MedStar Southern Maryland Hospital Center, Inc

On October 21, 2015, I slipped and fell after taking my shower around 9pm that evening in my home which resulted in me hitting my head. Immediately, my husband took me to the ER at Southern Maryland Hospital because I had an opened wound on my head which required stitches. Upon checking in with the receptionist, they noticed I was bleeding excessively so they took me in the back to be seen by an ER doctor; they told us due to it was a head injury, I will be seen quickly. Nevertheless, hours, I mean literally hours later, no doctor but only a nurse came by once to check on my vital signs while I laid there on the hospital bed. Please note I arrived at the ER at Southern Maryland Hospital approximately around 9:45pm. From the time I got there and they put me in the back on a hospital bed, no ER doctor came to check my condition. Eventually, my husband woke me up and told me we were leaving; this was around 1:45am in the morning! Sadly, to say, no one stopped us but told my husband that they see patients based on the emergency of the incident which is how they prioritize their patient's incident; they prioritized me as not an emergency. How would they have known if my incident was any emergency if no doctor came by to check my condition? I laid there for hours bleeding and no one even offered me an ice pack (the ice pack I originally came in with from home was the same ice pack I used through the duration of my stay even when we left the hospital on our own accord). The bottom line is no once cared if I had a life or death emergency; I could had bled out on the hospital bed!!!!!!!!!!!!!!!!!!! Finally, even though I checked in at the ER in Southern Ma[redacted] Hospital Center, they have the nerve to bill me even though I wasn't rendered any services as a patient! Whatever your emergency, "DO NOT GO TO MEDSTAR SOUTHERN M[redacted] HOSPITAL CENTER IN CLINTON MD! THEY ARE A RIP OFF AND THEY ONLY WANT YOUR MONEY!!!!!"

August 7th, 2014
Dear [redacted];We are in receipt of your dispute with our explanation to you and the Revdex.com regarding yours and [redacted]'s bill The facts are as follows;
1. You only gave [redacted] as your insurance company.2. They were billed, combined with your newborn daughter, as per their billing requirements.3. They denied for Primary carrier's EOS ([redacted]). A letter was sent to you advising of this.4. You contacted our Patient Accounts Department and advised them of [redacted]. The Manager of that department has noted in the system "you thought you had dropped them".5. [redacted] was then billed correctly, as per their requirements with 2 bills, one for you , one for your newborn.6. [redacted] paid your claim, and the co insurance was billed to [redacted], which they paid.7. Because [redacted] was not added to the policy, rtd payment was made on her.8. [redacted] would not pay [redacted]'s claim until a written denial came from [redacted]. This was not forthcoming, because [redacted] had never been added to the policy, 9. These were the reasons [redacted]'s bill was not paid. It was not due to any error in billing.10. On the last call with you and [redacted], they said they would issue a notice of non-coverage to you.We have not received the non coverage letter from you, and we are still unable to rebill [redacted] for [redacted]'s claim. All the above has been documented in your records, if you will send the letter of non-coverage on [redacted], we will bill [redacted], however, due to the length of time involved, payment may not be forthcoming from them. If you have additional questions, please call me at ###-###-####. Thank you.Sincerely,Charles S.Vice President and Chief Financial Officer

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]
 Complaint: [redacted]
I am rejecting this response because:
The problem initially began because Southern Maryland
Hospital Center’s billing department billed the insurance incorrectly. The
payment to [redacted] should have been one invoice, not two separate bills. I did
not mistakenly think I dropped my insurance because intentionally kept the
coverage throughout the year to cover any situation like this. My baby should
not have been billed from the beginning. This is a situation that I feel they
should have to correct due to their incompetent billing department and inadequate
service. I have called multiple times trying to rectify this issue with very little
assistance from billing. In addition, I was not even informed that the bill was
being transferred to the collections department after providing Dottie and Ms. E[redacted] all contact numbers. This simple
task that should have been satisfied has caused by undue stress and I will be
reach out inquire about legal action.
Regards,
[redacted]

June 27th, 2014
Dear [redacted];Thank you for your recent inquiry regarding the above Patient and her newborn [redacted]. When the patient registered, she gave [redacted] as her only insurance. We billed [redacted], for both Mother and Baby. [redacted] denied both claims, stating there was...

other primary insurance for both. We sent [redacted] a letter, and she responded with a telephone call. She did have [redacted], but mistakenly thought she had dropped it. We obtained the information from her to bill, but she indicated that [redacted], her newborn, was not covered under [redacted], wherein the problem lies,We did bill [redacted]'s claim to [redacted], who paid it leaving a coinsurance amount. We then billed [redacted] who then paid the co insurance in full, leaving a $10.00 balance, which the patient paid. We rebilled the baby, which [redacted] denied as a duplicate billing. We resubmitted the claim advising this was for the birth of the baby, which [redacted] again denied stating they needed the Primary Payor's EOB. We billed [redacted] for the baby, to which we did not receive a response. After a follow up telephone call to [redacted] we were once again informed that the newborn was not covered under the policy. At this point, we sent a letter to [redacted] advising her to call [redacted] and advise them the baby was not on [redacted]'s policy. We asked that she contact us when this was accomplished, at which time we would resubmit the claim to [redacted]. We did receive a call from [redacted] who had a [redacted] rep on the line stating they needed a denial from [redacted]. Again we resubmitted, with no response. In a telephone call to [redacted], we were once again told the baby was not on policy. We rebilled [redacted], with an explanation as to why we were billing them as primary.This battle with the insurances went on several more months, with no resolution. There were several more conversations in the same vein, without resolution. Inadvertently, due to the age of the bill, it was turned over to a Collection Agency on 6/20/14. The account was over a year old, with no promise of payment either by [redacted] or [redacted]. It has not been through a lack of effort by the hospital, or [redacted] that this claim remains unpaid. Unfortunately, this back and forth between insurances is not atypical. Perhaps you can use your influence with [redacted] to issue a denial for non coverage for [redacted], and we will promptly bill [redacted], although filing statutes may come into play, due to the age of this bill. Please contact me with any questions at ###-###-####,Sincerely,Charles S.
Vice President and Chief Financial Officer

To [redacted]
 [redacted]
 [redacted]
Please close
Revdex.com of Metro Washington DC <[email protected]>
Oct 15
to me 
---------- Forwarded message ----------
From:...

[redacted] <[redacted]>
Date: Tue, Oct 14, 2014 at 2:45 PM
Subject: Please close
To: "[email protected]" <[email protected]>
Please close complaint #[redacted]. The merchant contacted me today and has remedied the situation.  Thank you for your assistance.
Regards,
[redacted]
###-###-####
Sent from my [redacted]