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Violated their contract with my insurer-Balance Billing

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Florida Cardiopulmonary Center - Violated their contract with my insurer-Balance Billing

I had an annual check up with my cardiologist specialist. My Co-Pay is $50.00.

When I arrived the (not so Friendly receptionists) stated I owed $110.00. I questioned the amount. Verified there were no additional testing to be done during this visit and that they were still in my network. She stated the amount of $110.00 is for the $50.00

co-pay and toward my deductible.

I contacted my insurance company while waiting in the waiting room to confirm. My medical insurance agent advised all I should be charged for the visit is $50.00. The insurance agent asked to speak to staff, she refused to speak to him. Instead she tossed a number and with an extension for him to call.

My insurance agent put me on hold and made several attempts to call and know-one answered. I then asked to speak to a manager, advised my insurance agent would like to speak to her. They stated the manager wasnt available. Another agent persued to help and stated the first receptionist made a mistake and stated that I owed $75.00- still more than my $50 co pay?

They took my card, my agent stated they needed to reimburse me the difference they charged beyond my co-pay. I was upset by this point, my blood pressure was up, I no longer felt like continuing with this cardio appointment.

I asked for a full refund and advised them that I would be finding another cardiologist. At this point it wasn't even about the money, it was how I was treated as their patient with a heart condition.

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Preferred solution: Apology

User's recommendation: Be aware of Balance Billing- Don’t allow physicians to break their contract with your Medical Insurer

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