CHW (Catholic Healthcare West) Complaint - Billing problems (St. Francis Hospital San Francisco)

Review by hummingbirdb on 2007-10-10
SAN FRANCISCO, CALIFORNIA -- My physician sent me to St. Francis (CHW) for an abdominal scan in June. They performed two, sent the bill to my insurer who denied the claim. Now CHW is coming after me for $8300 for 2 CT scans. My insurer would have reimbursed CHW about $520 for the scans. I'm 60 years old, and in a financially precarious position. St. Francis refuses to provide me with an itemized list, refuses to settle for $600 (more than my insurance would have paid) and is heavy handed in dealing with me.

AVOID ST. FRANCIS AND CHW like the plague! Fortunately my other tests and surgery was at CPMC, who have been professional, forthcoming, and willing to accept insurance rates for non-covered items/procedures.
Comments:3 Replies - Latest reply on 2007-10-10
Posted by sarahnkrystal on 2007-10-10:
Your problem isn't with the hospital, it's with your insurer. You need to call them and see why they denied your claim. This is not the fault of the hospital. They provided you a service and you have to pay for it. Simple.
Posted by Anonymous on 2007-10-10:
well said, Sarah
Posted by Suusan B. on 2007-10-10:
Sarah is correct - - your issue is with the insurance company and not the hospital. Furthermore, you also need to be more careful in the future when your doctor refers you to a hospital - - it's your responsibility to make sure that your insurance company has a contract with the hospital so your tests or whatever will be covered. Since the CT scan wasn't covered at one hospital but was at another, I'm suspecting that this was the case.

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