Sunrise Medical Laboratories Inc.

I requested a refund for a bill that the Sunrise Medical Laboratories charge me incorrectly. The request for the refund was made on 05/**/2015. Today is 07/**/2015...no refund was made yet...someone called Sharon answer my phone call and she was very rude and didn't give me any good explanation for the delay. instated she HANGUP on me... very profession on her part...

I just wanted to report that to all...

Review: Last year May my doctor sent my blood work to Sunrise Laboratory. It was an out of network lab but my insurance was really great about covering the charges. They got most of it written off and sent me a check for the remaining outstanding balance with Sunrise. I called Sunrise and they said that I could just endorse the entire check over to them to cover the balance. I did so. A couple of months later I received a letter from them stating that my account was in default from lack of payment. I contacted them and they claimed they never received the check. I ended up paying them with my debit account because I did not want to be sent to collections. I later contacted my insurance and they launched an investigation for the missing check. It was later revealed that Sunrise indeed did cash the check! So they took two payments from me! My insurance called them with me on the line and they still claimed that they did not until my insurance forwarded a copy of the check with a deposit stamp from their company on it. They then said the would issue me a refund check. Not once did they apologize or sound remorseful. Mind you this has been going on for a year! I just called them and asked where my refund check was. The woman who I have been speaking to [redacted] claims that it was issued to my insurance and they have no record after that. She couldn't tell me when it was issued. She would not give me the number for corporate, the information of her supervisor, nothing. I don't understand how a company issues a refund check but keeps no record of it. Not every the check number? So I am supposed to just wait and hope that I get my money back. She was very argumentative as well. The check was supposed to be issued to me not my insurance company.Desired Settlement: I want to be refunded for the amount I paid of $177.84

Business

Response:

We are investigating the complaint and will have a full response by Friday, May **,2015.

Business

Response:

Good afternoon,We did receive a check forwarded to us by the patient that was sent to her by Empire BC/BS. The check was not for our services and since we had scanned the check and cashed it, we sent a refund check to Empire BCBS on April *, 2015. The check number was [redacted] for the amount of $184.09. At this time the patient is not due a refund since we did not receive an additional payment for the $177.84 that was sent to her by her insurance company for our services. We only charged the $177.84 allowed by her insurance company and sent to the patient. We would like to apologize for any confusion and dissatisfaction this caused for the patient. Please let us know if you need any further information.Thank you,[redacted]

Review: I was billed twice and I paid it as well, I have proof of both checks clearing from my bank account . I contacted company a representative brushed me off claiming it takes 15 business days last I paid was on 12/**/2013 and prior was 11/**/13 to my records that constitudes way more than 15 business days . I also mailed them proof today and wrote them a ltr I would also contact your department. The representative claims the last payment on 12/**/13 hasn't been posted to that bill ACC# [redacted] yet on my bank it shows clearly they have withdrew funds so now they want to procrastinate my refund .Desired Settlement: I would like my refund as soon as possible I can provide proof just as I did to them .

Business

Response:

I apologize for the delay in response. I was out of the office during the last week and didn't receive the complaint until today.

We checked our records and confirmed that the complainant is entitled to a refund in the amount of $9.19. A check in this amount will be issued and mailed to the complainant on Moday, February *.

Review: Due to an error by my doctor's office, my date of birth was wrongly submitted to the lab. When Sunrise Medical Laboratories try to collect from my insurance company (Aetna) they were unable to collect payment until it was corrected. I called Sunrise Med. Lab. when I received the first bill and was told that the problem was my date of birth. I gave the agent my correct date of birth and stated I could submit proof but, the lady stated that the only way to correct this was to have my doctor's office notify them. I reached out to my doctor's office and explained the situation. Turns out my doctor's office either didn't make the correction or it wasn't recorded by the lab. At the end I received another bill for the balance which was $26.28 with a date of service of 4/**/13. Don't recall when but I received a collection's letter for this balance. I reached out to my doctor's office again and stated the problem. The receptionist (a different one) stated she would take care of it. Today 2/**/14 I decided to call Sunrise lab. to ensure everything was fixed. The male agent who answered the phone was rude. He said that this bill was already sent to collections. I stated the situation and he said the doctor's office had 1 month to make the correction and they didn't so it was sent to collections and all I could do was pay the collection agency. The first problem I have is "why couldn't I correct my own date of birth?" The second is due to bureaucracy my bill is transferred to a collection agency. The third is this attitude that it's my problem, just pay a bill- that should have never existed.Desired Settlement: For Sunrise Medical Lab to resubmit the claim to my insurance with explanation of problem so that they can receive payment. And for them to contact the collection agency to withdraw the bill.

Business

Response:

To whom it may concern,

In reviewing this complaint, the account has been removed from collection and closed. It has been confirmed by AMCA that this was not reported on the patien'ts credit report and will not affect her credit. AMCA will send a letter to the patient confirming this has been closed.

We do apologize for not handling this issue in an appropriate manner.

Sincerely,

Sunrise Medical Laboratories

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.

Sincerely,

Review: I notified my doctor of change of insurance carrier in at time of service (Dec 2014). Received two bills ( one for $82.00 and one for $1040.00) from Sunrise for tests in July 2015, stating my insurance had expired. Replied with a note stating there was a change of carrier and and provided a copy of the new insurance card., Received repeated bills the following month. My father called the office and explained, Sunrise stated they had sent the bills to the wrong carrier address, to please disregard the bills and they would take care of it. Received another set of bills the following month, again stating my insurance had expired, with not mention of the communication. Sent a letter documenting the proper carrier to the doctor's office, my insurance company, and Sunrise Medical laboratories. Received another set of bill again stating my insurance has expired. I contacted my insurance company and they say they did not receive an invoice until September 2015 and have denied it for not being filed in a timely manner. Received another set of bills from Sunrise, still stating my insurance has expired. Sent Sunrise a certified letter explaining that: 1. They waited six months to notify me of the problem. 2. They did not follow up when I sent them correct insurance information. 3. They did not follow up after my father called and they told him they were billing the wrong address. and 4, they did not contact my insurance company until it was too late to file. This morning, I received a letter that the statement had gone over to collections. In my previous certified letter to them, I stated that I would involve the Revdex.com if they refused to acknowledge their responsibility in this problem.Desired Settlement: That Sunrise withdraw the two bills and not file / or remove any negative reporting to any credit filed credit agency with regard to my payment history. Thank you.

Business

Response:

Good afternoon,

In response to the above complaint here is the following information. We did originally receive the incorrect insurance information and recevied a denial from the insurance carrier. At that time we billed the patient and were given her insurance information. We rebilled the insurance and it was denied a second time. On November *, 2015 the patient's mother called and advised us she was appealing the claims with the insurance company.

The letter the patient received was from the Sunrise Medical Laboratories Billing department and not from an outside collection agency. The bill was never sent to collection. We have since received a Timely Filing Denial from the insurance company and have adjusted the bill. The account has been closed as of 01/**/2016 and no further bills will be issued for that date of service.

We apologize for any inconvenience to the patient and would like to reassure her that the account is closed.

Thank you,

Carmella T[redacted]

Assistant Billing Manager

Sunrise Medical Laboratories

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.

Sincerely,

Review: To Whom It May Concern:

[redacted] (our Family Doctor) performed my annual routine physical check and sent my test samples to Sunrise Medical Laboratories on 05/**/2013. Our insurance company (Horizon Blue Cross Blue Shield of New Jersey) covers 100% of such services for us. Sunrise Medical Laboratories submitted the claims on 06/**/2013 to my insurance company for my lab test services. The claim number is [redacted] and the total charge is $1255.70. The EOB from our insurance company indicated that our responsibility is $137.23. Since Sunrise Medical Laboratories submitted the claims with a wrong diagnosis code, our insurance company did not cover $137.23 for me.

On 06/**/2013, [redacted]’s office sent a fax to Sunrise Medical Laboratories and requested Sunrise Medical Laboratories to change the Billing DX Code to [redacted].

On 09/**/2013, Sunrise Medical Laboratories submitted two new claims (Claim#[redacted] and claim#[redacted]) to our insurance company with the total amount of $1372.50 for the same services Sunrise Medical Laboratories did on 05/**/2013. Our insurance company denied the claims due to the duplicated services on the same day.

On 11/**/2013, Sunrise Medical Laboratories sent me a letter to inform me that I owed $1172.50 to Sunrise Medical Laboratories. I called Sunrise Medical Laboratories on 11/**/2013. The customer service told me to discard the letter.

On 12/**/2013, I received a bill from Sunrise Medical Laboratories with a charge of $1255.70.

On or about 12/*/2013, 2pm, I called our insurance company and Sunrise Medical Laboratories. Later, at the same day, our insurance company called Sunrise Medical Laboratories to instruct Sunrise Medical Laboratories to re-submit the original claim with the correction (right code), not to resubmit the claims as new claims. I was told that Sunrise Medical Laboratories would re-submit the claim with right method.

On 02/**/2014, I received a bill again from Sunrise Medical Laboratories with a charge of $1255.70.

Both of our insurance company and I called Sunrise Medical Laboratories many times to try to resolve this issue. Sunrise Medical Laboratories insisted to send me the bills and charged me from $1172.50 to $1255.70. Such harassment and business fraud caused my mental stress and affected my normal life.

On 2/**/2014, I faxed and emailed the above letter to Sunrise Medical Laboratories with all of the EOBs from our Insurance Company to alert the company their actions caused my mental stress and affected my normal life.

On April **, 2014, I received a third bill from Sunrise Medical Laboratories with a charge of $1255.70. Such continuous harassment and business fraud caused my mental stress and affected my normal life.

Best regards,

[redacted].Desired Settlement: A letter from Sunrise Medical Laboratories indicated that they stop their harassment.

Business

Response:

Good morning,

In response to this complaint. The bill became a zero balance bill on 05/**/2017. We received all necessary documentation from Horizon BCBS and will no longer be billing the patient. A zero balance invoice has been sent to the patient for their records.

Please let me know if any futher information is needed.

Thank you,

Sunrise Medical Laboratories

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.

Sincerely,