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Duke Medical Center Reviews (8)

Complaint[redacted] submitted incorrect coding to my insurance company and has failed to rectify. I went in for a routine [redacted] testing on February 17, 2014; this is preventative care and 100% taken care of by my insurance company [redacted] For some reason, it was coded incorrectly based on the doctor's notes and I received bills from [redacted] and [redacted] After NUMBEROUS of emails and calls to their Customer Service Dept (people telling me something different each time), it finally went through a review process and it was determined that it was indeed coded incorrectly and they said they would correct my claim after 30 days; someone left me a VM stating this. Well, 30+ days went by, and I called their Customer Service again (and probably emailed too) and the representative told me that my claim still had not been corrected/processed, and he didn't know why it was still sitting there. So he escalated. Fast forward to now, I called [redacted] today, and they said instead of submitting a corrected claim, [redacted] submitted a NEW claim which was denied because they should have sent in a CORRECTED claim. Then on top of that, [redacted] said the new claim still had the incorrect coding from the initial claim; [redacted] just added some new coding to it. So basically, the coding was still incorrect and I would still get billed! So, today, 6/26/2014, the [redacted] representative called [redacted] Customer Service and a representative basically ignored all the notes on my account and just reiterated the incorrect information from Feb 17 to the [redacted] rep! I honestly don't know what to do at this point. The customer service is horrible and no one seems knowledgeable and I can't get this situation rectified. Nothing is consistent! This situation is a total nightmare and I've wasted so much time on THEIR mistake. I keep getting bills from [redacted] because of this; this is the primary factor in this situation. I've called numerous of times about the [redacted] situation as well. The representatives didn't even know what [redacted] was and said they were not associated with them! I had to break it down to them and explain. That shows you how horrible the customer service is. The representatives are not trained well at all.Bottomline - [redacted] needs to send a CORRECTED claim to [redacted] referencing the original, incorrect claim, AND the coding in the corrected claim needs to reflect PREVENTATIVE CARE because I just had routine [redacted] testing; this has been proven through a review process (the notes will be on my account). Then [redacted] needs to send this corrected information to [redacted] so [redacted] can stop billing me. Per advice from [redacted] I will file an appeal with them as well, and hopefully this situation will be corrected one way or another. I'm just so tired and desperate at this point. Please help. Thanks.Desired SettlementCorrected claim submitted to [redacted] that reflects preventative care; also correct coding submitted to [redacted] that reflects preventative careBusiness Response We [redacted] make contact with the patient directly to resolve the issue.Consumer Response I never received a communication from the company indicating that the issue has been resolved. The only thing I received was a voice mail stating that "they will be working on it". Not sure why this case was closed. Thanks!Consumer Response Additionally, I just called [redacted] and they confirmed they have NOT received any correspondence from [redacted]Business Response We will make contact with the patient again to communicate the resolution.

RE:Incorrect Billing Statement 90 days past due Account Number [redacted] Date of Service: 8-22-14 I am a teacher. I made an appointment at Duke Primary Care Henderson to have my blood pressure checked. At that appointment on 8-22-14, I asked if I could have a check-up or would I need to make another appointment. The doctor said No. We can do it right now. My insurance company had told me anything preventive was covered.I received a bill for $624.00 for the office visit and lab costs. I called [redacted] immediately after receiving the first bill and was told not to worry and that they were waiting for Duke Medicine to re-code it and re-submit the bill. I called the Duke Medicine contact number and was told Duke Primary Care office would have to re-code it. I personally went by the Duke Primary Care Henderson office and the lady in charge of billing took my cell phone number and said she would call me right back and let me know what they would do. An hour later, she called and told me that they would help me with the lab work but I would have to pay the out-patient fee. I told her, That would be great. She said they would re-submit the bill and that I would get a new bill that would be correct. The bill is now 90 days overdue and this bill states that the next billing (at 120 days) will be sent to a collection agent.I have an excellent credit rating and pay all my bills on time. If this billing is not corrected soon, I will need to contact an attorney to settle the matter.Desired SettlementCorrected billing statementBusiness Response We will respond to the patient directly to resolve the issue.

Unable to make an appointment due to time constraints. New patients can only schedule appointments during the week before 3pm, this is discriminatory.I was unable to make an appointment because they do not see patients after 3pm. I work until 3pm, and find it discriminatory that I am not able to schedule an appointment before that time as it will force me to take off work. Desired SettlementConsider that people need to work and adjust your practice so that those who need health care can recieve it.I was able to find a Duke facility that would schedule me for an appt after 3pm. I do not know that Revdex.com is the best way to address this issue given that my situation has been remedy. Thank you

Duke Hospital billed me, got payed and 9 months later says they want more money. I went to Duke emergency room on 3//19/2014. I waited 3-4 hours to be seen. So apparently they didn't feel it was to urgent to rush me in. So after the visit I of course got billed for many different things that night. One bill said emergency room dept visit LOW/MODERATE severity. So my insurance company paid what they allow and I payed the rest. So I payed off all the bills for that visit and had a zero balance. Fast forward 9 months later and they decided they wanted to change my LOW/MODERIATE severity to a HIGH severity. So now my insurance company wont pay because it is past the filling deadline and they want me to now pay them $94.more. All because some auditor was trying to find them more money. This is so ridicilious because I payed the bill they sent me and owed them nothing now all of the sudden they want more money. They nurses in the emergency room that night didnt think it was high severity because if they did I would not have waited 3-4 before I was seen. I have never heard of anything so crazy. Nine months later sending me a bill because they changed there mind on what they wanted to charge me. That is not my fault. If they billed me that from the begining the insurance company would have paid that. But 9 months later to ask for more. Account #[redacted]Desired SettlementI just want my balance owed to be 0Business Response We will respond to the patient directly to resolve issue.Consumer Response They did nothing to fix this problem. They just sent me another bill today. one email said they would send the bill back to coding to correct. But I still got another bill. This is crazy. You cant send somepne a bill from april 2014 and because it was to old the insurance compay wont pay. Then expect me to pay cause you took to long. Final Business Response We will contact the patient directly to resolve the issue.

Billing error; unable to resolve with DukeIn Feb and March of 2015, Duke Hospital sent me 3 $45 checks saying audit showed they owed me money. 3 months later, they billed me for $135 and for $40.20 from a visit back in Nov. I paid back the money they had sent me. No apology from them for their mistake. And for the $40.20 not covered by insurance. By the time, they billed me, I could not use my health care reimbursement fund for the $40.20. Now, they say I did not pay for an office visit. That is insane because I had to pay before I was seen. I have spent a total of 8 hours on the phone with their reps. I am told that when they decided the bill had not been paid for the visits the end of 2014 that were covered by the insurance payments, each time I visited the clinic they took that payment to back pay one of the visits. In essence, insurance paid for my procedure before they processed the billing, so looked like I had a credit. Then, later they want the money. There has been a problem and they have apparently doubled allocated a payment, so looks like I owe $35. I even sent them the health care reimbursement receipt to show I paid the bill for the date on the bill, and they sent me another bill today. My account number is [redacted]Desired SettlementI went the account corrected and I want a formal letter of apology. I can't even begin to think how someone elderly could deal with this poor system of accounting.Business Response We will respond to the patient directly to resolve.Consumer Response I received a call from Duke Executive Customer Service today, 7/22/2015, and they have reviewed my account and corrected the error. Thank you for your assistance in getting this issue resolved. I truly appreciate it. Case is closed.Final Consumer Response

Duke Hospital charged for all medical care bill associated with my late husband's surgery.Duke failed to file with insurance comp in a timely mannerMy late husband expired on [redacted]. [redacted] three weeks later I received medical bills listing me as the responsible party for services provided by Duke Hospital.These accounts were placed on my credit file and I began receiving phone calls from debt collectors at Duke Hospital and [redacted] Collector and other debt collectors.My credit rating was lowered because of these collections placed on my credit file.Account No. XXXXXXX XXXXXXX XXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXX XXXXXXXXDesired SettlementI am asking for compensation for having listed these debt collectors on my credit file which gravely impacted my credit scores for several months.Business Response We are in receipt of this inquiry and we will contact the patient directly to get this issue resolved in a timely manner.Final Consumer Response I would like to know when will the company contact me and I am asking each debt be settled independently since the debt collector listed them individually and each had an adverse impact on my credit file.

Appeared to be charged wrong amount. Billing dept not able to investigate and I am unable to get response from financial dept. 9/18/2013 - arranged visit to Duke for two children with two different departments. 1.5 hr drive so this was a convenience.Son's visit (Acct # XXXXXXX) was for a consultation. He was in the room for < 5 min and seen by Dr. [redacted] for

Failed to correct Billing error for Rabies Exposure Shots for my daughter and me Medical Number: XXXXXXXXX[redacted] 09/02/1980Treatment date in question: 09/10/2013same problem as with my child. Your are billing my Insurance for a Rabies Vaccine, I was given a Rabies POST exposure shot, not a preventative. Also it was not mentioned to my Insurance that I was EXPOSED TO A [redacted] !!!! The same treatment was given on the 09/03 - 09/06 - 09/17 again and all other 3 were billed CORRECTLY The dates in question with the billing details: Medical Number: XXXXXXXXX[redacted] 04/30/2002 Treatment date in question: 09/10/13 I and my daughter received medical care at your hospital on 09/03/2013,09/06/13,09/10/2013 and 09/17/2013 for RABIES POST EXPOSURE SHOTS due to that the Department of Health contacted us and said that the [redacted] possibly had rabies and we were exposed since we found it in our Bedrrom. I am now receiving bills from the hospital,which are incorrect. I called now a minimum of 6 times, each call took an average of 45min. Every time I was notified that the charges are not correct and they will be corrected by the Billing Department and each time I receive the same Bill back with the same amount.How can it it be, that my daughter receive the SAME CARE 4x and 3x you Bill my Insurance with the correct code and the 4x time you Bill wrongly.My Insurance has tried to contact your Billing Department, to no avail. I have shown enough patience dealing with your Billing Department, and I refuse to be bullied by your Hospital to pay a bill for a service I NEVER received. Your are billing my Insurance for a Rabies Vaccine, my daughter was given a Rabies POST exposure shot, not a preventative. Also it was not mentioned to my Insurance that my daughter was EXPOSED TO A [redacted] !!!! All other 3 of the Post rabies shots were however billed correctly. The same treatment was given on the 09/03 - 09/06 - 09/17 again and all other 3 were billed CORRECTLYDesired SettlementI am seeking to have the charges for the 09/10/2013 charges for my daughter and I corrected. I am also seeking that all other left over charges will be taken off my account due to the fact that I had an average of 8 hours on the phone with their billing department,postage etc to show Duke Hospital that they are indeed made a mistake, however even after many attempts Duke Billing refuses to correct their error. This has cost me time and money and I am asking that ALL charges will be dropped regarding my daughters and mine account. Business Response We are in receipt of the inquiry and we are currently working with the patient to get this issue resolved in a timely manner.

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Description: Hospitals, Weight Reduction Doctors

Address: 2301 Erwin Rd, Durham, North Carolina, United States, 27710-0001

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