Mahoning Valley Manufacturing

I have a been sent a bill from Sharp Grossmont Hospital with all the wrong procedures I had done including the wrong insuranceWhen I spoke with the billing dept regarding my bill she couldnt help me with any of my questions as to why I was getting billed for a procedure I didnt have and why they had the incorrect insurance informationShe could only tell me that it was a courtesy call and she couldnt help with any of my questionsShe told me what she could do was send me an itemized bill to help explain what I was being charged for but I have yet to see any itemized billThis is a bill they are sending me without any explanation as to what Im payingNo CPT Codes, nothingThis is ridiculous

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] and find that this resolution would be satisfactory to me I will wait for the business to perform this action and, if it does, will consider this complaint resolved Regards, [redacted]

Sharp wrongly coded my bill, got it uncovered by Insurance, multiple phone calls with their customer care didn't helpThey just want to [redacted] money in disguise without communicating that to the customerTotally unsatisfied

Per your request I have reviewed the complaint that was referred to you, the BetterBusiness BureauI have researched to see where we could improve in our process offollowing up with our patients.I have listened to every call that the patient's mother made to Customer Service, aswell as those calls we made to her and the insurance company ..Please see below for a list of callssite Representative CAY JO called [redacted] ***s spoke with Til aReference# [redacted] speech therapy was quoted at $COPA Y, No deductible andservice covered at 100%Visits are based on Medical Necessity and Pre Certification is notrequired [redacted] ***s representatives do not check on OX codes however procedure code92521, 92522,and are all valid and billablepatient mother called spoke to [redacted] to inform that onsite advised her only a $ 15.00copay would apply to the visitHowever she is getting a bill for $388.00, CSR explained that perthe insurance Explanation Of Benefits the service was not a covered benefit and directedpatient mother to the site that first assisted herSite Rep called PFS Customer Service and asked that we call patient mother for claimreviewCSR [redacted] called Insurance [redacted] ***s and was directed to a different number,CSR called mother and left message that she is working on account and to please allow time forher to contac t insurancePatient mother returned call to Customer Service Representative ( [redacted] ) LUNJE5took the call and advised patient mother [redacted] is working on the account [redacted] placed call to patient mother to advise she is working on account and willcall insurance on Patient mother called, ROBTEtook call and call droppedPatient mother called again [redacted] took call and advised patient mother she wouldlet [redacted] know to call her back with an update [redacted] called [redacted] ***s spoke with [redacted] and explained per call onREF# [redacted] benefits for Speech Therapy were verified and noprecertification was required, [redacted] advised she would send the claim back for reconsideration,she explained to [redacted] to allow days for response and provided REF# [redacted] Patient mother called spoke with [redacted] advised CSR that her insurance denied theclaim and explained to CSR that she is waiting on a call from [redacted] **, CSR explained topatient mother to a llow more time for insurance to reprocess the c laim [redacted] called patient mother to advise that she spoke with insurance and theyare reprocessing the c laim to allow timePatient mother called advising she is waiting on a call back from [redacted] CSRHILMO explained time frame and advise to allow timePatient mother called to inquire on status of c laim [redacted] explained to mother that asof SRS received a letter from [redacted] ***s advising the claim was received andreviewedCSR advised she would delay dunning level and asked to check status of claim withinsurance in two weeksPatient mother called to follow up on claim [redacted] took information and advisedpatient mother he would relay message to ***Patient mother called to make credit card payment on the balance of $ [redacted] called patient mother to review account and see how she can assist her.Pt mother advised of everything that has happened during her calls [redacted] advised patientmother that she will research account and get back to her in two business days***reviewed account and submitted coding request to make sure that DX code used wasappropriate and also submitted refund request in the amount of $TL [redacted] called [redacted] ***s at spoke with [redacted] who advised claimwas sent to home plan on for reprocessing, home plan advised claim wassent to technical team for review, final decision was made advising claim wasprocessed correctly as developmental delay is not a covered benefit.At this time, we have decided to refund [redacted] $Though the denial forservices was appropriate per the insurance, we do not feel we provided the very best customerservice we could have.If you have any questions please feel free to contact me [redacted] Team Lead CCD

This insurance company is a jokeTheir customer service department is completely ineptMost of their reps work outside their house & seem bothered when you call with any questions or concerns on your accountYou can hear kids loudly calling for "mommy" in the background & dogs barking into the phoneI've literally spent months making phone calls- over calls to various reps/ supervisors regarding separate reimbursements that were submitted over months agoI'm given conflicting answers like "Yes, we have everything we need & are processing your reimbursement & everything was authorized" to days later "I don't see anything regarding your reimbursements on your accountSend it back in" I've sent in the same forms times & still no one, not even supervisors have any clue what the status isThey also continuously over-bill my bank account for premiums (I'm on auto pay) & then claim it was "a system glitch", then they do an "audit on my account" which takes months in order to get credited what they overcharged me onTo resolve any issue it takes months & most issues are never resolvedThey are thieves & their "customer service" department is more of a "customer torture" departmentIt honestly is torture to have to speak to anyone in their companyExpect clueless agents if you ever have to call them, hung up phone calls & hours on holdDefinitely not renewing my health insurance with this incompetent health insurance company

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution would be satisfactory to me I will wait for the business to perform this action and, if it does, will consider this complaint resolved Regards, *** [redacted]

In February I was in the process of scheduling a minor outpatient surgery when I got laid off from my job My insurance was valid through the end of February, but I had a 20% coinsurance and needed to know how much the surgery would cost me I do not have a medical billing background, and have not had any major surgeries or procedures done recently, so I had no idea how much this surgery (or any surgery) would cost I was advised that someone from the hospital would contact me the week before the surgery to advise me of my out-of-pocket expense No one ever contacted me, so days before my surgery I start making frantic calls to the hospital, the billing office, and my doctor's office in an attempt to determine the costs to decide if I could afford the surgery While the hospital and the billing office were not able to assist me, I was able to speak to Robin, the "business manager" of my doctor and surgeon DrMark Zyman Robin spoke to DrZyman who provided her with the b

The Sharp hospital wants to charge me the bill $2044, but the Sharp didn't ask the student insurance to pay my billThe reason is they believe I was hurt by a carHowever, the real situation is I was hit by a Kart(a toy car) And I already told the situation to the hospital, but the hospital still ask me to pay rather than insurance companyAnd I just a student and don't have enough money, and I think this price is not reasonable, $is too expensive, and hosptial didn't give me material treatment

Horrible billing departmentWas seen for Federal Labor & Industries injury they never billed it to the L&I insurance and never billed my health insurance either then sent my account to collections stating they had sent me statements in less than months, come to find out they sent one statement and it was not to the address on my intake sheetThey have every bit of information needed to bill this to both L&I or my health insurance for I am covered by bothThey called the Kaiser Medical insurance for eligibility in CA instead of WA as it clearly states on my Insurance card they scanned into their system Yet they gave the L&I information to the outside providers that were involved in my care and they billed the claim and were paidI am not sure how this place runs when they have the information and don't know how to use it It is still pending and I have spent countless hours on the phone with themI am a Federal employee being turned into collections and it is all because they CANNOT do their job correctlyI wish I could bill them for the time I have spent explaining to them how to do their job correctlyIf you have a billing problem you need to stay on top of itManagers never return calls you have to keep wasting time calling until you finally get themThey need to be trained and be responsible for their poor actions