CHARLOTTE, North Carolina (WBTV) – A Charlotte woman is battling a local health care provider over a $ 1,300 bill that should have been covered by her insurance. After getting no resolution, she contacted WBTV for help.
It has been an ongoing battle for Vanessa Westley-Bourdeau.
First she was hit by the unexpected bill, then she was turned over to a collection agency for non-payment.
“And I just feel like someone dropped the ball somewhere, and I don’t think it’s fair for me to pay for their confusion,” Westley-Bourdeau said.
Westley-Bourdeau’s son visited the OrthoCarolina Spine Center in May 2019 for an MRI.
“They said the MRI should be approved and they would call me when it was approved,” Westley-Bourdeau said.
The MRI was scheduled for May 15.
However, Westley-Bourdeau said when they arrived for her son’s surgery, staff at the center informed her that the MRI still had not been approved.
“So we had to wait in the parking lot until it was approved,” said Westley-Bourdeau. “We waited. We got the phone call saying it was approved, we went inside to do the MRI on his back, and I thought that was the end of it.”
However, this was only the beginning of his problems. A year later, in March of this year, Westley-Bourdeau was notified of the MRI bill of $ 1,346.
“When I questioned them to ask them why I was paying when I had insurance, they said it was refused,” she said.
It turns out that Westley-Bourdeau is insured by Blue Cross Blue Shield State. However, when WBTV contacted BCBS, we were told that the complaint was never submitted.
Then WBTV contacted OrthoCarolina who stated in this response to WBTV Investigates:
“During the first appointment, no insurance card was presented. We were told the patient had NC Medicaid and we were able to verify that he had active coverage.
They admit, “A billing error was made, and the chest MRI code 72146 was billed twice rather than the lumbar code 72148.. . This led to the rejection of the second billing of 72146 for exceeding the number of units billable in one day for this code.
Westley-Bourdeau said OrthoCarolina told him the bill would be reset and the collection agency would be notified.
“I think you’ve helped a lot because I’ve been working on this for over 30 days, which I haven’t gotten anywhere. . . but it was worth it, ”said Westley-Bourdeau.
As a reminder, always have your insurance cards ready to present and check the documents to make sure that the billing has been done.
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