The Bubricks of Janesville recently found themselves in a frustrating battle with their health care providers, SSM Health and Dean Health Plan, over billing issues. Mike, 81, and Marcia, 83, were charged $35 co-pays for yearly eye exams that should have been free under their insurance plan. Despite multiple appeals and attempts to resolve the issue, the charges continued to appear on their accounts.
After reaching out to the providers and receiving little assistance, Mike finally got a call from Tanya Craft, a revenue cycle supervisor with SSM Health. It was revealed that a systems hack at Dean had caused billing information to not transfer to SSM Health, resulting in the erroneous charges. SSM Health offered a “courtesy adjustment” to erase the co-pays, but Mike pointed out that it was simply correcting a mistake they were entitled to.
Further investigation revealed that a $350 co-pay for Mike’s surgery had been incorrectly categorized, leading to more confusion. After several calls and corrections, the charges were finally resolved.
SSM Health acknowledged the delay in resolving the issue and stated that they are committed to providing exceptional health care and customer service. The Bubricks’ ordeal serves as a reminder of the complexities of insurance coverage and medical billing, urging others with similar concerns to reach out for assistance.
Overall, the Bubricks can now breathe a sigh of relief as their billing issues have been rectified, thanks to persistence and communication with their health care providers.
