DEAR DR. GOTT: I have a disputed claim with my local hospital and am becoming agitated about it. In 2005, I had a needle biopsy, and a clip was inserted in one breast. Then, in 2007, I was sent by my doctor for a routine mammogram. His requisition specifically called for a “routine screening.” The hospital billed the service as diagnostic because of the clip. My insurance company will pay for one free preventive screening mammogram each year. However, diagnostic services aren’t covered, and I have a $36.42 charge that insurance won’t pay.

The radiologist billed for a diagnostic ser...

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