There needs to be two reviews here, a five-star review for the nursing staff. They were compassionate, sensitive to the indignities inherent in the procedure I was having, and they took outstanding care of me.
However, their billing department lacks competence, which could be costly if you don't know how to manage your own billing problems. In January I had a screening test. They billed it as if it were a diagnostic procedure. The difference is clear, and very well spelled out in numerous sources. One of those is the American Gastroenterological Association. In my former life prior to grad school, I was a medical biller and know something about those codes and their uses. In terms of direct effect on my wallet, they wanted over $800 they weren't owed.
The billing guidelines very clearly differentiate screening from diagnostic procedures, and the reimbursement differs between the two. I figured it was a simple fix. Send them the guidelines, they'd fix the error. After all, not only are there numerous sources related to this common problem, but my insurance company and my physician agreed that the procedure was screening and not diagnostic. Even after multiple letters to the billing department and the "patient experience officer", Mad River refused to re-bill, failed to provide their rationale for their billing, and threatened to send me to collections over the co-pay and deductible I didn't owe as those fees don't apply to preventative care.
I finally submitted an appeal directly to my insurance company to change the original billing, and they agreed. This is a common error, and one I assumed they'd correct once they were presented with the evidence.
If you are scheduled there for your middle-aged screening poke-n-prod, know you're entitled to have that billed as preventative, which means you DO NOT OWE a deductible or co-pay with most insurance plans. One way you might be able to help yourself here is to make sure the word "screening" is written on the consent form for the procedure.