Here are just some of the emails sent to us by other angry patients from Sparta Medical Associates; |
The Sparta Medical Staff had filed the wrong service to my insurance company and the coverage was rejected. I contacted the billing office immediately and told them they made a mistake. They of course argued with me and were extremely cold and uncooperative. Every time I received another one of their threatening bills I called to try to get them to understand they made a mistake, and all they needed to do was change the code they submitted and the insurance company would pay. In the mean time they charged me a late fee every month. After going through this dance for 4 months or so, I filed a complaint with the BBB. After the BBB contacted them, amazingly the code was changed and the insurance company paid the charge. Unfortunately, my problem with the SMA billing department did end. The continued to send me bills for the service charges they added onto my account due to THEIR MISTAKE. I called and requested they be dropped and I was told I needed to pay them. I told them NO! They sent the charges to collections. |
Arrgh I know how pissed you were because I am there. I had foot surgery in September of 08 - Sparta medical an in network provider assured me that they got all the necessary approvals from insurance, in fact, as an in network provider it is their responsibility a week after the surgery I get a letter from the carrier that insurance will not cover my surgery- as my surgery was considered experimental, but that I would not be responsible because he was an in network provider who didn't do what he was supposed to do-- long story short - I called Sparta medical and was told by the nurse that they had in fact gotten the appropriate authorizations - so I figured just a gliche - but it was at that time and only then did I learn that the Surgery Center where the surgery was performed run by the same doctors same building was out of network! The insurance company paid the doctor but was holding off on the surgery center - just a couple weeks ago I was notified that they revoked the payment to the doctor and would not cover the surgery center -- as the two appeals were denied (It was Sparta Medical who apparently filed the appeals) -- so last week I get a bill from Sparta medical for the entire amount -- surgery center and doctor --- ! I am currently in the process of a third level external appeal through the insurance company and when I asked that the bill be held in abeyance I was told by Sparta Medical billing they were not doing that. I am currently waiting for a call back from the doctor, and I intend to draft a letter to Sparta Medical requesting this - Somewhere somebody screwed up --- now suddenly after the doctor was denied to two appeals the insurance company changed the eob's and they state that I am responsible Something's not right --- I truly believe that what Spata Medical is doing insofar a the out of network surgery center which they do not advise - is bordering on consumer fraud - and I an currently looking into that. Thanks for the website - it's a nice place to vent. I realize my complaint is different than what happened to you and I have all these other issues going on with the insurance company - but the treatment I've been experiencing from Sparta Medical is the same. They simply don't care.
I'll keep you posted on my progress.
Thank again, |
At last, people who understand what I am going through! I have been a patient of Sparta Medical Associates for over 40 years and have been treated by just two of their staff doctors, both of whom were my physicians prior to their joining the group Both doctors were attentive, thorough and I have no desire to lose the current one as my family physician. However, as stated in a prior complaint, they PUSH their Lafayette surgical facility down your throat. This past spring I had need of an endoscopic procedure. Prior to my making the appointment at their surgical center, I questioned both the office and the surgical center as to whether I would be in any way be held responsible for any payments €“ after all, Sparta Medical Associates IS in both my insurance networks. I was assured three times by Sparta Medical Associates employees that my insurances covered me 100%. Well, guess what, low and behold, they weren’t covered 100% and Sparta Medical Associates was well aware of that fact because the surgical facility is no in network. So I got stuck with a $72. unpaid bill for using their surgical center. Now if the procedure had been done at the hospital, I would NOT have had a $72 unpaid bill and Sparta Medical Associates was well aware of that fact. So after 5 phone calls and two letters and not one response initiated by Sparta Medical Associates, I received a letter from them advising me that I could no longer see my doctor of 22 years as they were terminating the physician-patient relationship. When I called their office, I too spoke with the heartless bitch, Linda. This is a personal vendetta and a personal mission she is on. I think she must get paid a commission on every dollar she collects and no one knows what she is doing to destroy the confidence loyal patients have in their doctors, as they appear to be allowing this witch to do whatever she wants. She told me that she would present my case to the board of directors. My doctor is on that board and I have placed a call to him to find out if he is aware of my situation. I am waiting to hear back. I have also contacted Warren County legal services and have printed out the complaint form from your site. Thank you. Any additional words of wisdom are appreciated as I will dog this to the bitter end, I am so furious! Anything I can do to discredit Linda and her billing practices I will gladly do. N |
To whom it may concern: I am currently experience an issue with Sparta Medical. In April 2007, I went to them for physical therapy because they are a preferred provider for my insurance carrier. January of 2009 they sent me a bill for this service stating my carrier refuse to pay so I am responsible. I call my health insurance and basically they refused to follow protocol they agreed as a in-network provider and this is why my carrier refused to pay. I have a letter from my carrier stating they cannot bill me anymore which was sent to their office as well. They have now sent it to collections regardless of the letter from the carrier. I have spoken to them on several occasion and they refused to reason and Danielle said they can continue to bill me it they want. Linda has not return my call. Any assistance you can offer would be great. Regards, Diane |
[Sparta Medical Associates] [Sparta Medical Associates - Complaints] |
The above is our opinion based on our experiences with Sparta Medical Associates. |