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Optum

5150 Journal Center Blvd NE # 1S, Albuquerque, New Mexico, United States, 87109-5900

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Optum Reviews (%countItem)

• Sep 11, 2023

Healthcare providers and quitting no one cares
My husband is ill and requires medication. He has taken this prescribed medication for years and sees his Optum care provider. We called it in, Walgreens likewise requested it and they simply quit answering the phones. They quit answering messages. I begged them to fill his prescription. They filled it very late which had awful consequences for him...and me.

I recently visited a Davita health clinic and met with a provider for a standard medical visit that should be covered by insurance 100%. The medical coding department applied an unexpected code that caused my insurance to deny payment. When attempting to call the Davita Medical Group billing department to discuss the issue, I'm endlessly routed to a number and placed on hold. After several minutes the hold is disconnected and I'm forced to call again and repeat the cycle.

Although I was able to get through one time, I was not provided with a follow-up number, request number, or any other proof that I had called. I received no callbacks or emails notifiying me of my request status.

Optum Response • Feb 13, 2020

Mr. I am sorry for the billing error on our part. I have had mentioned claim addressed by the
coding team corrected and resubmitted to your insurance plan as a corrected claim. This should be
adjudicated by your insurance within 35-40 days.

Customer Response • Feb 13, 2020

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. Thank you for your support.

Regards

I liked and appreciated Dr. L and his nurse Kim. However on my last visit (April 2019) I will billed for a service I did not have (***). On the date I went in with foot pain and obvious scar tissue. I was asked if I wanted a ***, I said no and was escorted to a different room. Dr. L asked me if I wanted a cortisone shot to help break up scar tissue. I said yes. Had I been billed for that, no problem. I called immediately to set the record straight when I received the first bill (In October 2019). I called again, in December when I received an uncorrected invoice and today I received a harassing letting telling me the bill would be turned over to a collection agency! I have an excellent credit rating and have the money to pay, but since I didn't get the service I will not pay and I feel the threat is like extortion. I called again today and was told that it was "correctly" coded (but no one bothered to call and tell me so I could continue the dispute). I keep impeccable records of my visits since they are so few and far between and while I feel sorry for the overworked staff person, who made a mistake they made an error.

On 12/22 I visited Davita Medical Group and paid for the entirety of my bill at the time of service. I did not use insurance and received a discount for direct pay. However, Davita Medical group sent me a bill for $107.25; despite the fact that I paid in full. I have made a total of 6 phone calls (1st unknown date, 3/1/2018, 3/2/2018, 3/28/2018, 4/5/2018, 4/11/2018). At the first call I was transferred to a supervisor, Ms. Daynisha (spelling?) B to work on my issue. She acknowledged that it looked like I had paid my bill in full. She requested that I contact my credit card company and request the transaction number; which I did but they did not have the transaction number. I relayed this information back to Ms. B and she then asked me for my credit card information so she could look into. I provided her with my credit card information but did not hear back from her. I left her follow-up messages but still did not hear from her. In the meantime, I received a letter, dated, March 26, 2018, from The Advantage Group, stating Davita Medical Group had sent me to collections for non-payment of$107.25.

On 4/11 I called back on the main billing number and was requested to fax proof of credit card payment despite already doing all that was requested of me previously. I have sent in my information and am waiting to hear from them confirming they received proof of my insurance.

Unfortunately, this happened to me before. On an August medical visit to Davita Medical Group, I paid in full at time of service but still received bill stating that I owed money. It took approx 8 phone calls to get this instance straightened out.

Optum Response • Apr 18, 2018

I have reached out to the patient. This complaint has been resolved. Apologized for the confusion and inconvenience this has caused. Patient satisfied with the corrections made on her account. She will rec a letter from collections agency and statement from Davita showing this has been resolved.

overcharged for sevices, deceptive advertising to get patient in door, miscommunicatin between patient codinators. lost lab information

Optum Response • Apr 10, 2018

We called the patient and stated that we at DaVita Medical Group would like to apologize for his experience, and asked if there was anything that we could do to help clear up his concerns. He stated that he will only stick to his PCP at Davita Medical Group and will look outside for his other specialty providers. We again apologized and stated that if indeed he does need us to assist him in any matter he is always welcomed to call. Patient thanked me for listening to him and stated he accepted my apology on behalf of Davita Medical Group.

The purpose of this correspondence is to document our highly unsatisfactory experience with the billing department for the DaVita Medical Group.

On March 29, 2017, my wife took our daughter to the DaVita Urgent Care Center near the Journal Center. The nurse practitioner effectively diagnosed our daughter’s ear infection.

In April, we received the bill, for which we requested reconsideration of the billing code to reflect the shorter amount of time spent than what was charged. The representative told us it would be reviewed and that we would hear back once a decision was made.

On Saturday, August 19, 2017, we received a letter from The Advantage Group dated August 9, 2017. It was not until we received this letter that we heard anything else about the matter.

On Monday, August 21, 2017, I called the DaVita Medical Group billing department. The representative indicated that, while they did have a record of my wife’s original review request, they had no record of sending us any follow-up correspondence. Additionally, while on the phone, I noticed that the original bill listed *** as the street number instead of ***. Therefore, although the billing department had the correct address in their system, the organization that sends bills on its behalf made a typographical error.

To summarize, either DaVita never attempted to contact us after the review, or, if they did, the correspondence was most likely sent to the wrong address.

During my August 21 phone call to the DaVita billing department, I made the requested payment in full to the representative using a credit card. I additionally communicated my complaints and concerns to her supervisor, Braxton. Braxton told me she would recall the debt from the collection agency and confirm nothing would adversely affect the credit reports of me or my wife. However, I never heard back from her.

In short, this whole experience has been quite unpleasant due to the sloppiness and disorganization of the DaVita Medical Group billing department.

Additionally, it should be noted that the “Contact Us” form on *** does not work.

Optum Response

Upon receiving complaint, I called Mr. to discuss the concerns. I apologized for this poor experience and will call Mr. to discuss the coding of the office visit.

Customer Response

Revdex.com:

Indeed, Mr. U contacted me via phone, during which he apologized for the sloppy billing practices. Additionally, we discussed how DaVita Medical Group Urgent Care charges about 70% more than that of other local urgent care centers for similar services. Regarding the inconvenience of the sloppy billing, he said he would escalate the matter in an attempt to provide me with a partial refund; however, based on my experiences thus far, I do not have high expectations.
Thank you

ABQ health partner double charged us for the service, my insurance refused to pay for the second charge. We contacted them multiple times and was told that they were waiting for manager`s response from the doctor`s office, which the manager never responded. Then they sent the balance $19 for collection, although account department promised will not send.

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Address: 5150 Journal Center Blvd NE # 1S, Albuquerque, New Mexico, United States, 87109-5900

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Shady, yet now dead: once upon a time this website was reported to be associated with Optum, but after several inspections we’ve come to the conclusion that this domain is no longer active.



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