My wife and I scheduled annual physicals with St. Charles, in network and covered by our insurance United Health Care, everything pre approved and authorized. While my physical was covered at no cost correctly, my wife received a bill for 348 dollars because her exam...
Read MoreMy wife and I scheduled annual physicals with St. Charles, in network and covered by our insurance United Health Care, everything pre approved and authorized. While my physical was covered at no cost correctly, my wife received a bill for 348 dollars because her exam was coded incorrectly. Upon numerous phone calls and reviews, the St. Charles billing department said there was nothing that could be done and no one could explain how even though we were seen on the same day, at the same time, only different providers but for the same reason, an annual preventative physical exam, my exam was considered preventative while hers was not. I was then directed to Oregon Health Authority to file a complaint instead of being able to talk to anyone in the coding department to correct what was most likely a MA screwing up by putting a diagnostic code instead of a preventative code for the annual exam before it was submitted to our insurance company. With St. Charles there is no recourse to correct that mistake short of reporting them to the Oregon Health Authority as even our insurer was perplexed by their inability to code the exam correctly. I would not recommend St. Charles to anyone as if they fight this hard in order to be reimbursed an extra 100 dollars over what insurance would pay while also making the patient pay a large out of pocket expense unnecessarily, I can’t even imagine what they would do with costly procedures and surgeries.
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