Complaint / review / scam report
Southwest Medical Association
South west is horrible

Complaint / review text:
To Whom It May Concern,

My name is DarShelle Lynch, I am overly dissatisfied with the service I have been receiving from South West Medical. I was in a car accident back in February and March of this year my insurance changed during that placing me with HPN meaning I have to deal with SWM. I have been in the office several times advising my pain and have been getting nothing but the run around. I am so frustrated and upset because I am in a great deal of pain I have no idea what is causing the pain. I came in back in March I first saw Dr. Ghoel who advised he would request my information from the hospitals for both accidents, he also told me I would be going to pain management, and therapy. 1 month went buy nothing was done no referrals were submitted. So I came back in and was assigned to Dr. Joslin which once again I re explained everything and he advised me of the something. Another month goes by, one thing happened physical therapy called me and told me they couldn’t work on me without actually knowing what’s going on with me. I then saw Dr. Joslin again, advised him of it and asked for a MRI he told me I am better off waiting to get into pain management because it can take a long time if he orders a MRI. Another moth goes by nothing done mind you still in pain just medication to ease it. I did a walk in and spoke to Nicole Hernandez explaining everything to her all over again. I also told her SWM sent me back to my old pain management on 5/18/2015 which would not see me because they do not take my insurance and SWM new that, but they still submitted it and set an appointment up. She advised me she would take care of everything and make sure things get submitted. I then send a E visit request which a lady by the name of Sandra says SMA pain management has denied your referral and suggest that you either go back to Centennial or we can refer you to another network provider. (Mind you I have stated several times Centennial does NOT accept HPN HMO) I called and was told I would get a call back, Days go by I get a call stating SMA has denied my referral for pain management due to verbal abuse. I appreciate the lady for being honest and finding out why, (name I believe was Susanna) I then wrote another E-Visit nothing done I requested corporate information and I get a call from Nicole Hernandez asking why? I explained to her why I was upset with the agent, she had a personal opinion about me being “” I do have a witness. She then told me she would speak to them and have them call me. (never got a call) Instead days later I get a call saying a referral has been sent to another company and I will be able to schedule soon. I call the company and I am told they have no referral and to contact my provider they failed to submit paper work. (just like SMA advised to me as well before finding out the truth about being denied). I sent another E-visit in and then called Nicole spoke to so many different people so many different departments not able to reach Nicole. So I gave up for the day after 6hours. She then calls me the next day and advises me she spoke to the Pain management and Jennifer advised her because of the medication I receive they denied my referral. I then called and spoke to Jennifer who made it very clear to me that she never said that was the reason it was denied, she advised they don’t prescribe that medication. I told her I am just trying to get an MRI to see what’s wrong with me and why they pain is not getting better since my accidents. She told me you’re supposed to get an MRI first from your Primary Dr. Then they can submit the results to us and we can schedule you a visit. She advised Dr. Harris was under the impression your paper work that was submitted from your old Pain management said nothing was wrong with you from your previous visit. (Prior to my two new accidents) I then spoke to Nicole advised her what was told to me and she said she will submit for an MRI. I have received a letter in the mail and E visits advising me I may schedule an appointment with Steinberg. I have called them 3 times first I was told they have nothing for me, so I contacted SWM back and was told they are resubmitting it give about 10 minutes and I can call and reschedule 3 days went by I received an E-visit telling me I can call and schedule an appointment for my MRI for my neck? I wrote the now clinic Dr. Cho back advising him my neck? I made it very clear that I am experiencing pain in my mid back and spine. No response until a day later he sends me an E-visit message saying it has been submitted for my “upper spine” and cervical. I call Steinberg and they tell me a referral was sent to them on 6/24/15 for a left shoulder and my neck. They advised me not to make an appointment until my Primary dr. Submits the correct MRI and if I advised the pain is in my back “mid back” then an MRI should be submitted for it. I have had multiple visits and calls and have been advising of the pain I am experiencing I just don’t understand what is the problem with SWM, I had a previous primary care dr. Which unfortunately doesn’t take HPN HMO, I never had to deal with such unprofessional, incompetent, unorganized people ever. I pay co-pays to go see my Dr. Just to get told basically you need to do all this on your own and I have been if it wasn’t for me taking the time out to figure out what to do who to call and more my account would be just sitting like it was incomplete. Every time I came in I had to re explain my visit, I am paying to address what was told to me from the previous visit. I have been so stressed out dealing with this on top of pain just too finally get an MRI scheduled and it is submitted for something that was never addressed wrong with me. I am highly upset. All I want is an MRI some treatment and to feel better. I have really exhausted myself and I am tired. I hope whomever reads this can HELP and assist. I am writing this as of my last straw for cry out help so whoever is reading this, you may think this is all over the place and not in a correct format, but to be honest I am just giving my experience so far with South West and this is how it has been. (all over the place).

DarShelle Dee Lynch

Contact information:
Author: Contact with Author

Offender: Southwest Medical Association

   State: Nevada   City: Las Vegas

Category: Health & Medicine


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