General Question

BBSDTfamily's avatar

What's the time frame in which doctors must refund any overpayment to patients?

Asked by BBSDTfamily (6839points) February 6th, 2010

A year and a half ago my husband went to a doctor, had surgery, and the medical problem was over. No follow-up appointments scheduled. Last week, he goes back to the same doctor for an unrelated issue and is told he has a “little credit” there so we don’t have to pay the co-pay today ($20). I asked what the credit was, and was then told $233. Is it legal for them to have held our money for so long?! What if we’d never gone back to that same doctor? I would have never known about the overpayment! The lady in patient accounts didn’t really have an answer for me. Now they won’t submit the check until these charges come through from the insurance company which I can understand, but I’m still upset that our money has been held for so long. Is this legal and can I file a complaint? It makes me want to call every doctor I’ve ever been to and ask if we have a credit there and for them to send a check!

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3 Answers

john65pennington's avatar

There may be no set rule, but my nurse wife says no longer than 30 days. they knew they had the surplus money and was just drawing interest off your money. i would deman the $233 as a refund, then you can pay whatever you owe, they may juggle the figures in order to keep your $233 dollars, so keep a watchful eye.

BBSDTfamily's avatar

Good point… I will be sure to inspect the statement my insurance sends.

DrMC's avatar

I’ll have to check with my wife, she takes care of the small details. It’s logistically easier to return the owed money in the fashion they did, versus writing and mailing a check, but the risk is it might not be repaid, or paid timely.

I don’t think it’s a scam. I think its sloppy management of billing service. You could ask the doc’s manager.

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