Allow me to preface this by stating that the physicians and techs are phenomenal! My review is in reference to any and everything having to do with admin!
I have several examples too many that demonstrate the horrendous manner in which this SIMONMED location operates. One particular account occurred when my PCP scheduled me for an ultrasound. I took time off of work, so I that I could, of course, arrive at my appointment on time. When I arrived I stood in the long line and checked in. I know they're always backed up, or so they seem to be, so I make sure to pack my patience when I go to this location.
About an hour past my appointment time, I walked up to the front to see how much longer it would be before I would be seen, as my appointment was an hour ago. I kid you not; the receptionist told me that my insurance didn't cover the procedure and pointed out to me that this was discovered in advance of my appointment. When I questioned why no one called and told me instead of having me take time off of work and wait for an hour past the appointment time, all I received was "sorry." Lol
Most recently, SIMONMED neglected to submit a prior authorization for an MRI. How did I find out? Well, SIMONMED told me I had to pay $500 THAT day to have the MRI. In pain and with my doctor needing answers, as I was on the phone with my insurance company, I was told that it was too late for an authorization, but stated that I could file a claim to be reimbursed, sigh FINE.
So I paid the $500 but was only given a receipt for the $500, nothing itemized. I requested a more detailed receipt and was told that I had to COME BACK on Thursday. I asked if they could just mail it to me and was told no, I'd have to come back in person. Lol ok. Please recognize my patience, someone.
Presently I am attempting to file a claim with my insurance company. However, in order to do so, I need a receipt with very specific information to complete the claim form. This being the case SIMONMED refuses to give me a complete receipt or bill with the PRN number, code for the MRI, etcetera.
My insurance company suggested that I request a "Super Bill" however the people at the front desk behave as though they don't know what a PRN is/means, nor can they give me the code for the MRI. What do I have to do? Google the code? I'm not a medical assistant; I don't know how to find and interpret codes!!!
I paid the $500 for the MRI with a credit card in March of 2022. Two days ago (6/7), my credit card ledger stated, "SIMONMED $274.34". I called my credit card company and was advised that "oh, that's a credit." I thought, "wow, things are looking up!" Then today (6/9), I checked, and the credit was no longer there. I called my credit card company because why not? And they gave me an unfamiliar name on the reversal, which I told them I didn't recognize that name.
My theory, which feels incredibly likely due to the consistent incompetency of those who work the admin front desk, is that they accidentally refunded someone's copay back to my card. So great. On top of the incompetency, I'm also at risk for identity theft?
Finally, in attempting to collect the data needed to file a claim with my insurance company, I found what I thought was a customer service phone number associated with this location. I called, and with the claim form pulled up, I read each section that I needed the information for.
Unfortunately, the customer service representative who was located in Alabama and was more interested in what the weather was like in Arizona, was equally as confused as me and thus did not have the answers to my questions.
I'm not getting anywhere. I haven't been; therefore, I decided to leave a review, as this back and forth is exhausting, and I'm unnecessarily paying for SIMONMED's error. read more