Boston Medical Center

This complaint is being reviewed by BMC BMC's Patient Advocacy Team has reached out to the patient to address the patient's concerns

Hello, The complainant did not share his wife's name or DOB in his initial complaint. I emailed him and received a response directly from the patient last week. Her name is *** ***. This information has been shared with our Eye Associates and Billing departments
and I anticipate a response soon Thank you,*** ***

Hello, I am writing in reference to Complaint # *** filed with Boston Medical Center It is unclear to me how to respond directly via your website. I have worked with our Patient Financial Services (PFS) department to clarify and correct the patient RD’s
account. It is my understanding that the patient’s annual exam was not listed as the first diagnosis on the claim submitted by Boston Medical Center. Therefore, the claim was rejected. On 12/8/15, the PFS department resubmitted the encounter with the corrected diagnosis. Payment has been received. The patient’s BMC Healthnet Plan covers the cost of the insured’s annual physical exam and annual lab draws. The disputed portion of the bill is for services not considered to be part of the insured’s annual exam and payment for the STD test remains the responsibility of the patient despite the resubmitted claim. Clinicians have no way of knowing which services are covered under each health plan. This is the responsibility of the patient. I hope this information is of value to you. Please feel free to contact me directly at *** if additional assistance is required. Thank you, *** *** Director, Office of Patient AdvocacyPh: ***Fax: ***

Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # ***Please add your rejection comments below.
We reject the business's continued assertion that it can defraud patients by allowing doctors to claim ignorance We have filed a complaint with Massachusetts state regulators and are pursuing legal remedies in light of the BMC's refusal to negotiate even after having admitted to charge for unnecessary and unrelated medical services during a physical exam
Regards,
*** ***

Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted]. Please add your rejection comments below. 
The patient, [redacted], has not received a response to this complaint.  The patient can be reached at [redacted].  We are out of the country and unreachable by phone and mail until 12/31/2015.
Regards,
[redacted]

This complaint is being reviewed by BMC.  BMC's Patient Advocacy Team has reached out to the patient to address the patient's concerns.

Incorrectly billed for a service that my doctor did not order. System wide error at Boston Med in 2011.3 years later my bills have not been correctedService dates 3/29/11 and 6/21/11. My doctor ([redacted]) explained to me that there was a system error in 2011 that automatically ordered a specific test called "Pulse Oxym". The administration recognized the error and my doctor indicated that patients should NOT have been charged for this service. The charge appeared on both bills for the service dates above. I have been disputing the charges for 3 years. I have explained the exact issue to the billing department but they are not taking the necessary steps to resolve. I explained to them exactly what my doctor said, which included the statement that "The billing department should contact the [redacted] of Primary Care if they have any questions." Despite these specific instructions, billing has not resolved the issue. I have spoken with about 10 different people in the billing department. They consistently do not return my phone calls. In 2013 I finally reached the [redacted] ([redacted] - I believe her last name is [redacted] but I'm not sure about the spelling). [redacted] never returned my calls in 2013. I recently reached her again on 3/18/14 (phone # is XXX-XXX-XXXX). She said she would submit my request. I followed up on 3/19/14 and she asked me to call her back the following day. I called back and she did not answer, nor did she return my call. I have tried to reach her every day since but she has not answered the phone, nor has she returned my calls to provide a status update. This process has been absolutely infuriating, I have been extremely reasonable and patient (3 years!), but I am at the end of my rope. The details of the two charges are as follows:3/29/11, account XXXXXXXXX, amount $56.706/21/11, account XXXXXXXXX, amount $55.72Instead of resolving the issue, the billing department just puts the bill on hold and lets it sit. After a while they send another bill and I have to start the process all over. The issue isn't only the lack of resolution, but also the extremely poor customer service. I have ultimately decided to switch doctors so that I don't have to deal with the billing department in the future. This is a shame because I really liked my doctor and the other medical service providers at Boston Medical. At this point I just need these bills resolved so that I can end my relationship with Boston Medical all together.Desired SettlementCorrection to accounts XXXXXXXXX and XXXXXXXXX to remove the outstanding charges of $56.70 and $55.72, and a statement showing $0 balanced owed for each account.Business Response Dear Madam or Sir,Please be advised that we received a request from Boston Medical Center to close and return the accounts listed in Ms. [redacted]'s complaint.As of April 18, 2014, your accounts are no longer handled by our office and have been returned to Boston Medical Center with no other further collection action scheduled. We also received confirmation from Boston Medical Center that the balances have been adjusted to zero.Treating patients with respect is important to us, and we apologize for any inconvenience Ms. [redacted] may have experienced.Sincerely,[redacted]This communication is from a debt collector. This is an attempt to collect a debt and any information obtained will be used for that purpose.