BEWARE. These people are crooks. I will say, the staff was wonderful. I cut my finger badly, required 7 internal and 8 external stitches. Everything went very well, until it came to billing. I went in for the stitches on 10/3/2016. I paid $150 at that time. Once it was processed through insurance, I received a bill on 3/15/17 stating I owed $2585. I made 4 payments between 4/2/17 and 5/9/17, paying the balance in full.
Then on 7/4/17, I received a new bill stating I owed $3035 minus a insurance discount of $1947.26, leaving a balance of $1204.74. I called and spoke to a rep and explained the issue. I had already paid a total of $2635.00, and if you apply that amount plus the discount of $1947.26 - then I had overpaid and should be due a refund of $$1547.26.
I started making calls on 7/6/17 (two days after receiving the first erroneous bill). I spoke to Demi on 7/6, 7/10, and 7/14 and emailed her copies of all the receipts showing what I paid. A few days later she called back and said I owed nothing. I had to reiterate that with the insurance discount I should be getting a refund. She then said it would take 30 days to review it to see if I was due a refund.
I never heard back, so I called back on September 19,2017. Demi was no longer with the company so I had to start all over with Kim. Kim reviewed and agreed I was due a refund, but the board would have to review in order to determine how much. I heard nothing. I called Kim back on 10/18/17, and she said she was working on it right then and would get back with me in 48 hours.
It is now November 16, 2017. I called back. Kim is no longer in that department, and I got Crystal. Crystal reviewed the notes and determined that on 9/20/17 all of my payments were posted and that there was a note I was due a refund. She asked what I thought the refund should be. I explained the math and determined it should be $1547.26. She put me on hold for 26 minutes. Then when she got back on the phone she stated that I owed no monies but was also not due a refund. She stated when you have not met your deductible that the insurance company does not honor the negotiated discounts between the insurance provider and the medical provider.
So basically they refuse to apply the discount nor will they refund my over payment.
I have spoken with several insurance adjusters and a negotiated discount is applied regardless if the patient has met their deductible. Basically, Surepoint billing is stating those of us who do not need medical care all of the time and have not met their deductibles are exempt from pre-negotiated discounts that are agreed upon by the insurance companies and medical providers- I guess only people who are injured or sick all the time and meet their deductibles are the only eligible people to get pre-negotiated discounts. Hmmmmmm, smells like a load of crap to me.
You are better off going to a REAL emergency room and not these little emergency clinics who will find a way to screw you financially and not abide by their own negotiated contracts. read more