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Joohye Pak

4 years ago

I would give 5 stars for doctors. Doctors in this ...

I would give 5 stars for doctors. Doctors in this office are very professional. I took 3 stars off for their communication for billing.

I checked this office was 100% covered with my insurance and it was 100% covered for whatever service provided within this office.

However, they sent ultrasound order to another radiology clinic which is out-of-network of my insurance and now I have to pay 100% for the ultrasound service which could have been covered 100% with my insurance if they sent an order to in-network clinic. This radiology clinic was located at different location and they said this is where they normally send their patients to, and talk to radiology clinic for any billing issue. Couldn't they order ultrasound within Providence hospital? I wish if they communicated clear for me to check if that particular radiology clinic is covered with my insurance, then I could have done my research ahead of time. Also, they charged copay for the visit which was covered 100% with my Insurance with no copay and didn't inform me until I found out about it. I called them for refund 4 months after the clinic visit.

I called this office, talking to billing department, saying that what's done is done and I have to pay 100% for ultrasound but I wish if your clinic would have communicated better in the first place. They said they can't check billing for every single patient so it is patient's responsibility to check it.

Thus, I wanted to inform whoever reads this and decides to come to this clinic to check their insurance ahead of time, check which services are covered and where you are supposed to go to get your services covered. Check your insurance claims to make sure you are paying what you owe. I never had such issue with other obgyn clinics in the past. I wanted to stay because I liked Dr Hall but I don't want to go through this billing issue again, so I am going to check out another obgyn clinic which may communicate better.

Besides billing, medical staffs provided professional services in this clinic.
I hope this review helps this clinic improving.

P.s Just be aware this clinic is within providence hospital but they are not in providence network. This is private office located within providence hospital. Consider this when you are searching for obgyn providers with your insurance.

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