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Gem State Radiology

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Gem State Radiology Reviews (3)

Gem State RadiologyPO Box 9649Boise, ID 83707BBB Complaint ID: [redacted] Account Number: [redacted] Patient Name: [redacted] had services on [redacted] . His claim was submitted to insurance on 08-24-17 and denied by [redacted] on 09-18-17. Charges were denied as primary diagnosis is... invalid for this setting.This denial was reviewed by our coding department to verify all codes were accurate. After extensiveresearch, we found that this claim was denied because this service is not listed on [redacted] ’spublished list of prioritized services. This was explained to the patient’s spouse on 12-22-17. Since thisis a non-covered service, the patient is responsible for the balance of $18.70.We strive to provide accurate, thorough claims submission, and believe that was done in this case.Understanding insurance denials can be confusing as well as frustrating. Given the above facts, the GemState Radiology account balance remains due. We are always willing to discuss payment optionsavailable to our patients, as we understand these are unexpected expenses.I apologize if you feel you were treated poorly by our customer service representatives; this is certainlynot the goal of our business nor does it help anyone when our customers are frustrated. Should youhave further questions, please don’t hesitate to contact our office at 208-472-8100.Sincerely,Lisa L***Billing ManagerPractice Management Inc [redacted]

Complaint: ***
I am rejecting this response because: *** *** *** *** *** assured me that I have no patient responsibility in this case, and that the code was incorrect. And besides, all of the other ex-rays taken for his surgery went through the billing process just fine.
Sincerely,
*** ***

Gem State RadiologyPO Box 9649Boise, ID 83707Revdex.com Complaint ID: [redacted]Account Number: [redacted]Patient Name: [redacted] had services on [redacted]. His claim was submitted to insurance on 08-24-17 and denied by[redacted] on 09-18-17. Charges were denied as primary diagnosis is...

invalid for this setting.This denial was reviewed by our coding department to verify all codes were accurate. After extensiveresearch, we found that this claim was denied because this service is not listed on [redacted]’spublished list of prioritized services. This was explained to the patient’s spouse on 12-22-17. Since thisis a non-covered service, the patient is responsible for the balance of $18.70.We strive to provide accurate, thorough claims submission, and believe that was done in this case.Understanding insurance denials can be confusing as well as frustrating. Given the above facts, the GemState Radiology account balance remains due. We are always willing to discuss payment optionsavailable to our patients, as we understand these are unexpected expenses.I apologize if you feel you were treated poorly by our customer service representatives; this is certainlynot the goal of our business nor does it help anyone when our customers are frustrated. Should youhave further questions, please don’t hesitate to contact our office at 208-472-8100.Sincerely,Lisa L[redacted]Billing ManagerPractice Management Inc[redacted]

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Address: PO Box 9649, Boise, Idaho, United States, 83707-4649

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