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Dr Michelle Gonzalez FRAUDULENT INSURANCE CLAIM Vista, California
I told the office that I wanted a wellness exam. The earliest I could get an appt. was two months later. When I arrived, I told them that I was here for a wellness exam. I filled out the history and then saw the Dr. I told her that I have an allowance for $2600 a year for screenings. I told her that I wanted blood work done as it had been many years since, I had any. I told her I also wanted a bone scan, but it must be coded for a screening. I had put down in my history that I had been diagnosed with osteopenia. She told me she wasn't sure they would pay for a screening but I asked her to try.
She charged for the office visit under three diagnoses that I had listed on my history. Two of them I had not had any symptoms for over ten years. The third one, I told her was for migraines that I see a neurologist for. I had no complaints for anything when I saw her in the office for the wellness exam! I now have to pay the copay, the entire bone scan, the reading of the bone scan, and the labs, over $500. If they would have coded everything for screening, I would have paid $0. The office manager has refused to correct the codes and I am refused to see the Dr. They made a fraudulent claim for diagnoses that was picked up from my history. The followup appt. was also done the same way.