Sleep Unlimited Corinth

Mr [redacted] ,At Sleep Unlimited we give estimates as closely as possible to the expected out of pocket cost associated with the procedure Yes, you were offered a self pay option of $because you wanted in the next available appointment and the prior authorization required by your health plan delayed us from immediate scheduling You chose the insurance option and a later appointment dateOur staff is trained to discuss in and out of network benefits It is ultimately your responsibility to understand your health plan benefits Per the EOB from your health plan you are responsible for paying $ Sleep Unlimited has taken a substantial adjustment of $4,from your accountLeaving you responsible for the deductible amount of $Per our policy and your health plan we are required to balance bill you for this amount

Complaint: ***
I am rejecting this response because: Sleep Unlimited NEVER told me that THEY were OUT on my Insurance NetworkCausing me to have a separate, HIGHER deductibleSleep Unlimited stated that they sent monthly billing statementsWhich I NEVER received until over months later.3. They also stated in their previous response that the amount owed is $BUT they are billing me for $
Regards,
*** ***

Complaint: ***
I am rejecting this response because: I was NOT told that Sleep Unlimited was OUT of my insurance-NETWORKI have never received any statements if I did they were paid
Regards,
*** ***

Mr [redacted],At Sleep Unlimited we  give estimates as closely as possible to the expected out of pocket cost associated with the procedure.  Yes, you were offered a self pay option of $600.00 because you wanted in the next available appointment and the prior authorization required by your health plan delayed us from immediate scheduling.  You chose the insurance option and a later appointment date. Our staff is trained to discuss in and out of network benefits.  It is ultimately your responsibility to understand your health plan benefits.  Per the EOB from your health plan you are responsible for paying $5000.00.  Sleep Unlimited has taken a substantial adjustment of $4,239.45 from your account. Leaving you responsible for the deductible amount of $760.55 Per our policy and your health plan we are required to balance bill you for this amount.

DEAR MR [redacted], OUR RECORDS INDICATE YOU SPOKE WITH DR [redacted] ABOUT GETTING A NEW BIPAP ON 11.30.2015. THE DOCTOR ORDERED A FOLLOW UP SLEEP STUDY AS IT HAD BEEN SOME TIME SINCE YOUR LAST STUDY WAS PERFOMED (2011).  BENEFIT DETAILS WERE DISCUSSED WITH YOU AND YOUR MOTHER.  OUR STAFF...

EXPLAINED THAT YOUR INSURANCE REQUIRED PRIOR AUTHORIZATION AND YOU REQUESTED TO BE SCHEDULED FOR THE NEXT AVAILABLE OPENING AND WAS ADVISED THAT WE COULD ONLY DO THAT IF YOU COULD PAY $600.00 UP FRONT.  YOUR MOTHER STATED THAT THE TWO OF YOU WOULD DISCUSS IT AND GET BACK WITH US.  ON 12-15-2015 WE RECIEVED THE AUTHORIZATION FROM YOUR INSURANCE COMPANY AND CALLED YOU TO SCHEDULE AND YOU ADVISED US THAT YOU WERE SCHEDULED AT THE HOSPITAL ON MONDAY 12-21-2015.  YOU LATER DECIDED YOU DIDNT WANT TO TEST AT THE HOSPITAL AND CAME TO OUR OFFICE AND WE TESTED YOU WITH THE UNDERSTANDING PER OUR CONSENT FORMS AND VERIFICATION OF BENEFITS THAT YOU WOULD BE RESPONSIBLE FOR ANY BALANCE NOT PAID BY YOUR INSURANCE. ONCE YOUR STUDY WAS FINAL AND ALL DOCUMENTATIONCOMPLETD WE FORWARDED YOUR PRESCRIPTION TO [redacted] FOR YOUR NEW BIPAP EQUIPMENT. OUR RECORDS INDICATE YOU RECIEVED A FOLLOW UP PHONE CALL FROM OUR STAFF ON FEBRUARY 11, 2016.  OUR RECORDS ALSO INDICATE THAT WE HAVE  CONSISTANTLY MAILED OUT MONTHLY BILLING STATEMENTS.  I CANNOT ADJUST OFF YOUR BALANCE AS IT WOULD NOT BE FAIR TO OTHER PAYING CUSTOMERS.  I CANNOT SPEAK ON BEHALF OF DR. [redacted] BUT I WILL SHARE YOUR CONCERNS WITH HIM IN OUR NEXT MEETING.  I DO APPRECIATE YOUR CONCERNS AND WISH YOU THE BEST WITH YOUR SLEEP HEALTH. IF YOUR ARE DISATISITFED WITH OUR SERVICES WE WILL BE HAPPY TO HAVE YOU SIGN A REALEASE OF INFORMATION AND GIVE YOU YOUR MEDICAL RECORDS SO YOU CAN CONTINUE YOUR CARE WITH ANOTHER SLEEP HEALTH PROVIDER/FACILITY. THANK YOU FOR YOUR TIME.

Mr [redacted] last comment/rejection states the following:
"I am rejecting this response because: I was NOT told that Sleep Unlimited was OUT of my insurance-NETWORK. I have never received any statements if I did they were paid." 
If Mr. [redacted] did not receive a billing statement then why is there a dispute in regards to the balance he doesn't know about?  If he did receive a billing statement he states he believes it to be paid. If so, he will need to provide proof of payment and we will adjust his balance accordingly. 
Typically all health insurance plans provide an explanation of payment to members once claims have settled on their behalf. The date of service 12-16-2015 was settled on 02-16-2016 by Mr. [redacted]s health plan.