I had a colonoscopy at Raleigh Endoscopy Center on April 29, 2025, and the way this facility handled my billing was completely unacceptable.
This was supposed to be a routine preventive screening -- my last colonoscopy was almost 10 years ago, I had zero symptoms, and I only did it because their office repeatedly reminded me that I was due. The operative report itself states the procedure was done for screening, not because of any medical problem.
Yet Raleigh Endoscopy Center submitted diagnostic codes to BCBS, which automatically triggered a denial. When I contacted BCBS, they explained very clearly that the only reason this was not covered is because the provider coded it wrong -- and that the claim could be fixed if the center simply corrected the coding.
When I asked Raleigh Endoscopy Center to correct the coding, they flat-out refused. No explanation, no willingness to review the documentation, no interest in helping resolve the issue they caused. They simply pushed the entire problem onto the patient.
To make matters worse, they never informed me before the procedure that they would code it in a way that BCBS would not cover. No warning, no disclosure, no conversation -- nothing. Had they told me, I would have asked questions or rescheduled. Instead, I was blindsided with more than $1,500 in bills for a preventive screening that should have been covered at 100%.
The clinical staff were fine, but the billing and coding department showed terrible communication, zero accountability, and a complete disregard for patients. Once they have your money, they do not seem to care about fixing their mistakes.
A simple 10-year screening turned into months of stress, appeals, and wasted time -- all because Raleigh Endoscopy Center refuses to correct an obvious coding error.
If you choose this center, be extremely careful. Double-check every code, every form, and every insurance detail, because if they make a mistake, they will not fix it -- and you will be the one paying for it. read more