Mount Sinai Center for Clinical Laboratories

On September *, patient [redacted] , [redacted] had testing performed by Mount Sinai Clinical Labs ordered by his physicianThe test in question was ordered on different specimen typesWhen billing occurred, the same CPT Code was listed twice on the remittance and the Insurance only paid for one since they see this as a duplicate serviceWhen a denial is received, follow up with the Insurance is required to notify them that this is a separate service in addition to the one that they had paidThis procedure was not followed, resulting in [redacted] receiving a billAfter [redacted] called disputing the charge of $200, we realized that this was not escalated to a [redacted] as mentioned by the customer service representativeThis has been addressed and [redacted] should not be receiving any bills from usThe staff was in-serviced regarding this issueWe sincerely apologize for any inconvenience this has caused [redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me and the matter has been resolved
Sincerely,
*** ***

On September *, 2013 patient [redacted], [redacted] had testing performed by Mount Sinai Clinical Labs ordered by his physician. The test in question was ordered on 2 different specimen types. When billing...

occurred, the same CPT Code was listed twice on the remittance and the Insurance only paid for one since they see this as a duplicate service. When a denial is received, follow up with the Insurance is required to notify them that this is a separate service in addition to the one that they had paid. This procedure was not followed, resulting in [redacted] receiving a bill. After [redacted] called disputing the charge of $200, we realized that this was not escalated to a [redacted] as mentioned by the customer service representative. This has been addressed and [redacted] should not be receiving any bills from us. The staff was in-serviced regarding this issue. We sincerely apologize for any inconvenience this has caused [redacted].

Review: On 9/**/2013 Mount Sinai Clinical Lab double billed two blood tests that were ordered by my PCP. My insurance paid for the first set of tests, but refused to pay for the second set for obvious reasons (double billing.) Since then I have been receiving a bill for the amount of $200. I have called them four times (###-###-####) and I have always spoken with a lady ([redacted]? forgot her name) who acknowledged the error and always says that she had forwarded the notification to her supervisor. However, this error has not been corrected and I keep getting this payment-overdue invoices.

I wanted to make a formal complain to the Revdex.com because I have made too many attempts to solve this issue on my own without any success. I also want to make it an official complain because three years ago they also made a mistake (charged me twice for a doctor's visit) and since I was not proactive to get the error fixed they recurred to a collection agency and I ended up paying to be done with it.

I don't want to let the same thing happen again. Mount Sinai Clinical Labs is very diligent at collecting their bills, but they are negligent when it comes to correcting their billing errors and this is a form of fraud.

Business

Response:

On September *, 2013 patient [redacted] had testing performed by Mount Sinai Clinical Labs ordered by his physician. The test in question was ordered on 2 different specimen types. When billing occurred, the same CPT Code was listed twice on the remittance and the Insurance only paid for one since they see this as a duplicate service. When a denial is received, follow up with the Insurance is required to notify them that this is a separate service in addition to the one that they had paid. This procedure was not followed, resulting in [redacted] receiving a bill. After [redacted] called disputing the charge of $200, we realized that this was not escalated to a [redacted] as mentioned by the customer service representative. This has been addressed and [redacted] should not be receiving any bills from us. The staff was in-serviced regarding this issue. We sincerely apologize for any inconvenience this has caused [redacted].

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.

Sincerely,