[X]

Children's National Medical Center

Star Empty star Empty star Empty star Empty star
2 Reviews & Complaints

Most Popular | Newest | More Options >
More filter options:
StarEmpty StarEmpty StarEmpty StarEmpty Star
Improper Billing Practices by Children's National Medical Associates
Posted by Shf0765 on 09/07/2013
LAUREL, MARYLAND -- Our daughter initially visited a doctor practicing as part of Children's National Medical Associates in Laurel, Maryland on December 31, 2012. The purpose of the initial visit was a consultation which included no intrusive procedures. As a follow-up visit was recommended, our daughter visited the same facility and doctor on March 8, 2013. Upon receiving a bill from Children's National Medical Associates after the second visit, we were quite surprised as a $40 copayment should have been all that was required from us for each visit.

The initial consultation on December 31, 2012, which was billed as an outpatient hospital visit resulted in an unexpected bill of $284.32 with no prior written nor verbal disclosure to my wife. As previously stated, we anticipated a bill for a $40 copayment, however, the additional $244.32 took my wife and I completely by surprise. Interestingly, the follow-up visit on March 8, 2013 with the same doctor at the same location was billed as an office visit with only a $40 copayment required. Upon several inquiries to the billing office, we were told both visits were submitted to the health insurance provider and billed correctly based upon specific location of services rendered. Upon asking for a reasonable explanation as to how both visits could be billed differently for the exact same office location for an initial consultation and follow up visit respectively, one was not provided.

After contacting our health insurance company, a supervisor agreed it made no sense that one visit was billed as an office visit while the other one was handled as a hospital outpatient visit. Moreover, he stated the visits should have been billed identically. However, without modification of the claim by the Dr. [snip]'s office, they could not provide further assistance. Upon dialog with very belligerent and unhelpful persons at Children's National Medical Associates, no progress has been made regarding their improper billing practices. In addition to spending several telephone calls with no resolution, I would add one of the representatives within the billing department was very unprofessional on more than one occasion.
     
Add reply


Billing Staff are Bunch of Scammers
Posted by Rays1 on 05/04/2011
WASHINGTON,, DISTRICT OF COLUMBIA -- I took my 10 years old daughter for her removal of skin lesion surgery last Fall of 2010 to this hospital.
I had submitted all my insurance info before the surgery.
A week later, I received a mail to my home address & it was bill from the billing department of this hospital asking for the full amount of almost five grand!!!
The next day, I called the billing staff & explained that I have health insurance thru my employer & that they need to submit her bill to my insurance company.

Couple of weeks later, I received the same amount of bill asking for the full amount.
I then called back again giving them my insurance info (company name, ID # & my group #).

The bill was finally submitted to insurance company two months later.
My insurance paid almost half the amount based on the provider rate & my portion was about ten percent of the original bill.

Few weeks passed & I did not receive any bill from this hospital & I was just wondering as why the billing staff is not sending me my portion of the bill so I can pay it... until I received a bill from the collection agency that I owe this amount. I got really pissed off!?!

These billing staff have no right to do this to their customers.

I called the collection agency & explained that I never received any bill for my portion from the hospital.

I am so mad of these billing workers who have no respect for people's credit.

I sent an online & secured Email to the billing staff complaining that why their office send this bill to collection agency instead of sending it to me in the first place!?! since I had also received & paid my portion of smaller bills from this hospital for my other kids in the past.

This has negative affect on my credit rating as I have always paid all my bills on time.
I requested that the bill be sent back to hospital so I can pay it that way & they said no way!!!
Now I am so pissed off that I will not pay it since it has already gone to collection & has hit my credit anyways!

At least one friend of ours had the same situation that these idiots billing staff had sent her bill to collection agency instead of sending it to her!
I wonder if they have deal with collection agencies &/or the hospital is not happy with the insurance companies since they do not get paid the full amount of the original bill & because of that they punished us sending our bill to collection agencies. Go Figure!!!
So next time you visit this hospital, Please be aware of these billing staff who could send your bill to collection!
     
Read 7 RepliesAdd reply

User Replies:Close comments

Posted by andbran on 2011-05-04:
have u thought about talking to a lawyer? it does sound a bit fishy.
Posted by tnchuck100 on 2011-05-04:
You are correct about one thing. There is no point in paying it now. They have already damaged your credit. Paying it won't removed the black mark.

UNLESS you negotiate with them. Offer to pay when they send you written confirmation that they will remove the credit ding and you actually see it removed. Otherwise tell them they just lost it.

Best to send this offer certified mail/return receipt requested. This will show good faith on your part later if they try to sue you.
Posted by Venice09 on 2011-05-04:
Good advice, chuck.

Very helpful review.
Posted by Disaster Worker on 2011-05-06:
The OP doesn't deny that she owes a portion of the bill, and if you owe the bill, you need to pay it. Being ticked off at the hospital won't erase the bill. Being a trauma medic, I must put my "three cents" in that unless you are treated at a charity hospital, you will be responsible for the bill. Possibly you can negotiate a lower bill with the credit agency, but in all good faith, I could not advise you not to pay this bill.
Posted by Anonymous on 2011-05-06:
"my portion was about ten percent of the original bill."
Insurance billing is a courtesy. When you received the statement from your insurance co. showing the portion they paid to the hospital, you knew what the out of pocket cost balance was that you owed the hospital, and should not have had to be told by the hospital. That being said, you CAN send the payment to the hospital, and NOT the debt collection agency. However, the incident will remain on your credit report for a period of time.
Posted by Anonymous on 2011-05-06:
BA Rip. The OP should have contacted the hospital when they got their explanation of benefits from the insurance company.
Posted by Venice09 on 2011-05-06:
The OP could have contacted the hospital, but considering she received final bills from them in the past, I can understand why she was waiting for one this time. It does seem strange that the hospital had no communication with the OP about the final bill before turning it over to collections.

The billing department messed this up from the beginning, and because so much time went by (due to their mistake), they probably just sent it to collections. I would pay the bill, but I can understand why the OP is upset over this.

Close commentsAdd reply

Top of Page | Next Page >