Many people pay upfront before seeing a doctor, but how can you know if you’re owed a refund? KPRC 2′s Amy Davis has what you need to know before your next doctor visit and steps to take if you’re seeking a refund.
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Viewer Rachel Swift emailed Amy Davis about an issue with a doctor’s office. She says they, “refuse to return my phone calls and messages. They owe me $200. Is there a board to report a doctor’s office for failing to comply?”
Follow up after paying for doctor visit
Insurance deductibles, co-pays, and out-of-pocket expenses can be confusing, and you may pay more than necessary. Doctors and insurance providers often require payment during visits, but you should follow up to confirm the final amount owed. Sometimes, you may be entitled to a refund, but getting your money back can be challenging.
Helpful legislation
Texas laws include protections to help patients recover any overpayments.
SB 490: Requires hospitals to provide itemized bills after services, helping you verify charges.
SB 1731: Mandates that providers issue refunds within 30 days after a patient requests it.
If you’re struggling to get a response, consider filing a complaint with the Texas Medical Board and selecting “Billing Dispute” on the complaint form.
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Federal Protections Under the No Surprises Act, effective since 2022, healthcare providers must give you a good faith estimate if you’re not using insurance. If your final bill exceeds this estimate by more than $400, you can dispute it.
You can also reach out to the National No Surprises Help Desk for support.
- Call the No Surprises Help Desk at 1-800-985-3059 or file an online complaint.
Billing Errors are Common
According to the Consumer Financial Protection Bureau, 80% of medical bills contain errors. Always ask for an itemized copy of your bill to check for duplicate or incorrect charges.
Unclaimed Property If you’re unable to secure a refund, unclaimed overpayments may end up with the Texas Comptroller’s Office.
You can check the website to see if there’s money waiting for you.
The Consumer Finance Bureau has a helpful list of things you can do if you think you don’t owe a medical bill.
Do you have a question for Amy? Email AskAmy@kprc.com
