Christus Good Shepherd Medical Center - Marshall Reviews (%countItem)
Christus Good Shepherd Medical Center - Marshall Rating
Address: 700 E Marshall Ave, Longview, Texas, United States, 75601-5580
Phone: |
Show more...
|
Fax: |
+1 (903) 927-6101 +1 (903) 236-2364 |
Web: |
|
E-mails: |
Sign in to see
|
Add contact information for Christus Good Shepherd Medical Center - Marshall
Add new contacts
GSMC took my remaining deductible up front for 2 different surgeries and instead applied it towards charges the insurance said I am not liable for.
I had 2 different surgeries in 2019. The first was a day surgery for injections in my spine on 9/25, the 2nd was for removal of an ovarian cyst on 11/6. The hospital made me pay a large part of my remaining $1800+ deductible up front before surgery so I paid them $1,000 for my first surgery. The doctor billed first, and my part of the deductible was $658. Then I had to pay my remaining balance of $230 to the hospital before my 2nd surgery-they tried to get me to pay the full remaining $1,230 again, but I explained to them they were already holding $1,000 of my deductible for the 9/25 surgery, which for some reason, they still hadn't filed by the time of the 2nd surgery. After the 2nd surgery, the doctor billed first as well. The hospital ended up sending bills for both surgeries around the same time and the insurance said some charges were not allowed and I was not responsible, but what was allowed and after discounts were applied, the insurance paid 100% because they showed my deductible had already been met. I tried to get a refund from the hospital to pay my 2nd doctor, but they kept making excuses, claimed they were re-filing, etc and would not send a refund, so I just started paying the doctor additional money hoping I would eventually get the refund I deserved. To mess things up even further, the 2nd doctor, whom I owed most of my remaining deductible, re-filed his claim. The insurance processed it and paid the doctor more money, but failed to reapply my deductible, so they paid the doctor 100% of what was allowed after discounts. Then I started PT, so when the hospital billed for PT, the insurance applied the deductible to that claim instead. So I thought, ok, well at least the hospital already had my deductible money so they will apply it there instead since they were paid in full on the 2 surgeries. Wrong. Apparently GSMC decided to apply the $1,000 I paid towards the 1st surgery and $151 of the $230 that was left of my deductible for the 2nd surgery towards charges on the 1st surgery that the insurance denied payment for and said I was not legally liable for. Then GSMC sent me a new bill for the $1,191 of my deductible, for which they already had, but chose to apply to charges I am not liable for according to my insurance. When I called them about this, they claimed they filed an appeal on 1/31; however an appeal can take at least a month with no guarantee the insurance will agree to pay, and even if they do, it would be for a discounted amount and they charged me full price, when they shouldn't have charged me at all. That's between them in the insurance company. My insurance broker has assured me I am correct about this and that GSMC cannot legally do what they have done. I have EOB's and documents and statements that prove all of this. The charges they are appealing are for a 2nd set of injections which total $1,275 before a negotiated price and not only did they take my deductible and apply it towards these denied charges, but they are billing me for the difference as well as my remaining deductible all over again. I have called and tried to talk to a manager, but their customer service in billing is very rude and keep giving me a run-around. It is only through persistence and multiple calls that I managed to find out about the appeal, what charges were being appealed and get a printed statement to show where my $1,230 was applied.
I would like them to do what they are legally obligated to do, and that is apply my prepaid $1,230 deductible balance towards my actual deductible and not towards charges for which they are appealing with the insurance and for which the insurance says I am not liable for.
Contact Name and Title: ***
Contact Phone: XXX-XXX-XXXX
For date of service 09/25/19 patient paid $1000.00 prior to service as patient estimated responsibility quoted by our account representative was 1885.62. On 11/22/2019 patient called office and spoke to our account representative and asked for an itemized bill at which time our account representative advised patient that account was not completed as account was still being worked in the coding department. Coding was completed on account with claim being filed to insurance company on 11/27/19 in which claim completed processing with *** insurance company on 12/12/19 with payment being received. Patients account was reviewed by our account representative with call being placed to *** insurance company on 1/2/2020 in regards to denied items on claim that was submitted in which *** insurance representative sent claim back thru *** system for processing. Our account representative called *** insurance company again on 1/14/2020 and per *** representative claim was still processing and we must allow 30 days for processing to complete. Patient called on 1/14/2020 and spoke to our account representative who advised patient claim was being reprocessed at this time based on conversation with *** insurance account representative. Patient requested an itemized statement which was printed by our account representative and mailed. Our account representative called *** insurance company on 1/17/2020 and was told that claim was still processing. On 1/29/2020 our account representative called *** insurance company and spoke to *** representative who stated that claim was completed and at that time our account representative sent account to clinical appeal team for additional review. Account has now been completed through all processing steps which has resulted in a credit showing on patients account. Per policy of Christus Good Shepherd if a valid credit is left on a patients account, the credit balance is transferred to any outstanding account balances. Acknowledgement of credit balance transfer is disclosed in paperwork signed by patient at time of service.
On date of service 11/6/19 patient paid 233.00 at time of service. Claim was submitted to *** insurance company on 11/13/19 with payment being received leaving patient 43.35 on deductible. Due to patient having a credit in amount of 189.65 from payment made at time of service credit in amount of 189.65 was transferred to patients accounts that had outstanding balance.
Patient had service performed on 12/9/2019 for physical therapy in which claim was submitted to *** insurance company on 1/16/2020. Claim was processed from *** insurance company showing patient had a deductible amount of 1191.59 that was applied as patient responsibility. On 2/27/2020 our account representative called *** insurance company to verify benefits due to another deductible being applied. Per *** representative patients policy states that there is 100% coverage for physical therapy after patient has meet $5000.00 deductible. At time of service *** insurance representative states patient had not meet deductible so 1191.59 was applied to deductible.
We have account representatives available Monday thru Friday from 8:00am to 5:00pm happy to meet with patients in regards to their concerns or questions regarding their accounts in person or over phone.
(The consumer indicated he/she ACCEPTED the response from the business.)
It appears they finally did what I have been asking them to do, which is apply my prepaid deductible towards my actual deductible. I will contact them again tomorrow to request new copies of all my statements and receipts. I have refrained from having any more procedures or blood work done there until this was resolved. Now I feel comfortable with going back! I highly recommend the Revdex.com for dispute resolution!
I was called a week before my MRI and offered a cash discount if I paid in full at the time of service and now they are claiming that I have a balance
I was scheduled for an MRI on my toe at Christus Good Shepheard Medical Center in Longview Texas on February 16th, 2018. My account number is LXXXXXXXXXXX. A week or so before my appointment I received a call from a man who offered me a deal. He told me that if I paid $525 on the date of my MRI, it would be all that I owe and the full cost of the MRI would still go against my insurance deductible. It sounded like a really good deal, so I agreed to do it. On the morning when I showed up for the MRI I went to the front desk to register and the lady had the information that I had agreed to pay for it upfront and reviewed it with me.
Everything went fine at the MRI and then a couple of months later I started getting phone calls about a balance that I owed. It felt fishy because I had never received anything in the mail and to start getting collection calls without ever knowing that I owed anything felt wrong. I told them what I had agreed to and they said they would file a dispute with the provider.
The phone calls started up again so I called the billing office and spoke to Sherry and said that they did the investigation and that what I agreed to was only an estimate and I owe them $2700. I tried to explain the situation to her and asked her how to dispute it and she said that it was already disputed and that my only options were to pay a lump sum or agree to a payment plan.
I explained to her that I did not feel that I owed the money and asked her to think about it logically. Why would I pay $525 on the date of service if there was no benefit to me? She got frustrated and we ended the conversation.
I am assuming that since Christus had distributed my phone number to a person to call me and make a deal, it is probably on a recorded line. If they can pull the recording and check what he really said it will solve everything.
I know this is a big hospital, but the entire deal felt like a scam.
I would like them to erase the balance that they have turned over to the collection agency and settle for the $525 I have already paid.
Being charged when no care was received.
On my neurologist's advice, I went to the ER for an MRI due to a suspected TIA (mini stroke). I sat in the ER for over 7 hours and was never treated. Was feeling ill so I told them I was checking out and going home because I had not yet been seen.
Waive the $300 copayment they are charging me for emergency services as it is insulting that I sat for hours and did not get seen or get an MRI done.
It is my understanding that Christus is writing this off. My husband made several trips to their billing department and they finally agreed that he did not receive any treatment during this visit.