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Old 01-03-2015, 05:47 PM
 
Location: Dover, DE
1,796 posts, read 3,820,506 times
Reputation: 2488

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Long story short, CMC Pineville owes me about $1300. I had a hip replacement done back in November and, of course, they all want their co-pays, etc. ahead of time, including the surgeon and the hospital. So when they call to get the amount that my insurance will pay for, they all get quoted the maximum amount left for me to pay out of pocket. But since no one has turned in their bills yet, they were all quoted the same higher amount I still owed on my OOP. Fast forward......doc and everybody else has submitted their bills to the insurance and by the time the hospital got theirs in approximately $1300 of that out of pocket quoted had been used up by the others and the insurance Explanation of Benefits tells me I only owe the hospital about $1200, and I paid them almost $2500.

It is now 2 months later and I still don't have the refund. I questioned the woman at the time about it and she says "if you overpay, we will refund the balance". Ok, when???? Am I going to have to fight tooth and nail to get this back. Anyone give me a timeline on the refund?

Thanks!
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