Complaint/Grevenice against Quest Diagnostics Billing
INVOICE# [protected]
I am so frustrated that Quest would have such poor due diligence and poor customer service-billing department.
My insurance company confirmed that I owe ZERO nothing, Fact: Tricare is under CONTRACT AMOUNTS with Quest Diagnostics, Fact: I am In-Network coverage, Fact: I have $0 copay, Fact Insurance has sent Quest several policies and regulations, EOB letters, Fact: The insurance company sent several requests for a letter of explanation or LOA was billed improperly the test(s) performed did not match the diagnosis on bill and is waiting on Quest Diagnostics.
LINE #12: 81270, LINE #13: 81403, LINE # 15: 81402, LINE # 16: 81479 LINE # 19: [protected]
This is why it was simi-rejected.
TRICARE coverage of certain limited benefits is subject to specific clinical criteria. A letter of attestation (LOA) can be submitted, in lieu of additional clinical documentation, when requesting authorization from Health Net Federal Services, LLC (HNFS) for these services.
My Tricare insurance representative was extremely helpful and reached out to Quest to try and resolve this issue and Quest doesn't take action to resolve anything.
I have called Quest multiple times and everytime Quest agreed that they will get the information for my insurance company and would place a 30 day hold on the bill and everytime, Stated they would get it resolved. Well, Now it's been 13 Months-on going and nothing has been sent to my insurance company and Quest is threatening me to a collection company.
INVOICE# [protected]
DOS: JANUARY 22, 2019
AMOUNT: $4, 099.24
ADJUSTED: $1, 664.16
INS PAID: $200.77
TOTAL IN DISPUTE: $2, 234.31
Quest billing Dept will not respond to my requests and just ignored the issues, in hopes I go away or to collections! This demonstrates bad business practices on their part and a clear indication that they were unwilling to help resolve a billing issues. A year has past and they could have referred us back to the doctor's office to get this correct but they chose to just ignore the issue and continued to bill a incorrect- fraudulent bill and send me to collections.
Quest has a financial gain to do this.
My insurance company has explained to me how this works!
A provider like Quest will get a contract with an insurance company. The insurance company will monitor billing amounts not allowing over inflated bills, by a list of what they are allowed to charge under the contract. If provider like Quest does anything fraudulent, Quest could/will lose the insurance contract.
My insurance company Tricare - Health Net Federal Services, LLC (HNFS) is well aware of this, have reported this "Balance Billed" problem to the Tricare contracts department for a full complaint review. My insurance company advised me to make a grievance report to Quest Quest Diagnostics.
