went to the PIH Whittier facility May 5, 2017 to discuss the issue with the billing department. I showed them the injury and provided a statement and pictures, again requesting relief due to poor service. I was again denied.

Upon further review of the bill, it has come to my attention that I was billed a higher level of service than was required for this visit. I was only in the facility receiving service for approximately 30 minutes and received only 5 stitches and a tetanus shot.

I wrote a letter to the PIH Health President and CEO to request a review of the service I received and the charges for the visit, again requesting an adjustment to the bill. This request was sent to the same Quality Department and again my request was denied.