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Report: #1139691

Complaint Review: Phoenix Children's Medical Group - Mesa Arizona

  • Submitted:
  • Updated:
  • Reported By: Valerie — Gold Canyon Arizona
  • Author Not Confirmed What's this?
  • Why?
  • Phoenix Children's Medical Group 5131 E Southern Avenue Mesa, Arizona USA
  • Phone: 480-833-5437
  • Web:
  • Category: Doctors

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A few months ago, I took my daughter to Phoenix Children's Urgent Care on a Sunday.  She was coughing, etc, and since she was susceptible to infections, I thought I'd take her and get a headstart in case she needed antibiotics.  When I checked her in, I was told that since I had Aetna insurance, they were out of network and she asked if I wanted to still have my daughter seen.  I was surprised that PCMG was out of network because my daughter had been there a few times previously and I don't recall ever being told that it was out of network.  At any rate, I decided to stay because I had driven 15 miles and didn't want to drag my daughter all over town looking for a place that was in network.  So we stayed.  My daughter was examined by the doctor.  He checked all the basic areas:  eyes, ears, nose, throat, and lungs.  She said she had a sore throat, and it was red, so he did a Strep test, which came back negative.  As far as I knew, that's all he did. 

I later received a bill from Phoenix Children's Medical Group for $928.80.  I was shocked when I saw the charge.  There was no explanation of the charges, and I thought surely it must be a mistake.  I called and PCMG and they told me that was indeed the correct amount and that Aetna had applied the amount to my deductible since it was out of network.  I then called Aetna and told them the story and that I thought it couldn't be right.  Aetna called PCMG, with me on the line.  The Aetna representative asked for the medical records to be checked for accuracy.  PCMG again said that the records were correct and the billing was correct.  I didn't know what to do, so I told them I couldn't afford to pay that bill all at once, so they suggested a payment plan and sent me out the paperwork for that.  After I hung up with PCMG, I thought that maybe I should request an itemized bill, so I called them back and asked for that, which they sent.  When I received that, I expected to see a long list of items, but all I saw was 2 items – the first was the charge for the office visit and the second was the charge for the Strep test.  I was appalled when I saw that I was being charged $984 for the office visit, and $48 for the Strep test.  Aetna apparently did pay a portion of these charges - $98.40 for the office visit and $4.80 for the Strep test.

Now, I've been to lots of doctors, and I've never had to pay $900+ for an office visit.  I'd like to know how PCMG justifies charging this exorbitant amount.  If I had known that PCMG wasn't in my insurance network prior to taking my daughter there, I surely wouldn't have gone there, I would have gone to the urgent care 2 miles from my house and paid $100 for an office visit. 

I do not plan to pay this bill and I will be securing an attorney to discuss this matter.  I also plan to contact the media and let them know how PCMG is cheating consumers and insurance companies.

Anybody know a good lawyer??

 

 

This report was posted on Ripoff Report on 04/17/2014 01:29 PM and is a permanent record located here: https://www.ripoffreport.com/reports/phoenix-childrens-medical-group/mesa-arizona-85206/phoenix-childrens-medical-group-screwed-over-by-phoenix-childrens-medical-group-mesa-ar-1139691. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year. Ripoff Report has an exclusive license to this report. It may not be copied without the written permission of Ripoff Report. READ: Foreign websites steal our content

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REBUTTALS & REPLIES:
1Author
3Consumer
0Employee/Owner

#4 Consumer Comment

Phoenix Children's Hosp Ripoff

AUTHOR: Teppo - (USA)

POSTED: Saturday, May 09, 2015

The original poster noted approx $900 charge for seeing her child with sore throat at PCH urgent care center.  That is outrageously high, we should all agree.  Unfortunately, the amount, alhtough very high to you as an individual, is not high enough to interest most law firms, since their time would probably be extensive.  (((redacted))) in Phoenix has a history of helping people in situations similar to this.  No idea if they would be willing to help, but if this is still an open matter, it can't hurt to contact them.  Also, some news stations have consumer action segments that tackle problems like this.  The best weapon you have is exposing practices like these by exposing the wrongdoer to publicity.  

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#3 Author of original report

Yes, they warned me . . .

AUTHOR: Valerie - ()

POSTED: Thursday, April 17, 2014

You're right, I did choose to stay.  But if I had known it would be a $900+ office visit, I wouldn't have.  They should have disclosed that.  What if it were you? Do you think $900 for an office visit is fair?  I don't, I think it's exorbitant.

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#2 Consumer Comment

They TOLD you they were out of network

AUTHOR: Stacey - ()

POSTED: Thursday, April 17, 2014

 And you chose to let your child be examined therefore what are you doing seeking an attorney? YOU chose this and therefore you are liable for the bill.  Grow up and take responsibility for your actions. If you do not pay this bill then you are subject to the consequences of your action.

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#1 Consumer Comment

You can't say you weren't warned.

AUTHOR: Ken - ()

POSTED: Thursday, April 17, 2014

You stayed anyway when they advised you.  The rest of your complaint is irrelevant.

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