Complaints

• Initial Complaint

  01/30/2025

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  Dear Better Business Bureau,I am writing to express my dissatisfaction and dismay with the recent service my child and I experienced at Sunrise Hospital Pediatrics on December 16, 2024. As a veteran and an employee of the **, I find the EXORBITANT charges for a brief emergency room visit-less than 2 hour in duration ( waiting for the x-ray to be read)-with no treatment, and only a chest x-ray performed, to be UNACCEPTABLE.The mother of my child paid $160 even before any physician have seen and attended to my child. I have been paying significant premiums for the health insurance I provide my son ******** *******. I was shocked to receive another bill amounting to $212.16, this seemed disproportionate to the services rendered. My health insurance already paid $1,860.80 to Sunrise Hospital. The total amount that was paid was already $2,020.80. The lack of transparency regarding the cost structure and the inadequate justification for such high charges leave me deeply disappointed and concerned. My son rarely gets sick, I was scared for his life that was why I brought him to the emergency room that day. Overcharging a working veteran like me seems to be unjust and unfair. I have given my life to defend this country during and after the September 11 event. Enduring Freedom and at the Battle of ******** with 1st Battalion 3rd Marine Divsion as a Navy Hospital ********************** Force). Until now, I am working so that I will not be a burden to my ************************** I have very limited money so this extra bill for $212.16 maybe a small amount for other people but it is a SIGNIFICANT amount for **** seek your assistance in addressing this matter to ensure that the hospital's billing practices are fair, transparent, and aligned with the quality of care provided. Please eliminate this additional charge of $212.16.Thank you for your attention to this issue. I hope for a prompt resolution regarding this matter.Sincerely yours,**** *******

  Business response

  01/31/2025

  Based on the patient's insurance, there was a co-insurance of $465.20. The patient did pay $160.00 at the time of service, and there was a $93.04 adjustment. The patient owes a balance of $212.16 based on their insurance. The patient can call our client billing line at ************ to discuss a payment plan. 

  Customer response

  01/31/2025

   
  Complaint: 22877574
  
  I am rejecting this response because: the bill is outrageously expensive. I would like to kindly ask to reduce the remaining bill if not totally eliminate it. The total amount paid by my insurance and me totaled to $2020.80. The only procedure that was done was x-ray and consultation (paid separately).

  Please kindly reconsider.
  
  Sincerely,
  
  **** *******

  Business response

  02/03/2025

  We are not able to offer elimination of the bill as services were rendered. Please follow up with the billing department to discuss payment plan options. 

• Initial Complaint

  01/08/2024

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  Back in September 2022 I was visiting ********* and got extremely sick to the point of hospitalization in the emergency room. Upon entering, I attempted to give my insurance number as well as my federal passport ID. I was told they were unable to accept my insurance number and my federal ID. They needed some thing with an address on it and my Social Security. at the time I was only *************************************************************** they cannot take a federal ID. In addition I have provided all legal documents to verify my identity. My insurance acknowledged they paid a bill and now 12 months later after I can no longer file a claim they are stating that I owe money. This is a scam and fraud.

  Business response

  01/29/2024

  In review of your account at *********************************************, we attempted to verify the insurance information provided multiple times and we were unable to confirm active insurance coverage. At this time we are unable to bill the insurance provided due to not being able to confirm active coverage. You are welcome to call our customer service and work on a settlement in full for this account due to the balancing still being owed. In review of the bill that was attached to this complaint, the bill attached is not for Sunrise Hospital. If you have any further questions please call ************.

  Customer response

  01/30/2024

   
  Complaint: 21106392
  
  I am rejecting this response because: this is not an adequate response I provided your hospital with  BOTH my ******************* and ******************* information I have been a member of ****** for the last 20 years. There is no way that my information was expired when I did a follow up appointment with my doctor after services. I explained to your staff that I was simply a visitor in ******************* when I provided them with both of my information medical numbers to which they REJECTED accepting. Before I was even billed for anything, they required me to give my social and a physical ID Rather than accepting my medical insurance. Upon trying to get this resolved with your staff I also provided them with ******************* information, and you saying that one of the billing items was not from you. Thats what the worker provided. And now all of a sudden I can reach out to Better Business Bureau and I can start getting letters and emails from Sunrise. Odd.
  
  Sincerely,
  
  *****************************

  Business response

  02/12/2024

  After further conversations with ****** we were able to find the correct ID number for your insurance plan and confirmed that the insurance was active in September 2022. We are in the process of updating your account and rebilling your insurance for the Sunrise Hospital visit. If you have any further concerns please reach out to our billing office ************ or ************. Thank you for your patience as we correct your account and bill your insurance.

• Initial Complaint

  11/21/2023

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  I was a patient at Sunrise Hospital in March. According to my insurance ********* and Aetna) explanations, the amount I owe to this hospital is zero. The billing department of that hospital has decided that I still owe $199.00 and has turned the issue over to a debt collector (Medicredit). I have been repeatedly hassled with phone calls asking me to pay an amount which I believe is in error. I have repeatedly asked for an explanation as to why they do not agree with the explanations from insurance and have mailed copies of my insurance statements to both Sunrise and Medicredit. Today I tried to get some explanation of this charge from Sunrise billing. I was rudely transferred to Medicredit and was told that they never received any documentation from me! I want Sunrise Hospital to either agree with ******** (as they should) or explain why I owe them $199.00. Thank you.

  Business response

  11/30/2023

  Sunrise Hospital has reviewed your concern and agrees with your insurance that your patient balance is $0. Your account has been removed from collections and has been updated to reflect a $0 balance. If you would like a zero balance statement or have any other concerns you are welcome to reach out to *************************, Patient Access Director, at ************. Thank you

  Customer response

  12/01/2023

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. Thank you for your help in finally reaching a resolution with my problem with this business. 
  
  Sincerely,
  
  *********************

• Initial Complaint

  04/16/2022

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Resolved

  More info

  My son had an outpatient surgery at the hospital on 8/16/2021. I preregistered and paid my copayment. At the time, we were covered with culinary health fund insurance and that's the only payment that had to be paid (copayment) . A few months later, I get a bill from the hospital stating that I owed $500. I called the insurance to see where the $500 came from and they informed me that everything that they were billed for was fully paid and the only thing I was responsible for was the copayment. I call the billing department and explain everything and the tell me that the $500 is deductible. I told them my plan had no deductible and the lady that I spoke to said she was going to make a note of that. A few weeks later I get a bill for $250. I called my insurance again and we pretty much have the same conversation, everything's been paid for I'm only responsible for copayment because culinary doesn't have deductible. I call the billing department again and I get the same explanation. The $250 I'm getting billed Is deductible. The billing department claims they can't talk to the insurance because everything's been paid for, and insurance can't talk to billing department. The summary of benefits for patients is available on the culinary website, but the billing department won't look at it. I've had surgeries before (other hospitals) and have never had any issues. It's really frustrating that I'm getting billed for something I don't have to pay for and it feels like no one from the billing department is listening to me. I really hope I never have to go back to that hospital.

  Business response

  05/06/2022

  Business Response /* (1000, 5, 2022/04/26) */ Spoke with Doris D***************, Sunrise is currently working on getting her claim reprocessed with Culinary to reflect the correct patient amount, her account is on hold until this is corrected with Culinary. Doris was made aware this can take up to 30 days and has my direct phone number to contact me with any questions or concerns. Consumer Response /* (2000, 7, 2022/04/28) */ (The consumer indicated he/she ACCEPTED the response from the business.) The claim is being processed

*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩