Summit Medical Group - Billing Department

I went for a wellness exam and only that. I checked twice with the lady at the front desk to make sure that’s all they were charging for. She promised me. The only reason I went to the check up was my company was going me a credit for preventive check up. She lied and coded it as another separate visit.

I have spent over 4 hours today trying to resolve the billing issue with Summit. I have had Tricare for life on the phone, and the represenative for summit . Summit insists that this is a customer liability, and yet Tricare for life insists that all bill are paid. Both reps were on a conference call for over 45 minutes. Summit says its a Tricare issue and Tricare insists that the codes provided do not exist. SO I AM AT A COMPLETE LOSS OF WHAT TO DO> This isnot helped when the Summit service represenative wold not allow me to speak to a supervisor and then told me she cannot say on the phone... my time was up. I am so disappointed in this billing I do not know what to do, and she could not provide me a method to fix my billling issue. Worst customer service I have ever experienced in my 71 years of life. The agent was ABDI Pamela Guerrero.

Medical service was provided 10/19. Out of pocket deductible met for the year. Was told that this was going to be billed to ins. Followers up 2/21 was assured if there was any problem with insurance that I would be contacted prior to sending the bill to collections.

Without a single phone call or papers bill or any additional contact this bill was sent to collections.

I'm disabled, this billing practice is completely unfair and opposite to what I was told was going to transpire.

Really not ok.

Please note that a letter was received from patient on 2/12/and the billing staff called the patient and addressed his billing concerns on that same date. The billing staff explained to him that the first statement of $was sent, at which point, he mailed a check (#***) which posted
to his account on 12/11/17. The issue was that the payment was posted to another date of service (dos: 5/8/17) in which he still had a balance for a visit with another SMG provider. The check was removed from the incorrect date of service to the correct dos on 2/21/18. The patient then sent check *** for the balance and the same issue occurred with this check. The date of service the payments were inadvertently applied to was discussed with the patients carrier as to why the carrier, as the patient was left with a balance and responsible for a larger deductible than Medicare. The carrier noticed the error and reprocessed the claim. As a result, the patient has a credit of $43.97. The billing staff has provided this refund to the patient. Please contact us with any additional questions. Thank you

We have reviewed *** *** complaint and after a thorough review, we made a correction to the date of service(s) in question. *** *** was notified about the correction in a letter dated, 1-31-and *** *** was given the contact information for the Patient Accounts Manager, in case
he had any additional questions. Please do not hesitate to reach out to me with any questions. Thank you Michelle O***Director, Corporate Compliance

Please note that this is the first time that we received this complaint (the email sometimes goes in the Junk Mail Folder). Thank you for sending again. In response to *** *** *** complaint, *** *** *** did not sign up for our patient portal no requested e-statements so all
of *** *** *** bills were sent in paper form, mailed to his home. There were no bills sent to a patient portal, as per *** *** *** claim. *** *** *** still has a balance with Summit Medical Group in the amount of $126.35. This amount has been sent to our collection agency. We followed up with our collections agency, who *** *** *** was in touch with, and he stated to them that there were issues with the billing and that we (SMG) were rebilling. This is not accurate as we have no documentation regarding any conversations had with *** *** *** His credit was marked on 08/21/for a date of service in January 2014. As a courtesy, we have unmarked his credit but *** *** *** still needs to pay his balance as the collection balance is valid. Please contact me with any additional questions. Thank you. ***
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We reviewed [redacted] complaint and determined that he was properly billed.  The patient was sent a billing ledger detailing where the $199 payment was applied on 05/22/15 and again on 06/11/15.  This information was also posted in his patient portal account.  The patient...

requested that a supervisor call him back and he was contacted several times by a supervisor and voicemails were left for him.  He is welcome to call back with any questions that he has or we can send him another ledger if that would be helpful.  Thank you.