Per Your Health Alliance Pathology Consultants Reviews (%countItem)
Per Your Health Alliance Pathology Consultants Rating
Address: 8085 Rivers Ave STE 100, North Charleston, South Carolina, United States, 29406-9239
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Improper billing, no response after several attempts, continue to send me bills without attempt at resolution
I had a medical service date of 12/26/2019. My medical insurance for in-network deductibe was met. With an abnormal pathology report the in-network hospital lab sends it to Alliance Pathology Consultants for a 2nd review. Alliance is typically out-of-network with my insurance. There is a "Hold Harmless Act" which states that in this situation the out-of-network provider must bill at the in-network rate since the consumer (me) have no way to determine or request where the 2nd labwork is sent.
Upon receiving my "Request for Payment" I called Alliance on the 800 number. The customer service reps are very nice, record my issue in their notes, and supposedly forward the issue to a Billing Specialist for review. I was told it takes 30 days for them to review. Every month I receive another request for payment, and I call to dispute the bill. Upon receipt of the 2nd bill I called again and requested to speak to the billiing specialist or supervisor. Again, upon receipt of the 3rd bill, I did the same thing. The CSR has stated both times that the supervisor is unavailable and will call me back. No one has contacted me. I have also gone online to request a resolution and contact me regarding a resolution. Still no communication from them.
My current bill is only $63.12. However, I feel this is fraudulent and illegal. If it had been resolved quickly I would understand the error. Now, they are avoiding the error by not calling me and continuing to request payment.
I feel I have done everything in my power to contact them without response. I'm told I will get a return call, but that doesn't happen. What I was told would take 30 days to review has been over 90 days with no update.
Account #: ***
Amount due: $63.12
Thank you for looking into this.
I would like an explanation on these charges. I believe the charges are to be coded as in-network and would therefore be zero due to them. (Hold Harmless Act) If there is a valid reason for not revising this bill I would like to understand the reason and receive documentation on that. An explanation as to the lack of response and long wait time would be nice, but unnecessary.
Improper billing, no response after several attempts, continue to send me bills without attempt at resolution
I had a medical service date of 12/26/2019. My medical insurance for in-network deductibe was met. With an abnormal pathology report the in-network hospital lab sends it to Alliance Pathology Consultants for a 2nd review. Alliance is typically out-of-network with my insurance. There is a "Hold Harmless Act" which states that in this situation the out-of-network provider must bill at the in-network rate since the consumer (me) have no way to determine or request where the 2nd labwork is sent.
Upon receiving my "Request for Payment" I called Alliance on the 800 number. The customer service reps are very nice, record my issue in their notes, and supposedly forward the issue to a Billing Specialist for review. I was told it takes 30 days for them to review. Every month I receive another request for payment, and I call to dispute the bill. Upon receipt of the 2nd bill I called again and requested to speak to the billiing specialist or supervisor. Again, upon receipt of the 3rd bill, I did the same thing. The CSR has stated both times that the supervisor is unavailable and will call me back. No one has contacted me. I have also gone online to request a resolution and contact me regarding a resolution. Still no communication from them.
My current bill is only $63.12. However, I feel this is fraudulent and illegal. If it had been resolved quickly I would understand the error. Now, they are avoiding the error by not calling me and continuing to request payment.
I feel I have done everything in my power to contact them without response. I'm told I will get a return call, but that doesn't happen. What I was told would take 30 days to review has been over 90 days with no update.
Account #: ***
Amount due: $63.12
Thank you for looking into this.
I would like an explanation on these charges. I believe the charges are to be coded as in-network and would therefore be zero due to them. (Hold Harmless Act) If there is a valid reason for not revising this bill I would like to understand the reason and receive documentation on that. An explanation as to the lack of response and long wait time would be nice, but unnecessary.
Apparently this company lists itself as Dominion Pathology Assoc. PC Ap and sent me a bill for services that I nor Medicare have no knowledge about.
I received a bill from this company that claims that on 8-18-18 Medicare lacks the information needed to process this bill. The date of service that they claim is 5/22/17. This is the first time I have heard of this company and first notice that I have received. Medicare only allows 1 year to file a claim. There is only 20 more days left for this company to file a proper claim against a date of service that they claim a service was rendered. I called Medicare and they have no record of ANY claim from this company. Two claims were filed on that date of service last year and Medicare did pay them. I believe this is either a bogus company or claim. Any company that files with Medicare would resolve the situation and get the information that Medicare would need to file a proper claim in a timely manner. I have no control nor do I even know who this company is since I live in Virginia. Apparently there is a claims/billing company at this same address.
I believe your company has intentionally waited until the last minute to send a bill/notice to me so that you try and get the full amount of the bill not what Medicare would pay. I do not owe any money to your company. You could have filed with Medicare and my secondary insurance last year, like other providers have on that same date of service-if services were indeed rendered. If Medicare needed more information that is your problem to resolve, as this information would have to come from a Doctor.
The information needed was from the patient. We needed the correct Medicare policy number in order to file the claim as Medicare denied the policy number we filed with. The policy number we filed with was not recognized by the carrier and hence not affiliated with the patient to indicate we had filed. The time lapse was based on the account being placed on hold pending info from the patient. Based on the age of the account and the correct info being in place I will adjust the account off to timely filing.
(The consumer indicated he/she DID NOT accept the response from the business.)
That is a lie. Your company NEVER contacted me by mail or by phone to get my Medicare information. Also you could have gotten the correct ID and policy # information from the Doctors office or the other provider that you worked with as they had their bills already paid by Medicare. So your typo or incompetency. NOT mine.
Blaming me and saying you needed info from me (the patient) is a lame excuse. I spoke to your agent today and they said they will refile the claim and that Medicare needed more information ABOUT THE CLAIM! They said NOTHING about needing any of my Medicare ID number or secondary provider information. ALso they DID NOT ASK FOR IT! So if your company does not act fast at re-billing with the correct information to Medicare - it is on your company. I have no control over your misfiling.
I will also notify Medicare of your actions. I would love to see where you have an EOB saying the Medicare policy# was wrong. Medicare said you never filed with them.
Also why would you wait almost a year before sending a letter. I still think your company's practices are a scam. Maybe senior citizens would just think they owe the bill and pay the full amount not the Medicare approved amount which would be way less money. I hope your company fixes their own mess. I do not owe any money. I would like a written statement to that effect.
Apparently this company lists itself as Dominion Pathology Assoc. PC Ap and sent me a bill for services that I nor Medicare have no knowledge about.
I received a bill from this company that claims that on 8-18-18 Medicare lacks the information needed to process this bill. The date of service that they claim is 5/22/17. This is the first time I have heard of this company and first notice that I have received. Medicare only allows 1 year to file a claim. There is only 20 more days left for this company to file a proper claim against a date of service that they claim a service was rendered. I called Medicare and they have no record of ANY claim from this company. Two claims were filed on that date of service last year and Medicare did pay them. I believe this is either a bogus company or claim. Any company that files with Medicare would resolve the situation and get the information that Medicare would need to file a proper claim in a timely manner. I have no control nor do I even know who this company is since I live in Virginia. Apparently there is a claims/billing company at this same address.
I believe your company has intentionally waited until the last minute to send a bill/notice to me so that you try and get the full amount of the bill not what Medicare would pay. I do not owe any money to your company. You could have filed with Medicare and my secondary insurance last year, like other providers have on that same date of service-if services were indeed rendered. If Medicare needed more information that is your problem to resolve, as this information would have to come from a Doctor.
The information needed was from the patient. We needed the correct Medicare policy number in order to file the claim as Medicare denied the policy number we filed with. The policy number we filed with was not recognized by the carrier and hence not affiliated with the patient to indicate we had filed. The time lapse was based on the account being placed on hold pending info from the patient. Based on the age of the account and the correct info being in place I will adjust the account off to timely filing.
(The consumer indicated he/she DID NOT accept the response from the business.)
That is a lie. Your company NEVER contacted me by mail or by phone to get my Medicare information. Also you could have gotten the correct ID and policy # information from the Doctors office or the other provider that you worked with as they had their bills already paid by Medicare. So your typo or incompetency. NOT mine.
Blaming me and saying you needed info from me (the patient) is a lame excuse. I spoke to your agent today and they said they will refile the claim and that Medicare needed more information ABOUT THE CLAIM! They said NOTHING about needing any of my Medicare ID number or secondary provider information. ALso they DID NOT ASK FOR IT! So if your company does not act fast at re-billing with the correct information to Medicare - it is on your company. I have no control over your misfiling.
I will also notify Medicare of your actions. I would love to see where you have an EOB saying the Medicare policy# was wrong. Medicare said you never filed with them.
Also why would you wait almost a year before sending a letter. I still think your company's practices are a scam. Maybe senior citizens would just think they owe the bill and pay the full amount not the Medicare approved amount which would be way less money. I hope your company fixes their own mess. I do not owe any money. I would like a written statement to that effect.