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LMC Pathology Services

7455 W Washington Ave STE 301, Las Vegas, Nevada, United States, 89128-4340

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LMC Pathology Services Reviews (%countItem)

I received a bill from Laboratory Medicine Consultants stating there were tests ordered from your physician.
On April 9th 2018 I was billed from Laboratory Medicine Consultants. I had not even been to the doctors office in this time period. I called them immediately to notify them this was inaccurate. No one helped me much over the phone, they told me I needed a police report if I was going to report my identity had been used. The only way to do this was through online, which I completed. Even with the police report I still have the bill and my credit is going down every month. I'm now feeling so stuck! My credit has dropped 30 points in the last two years because I don't know how to get it off. They still think I owe the $333 dollars for a test, when I never even went to the hospital or doctors. Probably six months after the first letter I received a letter stating there was a "data security incident experienced by *** one of Laboratory Medicine Consultants vendors." So it was clear it wasn't just my information that had been compromised. I feel so helpless, it's such a small amount of money but it has affected so many aspects of my life because it dropped my credit so low. I just want this to end. I need this bill to be paid and my credit to go back to normal.

Desired Outcome

I just want this to end. I need this bill to be paid and my credit to go back to normal.

LMC Pathology Services Response • May 22, 2020

We received confirmation from the Physician's office that they saw this patient in their clinic. Does the patient have any information they can produce that would assist us in proving this is a fraud claim. The information from *** was presented as informational and occurred after the patient was seen in the clinic. If the patient can produce something and/or speak to the Physician's office, those next steps would assist. As of now, we aren't able to do anything without some type of proof.

Wrongfully sent to collections for a $100+ bill, tried to get it corrected but no action is being made by the agency to rectify.
I was on a flight, fainted, and as soon as we landed, an ambulance took me to *** in Las Vegas. I waited there for several hours and never saw a doctor. I eventually requested to leave and provided all my health insurance information to the requesting staff member. She assured me everything would be fine and that *** (my health plan) would be notified if I owed anything. Months later, I received a letter stating I would be sent to collections if I didn't pay for a $100+ bill. I contacted the agency immediately, explained that I did in fact have health insurance, and if there was any balance remaining, I'd be happy to pay for it. I was reassured by the rep notating the account that a "freeze" would be made until I received the bill in the mail (the one I never received) so I can rectify the situation. After several months of calling, I received a harassing phone call at my place of work demanding I pay the $100+ bill. Embarrassed, I settled and paid with my FSA (just so I could get them off the phone) and months later, when I went to refinance my house, I learned that they've blemished my credit by showing up on my report.

Desired Outcome

I'd like for the blemish they've made on my credit report to be reversed.

LMC Pathology Services Response • May 06, 2020

I have reviewed the account and do not see any failure on the part of the collection agency or LMC as we had an open debt to be satisfied. As a one time courtesy, I did have it removed from the patient's credit report.

Customer Response • May 07, 2020

(The consumer indicated he/she ACCEPTED the response from the business.)
My ultimate goal is to have the agency remove this from my credit report. As long as they keep their word and actually have it rescinded, I'll consider this matter resolved.

Wrongfully sent to collections for a $100+ bill, tried to get it corrected but no action is being made by the agency to rectify.
I was on a flight, fainted, and as soon as we landed, an ambulance took me to *** in Las Vegas. I waited there for several hours and never saw a doctor. I eventually requested to leave and provided all my health insurance information to the requesting staff member. She assured me everything would be fine and that *** (my health plan) would be notified if I owed anything. Months later, I received a letter stating I would be sent to collections if I didn't pay for a $100+ bill. I contacted the agency immediately, explained that I did in fact have health insurance, and if there was any balance remaining, I'd be happy to pay for it. I was reassured by the rep notating the account that a "freeze" would be made until I received the bill in the mail (the one I never received) so I can rectify the situation. After several months of calling, I received a harassing phone call at my place of work demanding I pay the $100+ bill. Embarrassed, I settled and paid with my FSA (just so I could get them off the phone) and months later, when I went to refinance my house, I learned that they've blemished my credit by showing up on my report.

Desired Outcome

I'd like for the blemish they've made on my credit report to be reversed.

LMC Pathology Services Response • May 06, 2020

I have reviewed the account and do not see any failure on the part of the collection agency or LMC as we had an open debt to be satisfied. As a one time courtesy, I did have it removed from the patient's credit report.

Customer Response • May 07, 2020

(The consumer indicated he/she ACCEPTED the response from the business.)
My ultimate goal is to have the agency remove this from my credit report. As long as they keep their word and actually have it rescinded, I'll consider this matter resolved.

Medical biller sends me bills that would be covered by insurance but biller errs repeatedly and lies.
Without my consent, *** used *** for pathology services on June 27, 2019. I received an EOB dated July 19, 2019 from my insurer stating that it processed a bill from *** but denied payment because of code "1864 TO PROVIDER: Invalid/missing/improper modifier." The EOB stated I did not owe for these services. I then received a bill for the same amount it billed my insurance dated August 15, 2019 stating "You are receiving this statement because your insurance carrier has not responded to our claim. At this time the balance due is your responsibility." This is 100% false. *** improperly coded its billing and then ignored the EOB from my insurer. I have met my deductible in its entirety and this bill would have been paid in full had *** properly coded its bills.

This is approximately the 3rd time *** has done this to me. Once, it even sent me to collections. Another time, it sent my protected medical information to some other insurance company called ***, violating my HIPAA rights. I have tried writing to them, the biller, etc., and have been roundly ignored by *** or lied to by the biller and told the bill was reprocessed when it wasn't.

I called today and after waiting on hold, was informed its computer system was down and I would have to call again another time. I am sick and tired of having to call repeatedly to try to resolve ***'s billing mistakes.

Account Number *** Amount of bill: $255.90.

Desired Outcome

That it properly code its bills for this bill and every single bill in the future. Preferably that it hire a biller that is competent.

LMC Pathology Services Response • Aug 27, 2019

LMC is a blind provider. We never have the patient in front of us presenting their billing information so we have to go off of what is sent to us by the referring facility. The information we received on this claim came via a direct hospital interface. Unfortunately, there is no manual intervention by LMC's billing vendor *** (***) due to the interface with the hospital. We did not receive an EOB from the insurance for this claim. We received an upfront denial that the information that was being used to bill was incomplete. That triggers a statement to go out to the patient in hopes that they will call in and provide the corrected information. I will have our billing vendor *** looking into the denial that was received, but, we may need the patient's assistance in getting this claim processed if it is not something we can resolve with the information we were provided.

Customer Response • Aug 28, 2019

(The consumer indicated he/she DID NOT accept the response from the business.)
I would be happy to provide a copy of the EOB that was sent to LMC. I also received a bill from LMC or its biller for a bill that was paid in full by my insurer. LMC ignored my statements that billing incorrectly ("missing modifiers" and claims they didn't receive EOBs I can prove were sent) is a routine occurrence.

I have never had to provide additional information because the problem is not on my end. It is always on LMC's end or its biller's end. I did call this time, again, and after waiting on hold for 10 minutes, I was told the computer systems were down. Obviously, LMC has my correct information if the second bill was paid in full. It is not my fault that LMC or its biller billed the wrong insurer (***) in a prior billing problem and violated my HIPAA rights.

LMC is not being honest about these billing errors. Bill the insurer correctly and provide evidence they have done so without me having to sit on hold again for no reason.

LMC Pathology Services Response • Sep 05, 2019

As a courtesy to the patient, this account is being adjusted to a zero balance.

Medical biller sends me bills that would be covered by insurance but biller errs repeatedly and lies.
Without my consent, *** used *** for pathology services on June 27, 2019. I received an EOB dated July 19, 2019 from my insurer stating that it processed a bill from *** but denied payment because of code "1864 TO PROVIDER: Invalid/missing/improper modifier." The EOB stated I did not owe for these services. I then received a bill for the same amount it billed my insurance dated August 15, 2019 stating "You are receiving this statement because your insurance carrier has not responded to our claim. At this time the balance due is your responsibility." This is 100% false. *** improperly coded its billing and then ignored the EOB from my insurer. I have met my deductible in its entirety and this bill would have been paid in full had *** properly coded its bills.

This is approximately the 3rd time *** has done this to me. Once, it even sent me to collections. Another time, it sent my protected medical information to some other insurance company called ***, violating my HIPAA rights. I have tried writing to them, the biller, etc., and have been roundly ignored by *** or lied to by the biller and told the bill was reprocessed when it wasn't.

I called today and after waiting on hold, was informed its computer system was down and I would have to call again another time. I am sick and tired of having to call repeatedly to try to resolve ***'s billing mistakes.

Account Number *** Amount of bill: $255.90.

Desired Outcome

That it properly code its bills for this bill and every single bill in the future. Preferably that it hire a biller that is competent.

LMC Pathology Services Response • Aug 27, 2019

LMC is a blind provider. We never have the patient in front of us presenting their billing information so we have to go off of what is sent to us by the referring facility. The information we received on this claim came via a direct hospital interface. Unfortunately, there is no manual intervention by LMC's billing vendor *** (***) due to the interface with the hospital. We did not receive an EOB from the insurance for this claim. We received an upfront denial that the information that was being used to bill was incomplete. That triggers a statement to go out to the patient in hopes that they will call in and provide the corrected information. I will have our billing vendor *** looking into the denial that was received, but, we may need the patient's assistance in getting this claim processed if it is not something we can resolve with the information we were provided.

Customer Response • Aug 28, 2019

(The consumer indicated he/she DID NOT accept the response from the business.)
I would be happy to provide a copy of the EOB that was sent to LMC. I also received a bill from LMC or its biller for a bill that was paid in full by my insurer. LMC ignored my statements that billing incorrectly ("missing modifiers" and claims they didn't receive EOBs I can prove were sent) is a routine occurrence.

I have never had to provide additional information because the problem is not on my end. It is always on LMC's end or its biller's end. I did call this time, again, and after waiting on hold for 10 minutes, I was told the computer systems were down. Obviously, LMC has my correct information if the second bill was paid in full. It is not my fault that LMC or its biller billed the wrong insurer (***) in a prior billing problem and violated my HIPAA rights.

LMC is not being honest about these billing errors. Bill the insurer correctly and provide evidence they have done so without me having to sit on hold again for no reason.

LMC Pathology Services Response • Sep 05, 2019

As a courtesy to the patient, this account is being adjusted to a zero balance.

Billing for services not needed. I had several routine labs ordered that are computer analyzed and resulted. No pathologist services were needed!
I was inpatient for kidney stones and had several routine laboratory blood test performed. all were to be processed by computer and resulted from the computer. results were then interpreted by my hospitalist. At no time were a pathologist needed to review the results or touch my specimens. There were no biopsies, cultures or blood smears requiring a pathologist, yet *** has billed for these services, a total of $283.00. My insurance has stated this was not necessary and will not pay. The hospital ***, states over the phone they do not know why the pathologist looked at my specimens but the billing is done by the pathologist. This is unjust billing practices. It not appropriate to touch specimens that do not need your specialization, thus this billing is not just.

Desired Outcome

drop the unjust billing.

LMC Pathology Services Response

Contact Name and Title: Alison ***-Billing Lead
Contact Phone: ***
Contact Email: ***
*** - Thank you for taking the time to open an inquiry on your accounts with ***. I have reviewed your account and you are correct, there was no pathology performed directly by *** on your specimens. Our facility did, however, process several lab tests as ordered by ***. *** was our physician that signed out your completed results at *** and that is why you are seeing his name as the performing physician. Again, you are not being charged for any sort of reads, but, only the tests as requested and noted below:

05/26/2017 $29.50 - ***
05/26/2017 $29.50 - ***
05/26/2017 $29.50 - ***
05/26/2017 $23.00 - ***
05/26/2017 $24.00 - ***
05/26/2017 $28.50 -***
05/26/2017 $ 8.00 - ***
05/27/2017 $29.50 - ***
05/27/2017 $28.50 -***
05/27/2017 $14.00 - ***
05/27/2017 $22.50 - ***
05/27/2017 $16.50 - ***

If you have any further questions/concerns, please do not hesitate to contact me directly as I have included my direct line and email address within the information provided back to the Revdex.com.

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Address: 7455 W Washington Ave STE 301, Las Vegas, Nevada, United States, 89128-4340

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