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Great medical care, TERRIBLE back office operation...

Great medical care, TERRIBLE back office operations (payments, medical coding, etc.)

EVERY time in the past two years, they have coded the same treatment wrong which results in my insurance not covering the bill (coding as "experimental treatments"). Then when they perform a coding review, it takes 6+ weeks which results with them trying to send my balance to collections during the process.

If you ever have coverage issues, make sure they coded the treatment properly, because it is a major issue that I found, not my insurer (BCBS), not SMG, but ME! I would not be surprised if this happens regularly and what's their incentive to change? None, if people pay the unwarranted costs, they make money; and if they're wrong there's no penalty for them. To put it in perspective, my treatment when covered costs me $50 (and my insurance pays a reduced charge of $500), without coverage, it's $950...

I work for a major pharmaceutical company and it's amazing to me how inefficiently some of these HCPs operate.... The practice of drug pricing in this country could be improved, but the true issues lie with the providers - think about the amount of times they've probably done this to those covered by medicare...

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