A few months back I was treated by a physician and had several blood tests performed. At the time of that visit, he had explained there would be a $149 out-of-pocket expense for some testing, and I was given materials needed for submitting 4 timed saliva and urine samples - along with paperwork showing prepayment of $149.

Between my husband being out of work for over two years and myself now out on unpaid medical leave, I chose not to pursue that part of the testing. All other blood work would be covered, if not in full, at least substantially. I have excellent coverage through Brigham and Women's Hospital.

I eventually received a bill from Genova Diagnostics for approximately $650. I wrote back twice, providing all insurance information, informing them of my financial situation and respectfully requested they bill my insurance carrier. I am, of course, willing to pay any copayment due, as I do consider that my responsibility.

Despite much back-and-forth communication, Genova Diagnostics refuses to bill my insurance plan until I submit payment of $149 - because that is their policy according to their "PayAssurance" plan. I never signed any paperwork with Genova Diagnostics agreeing to participate in this "PayAssurance" plan.

Although I had said I would pay in installments on this unagreed upon, they are demanding payment before the end of this month. Hey, who needs to eat, never mind having some small holiday celebration during this difficult time.

I find their heavy-handed collection practice dispicably greedy. Would it really have hindered them to bill my insurance prior to lining their pockets even further? Blue Cross Blue Shield of Massachusetts and Brigham and Women's Hospital (Boston) are reputable organizations.

I wonder why they changed their name from Great Smokies Diagnostic Lab. Could it possibly have been because of a bad reputation? I do not know, but would not be surprised.