4/5 Thai K. 7 months ago on Google • 4 reviews
EDIT
(10/24/23):
Sara
from
the
Sunnyvale
office
has
reached
out
and
assisted
me
with
getting
my
billing
issues
resolved
-
which
was
very
welcomed.
I
am
aware
that
the
doctors
and
staff
themselves
are
not
affiliated
with
billing
services,
and
it’s
really
unfortunate
that
this
extra
layer
of
bureaucracy
seems
to
indirectly
reflect
poorly
on
the
actual
services
themselves.
I’ve
bumped
up
this
review
to
reflect
the
actual
quality
of
the
overall
service
I’ve
received
my
past
year,
with
the
exception
of
a
star
off
due
to
lack
of
transparency
from
the
billing
services,
which
can
really
make
or
break
your
overall
experience.
I
am
planning
to
stay
with
them
for
the
meantime
due
to
lack
of
options
around
the
Bay,
but
beware
of
the
potential
extra
time
you
may
have
to
take
just
to
get
billing
issues
resolved.
ORIGINAL:
The
doctors
and
nurses
at
this
office
are
quite
nice,
attentive
and
friendly.
I
give
the
extra
star
solely
for
this
quality
of
service.
However,
Carbon
Health
billing
practices
in
general
are
borderline
predatory
and
misleading
-
and
has
been
causing
me
unnecessary
stress,
headache,
and
a
lot
of
going
back
and
forth
between
the
provider
AND
the
insurer
trying
to
resolve
many
billing
issues.
Their
support
staff
are
often
clueless
and
have
no
idea
what
is
going
on
with
the
guidelines,
and
despite
multiple
attempts
to
follow-up
and
nicely
asking
them
to
cooperate
and
assist
me
in
getting
things
resolved
with
my
insurance,
they've
ghosted
me
in
my
communications,
which
is
extremely
frustrating.
1)
I've
been
seeing
Dr.
Que
for
my
regular
check-ups
to
stay
on
a
certain
medication.
My
insurance
directory
lists
Dr.
Que
as
an
in-network
provider,
along
with
the
Sunnyvale
Carbon
Health
location.
However,
for
the
actual
claims,
the
services
from
Carbon
Health
are
billed
separately
from
a
different
location,
which
registers
as
out-of-network,
which
has
caused
my
insurance
to
deny
any
sort
of
coverage
regarding
these
visits.
This
is
straight-up
confusing
and
just
misleading
-
as
the
costs
incurred
are
almost
2x
or
3x
the
actual
costs
if
it
were
in-network.
2)
To
stay
on
my
medication,
I
have
to
perform
routine
lab
checkups
as
part
of
the
preventive
services
needed.
Such
lab
work
is
contracted
to
a
third-party,
who
then
file
separate
claims
for
the
services
provided.
Under
ACA,
insurers
are
federally
mandated
to
cover
such
services.
However,
there
are
a
few
caveats
that
can
cause
this
to
be
voided,
such
as
an
incorrect
diagnostic
code
that
registers
the
services
as
"diagnostic"
instead
of
"preventive".
I
had
been
receiving
multiple
lab
bills,
despite
never
having
to
pay
for
such
services
on
my
previous
insurance
when
I
was
still
on
the
same
medication,
and
after
inquiring
with
both
the
lab
and
insurance,
was
told
that
the
provider
had
to
use
the
correct
diagnostic
code
in
order
for
the
insurer
to
cover
the
necessary
lab
work.
However,
Carbon
Health
staff
insisted
that
they
indeed
billed
the
correct
diagnostic
codes,
and
refused
to
budge
any
further,
despite
me
providing
the
transcripts
from
the
insurance
side
saying
that
the
provider
must
communicate
with
them
to
re-bill
the
services
using
the
correct
diagnostic
code.
There's
no
effort
to
reach
out
and
attempt
to
check-in
and
follow-up
on
the
issue,
which
is
disappointing
to
say
the
least,
given
the
kind
of
money
I
would
have
had
to
shell
out
to
even
be
able
to
even
get
care
here
without
insurance.
It's
so
unfortunate
because
the
commendable
services
from
the
doctors
and
nurses
here
are
ruined
by
the
atrocious
and
asinine
corporate
billing
practices
and
customer
services,
especially
when
it
comes
to
financial
matters.
It
feels
like
once
you’re
on
the
hook
for
the
actual
money
(even
when
you’re
spending
a
fortune
on
a
good
health
insurance
plan),
they
could
care
less
about
you
as
a
customer
because
they
think
it’s
really
not
their
responsibility
past
delivering
the
actual
services.
Needless
to
say,
I
am
planning
to
find
a
different
provider
who’s
more
knowledgeable
about
these
processes
and
who
actually
treats
patients
with
respect
and
attention
when
they
bring
up
issues.