Rutland Regional Medical Center

I went to provider ***, MD on 1/14/19 for diagnostics on a knee injury. I am covered with *** health insurance through my husband who is a 100% disabled veteran. That day I saw the doctor who examined my X-rays, examined my knee and gave me an injection for pain. Afterwards, I received a statement from Rutland Regional Medical Center dated 03/28/2019 with ENCOUNTER # ***. The breakdowns of those charges were $1053.18 for the visit, plus an additional $852.41 for "adjustments" for a patient balance total of $1,905.59. Upon receiving my statement from *** dated 02/19/19, I immediately noted a discrepancy for the total amount billed, which came to only $1053.18. The explanation of benefits listed their HAC payment to provider was $64.61 and my cost share was $71.55. The amount not covered was explained in the remarks/codes section which stated, "CFR 17.272(B) (3) REQUIRES PROVIDER TO ACCEPT *** ALLOWABLE AS FULL PAYMENT." Therefore, I sent Rutland Regional Medical Center a check for $71.55 before their 03/28/2019 due date. However, this past Saturday, May 4th, I received another statement from Rutland Regional Medical Center dated 04/27/2019 with a new patient balance total of $1,834.04. Their statement only listed my $71.55 payment, and nothing more, with a due date of 05/27/2019. Today, I called *** who confirmed their payment of $64.61 had gone out by check # *** dated 02/21/19, which validated Rutland Regional Medical Center had in fact accepted assignment and recommended I call them to verify they reconcile my account to a $0 balance. When I called their Patient Accounting Representative, the agent initially told me that I was still responsible for any non-covered services, which I knew was a lie. After an extended hold on the phone while the agent spoke with his "billing department" he came back on to say that my balance was now $0 and to mention his name "" going forward if I receive any further statements stating I owe anything. Please accept this complaint for I believe these are suspicious business practices on the part of this healthcare provider. I am very suspicious why their statement dated 04/27/2019 never reflected any payment from *** and why they continually pressed me for a payment that I did not owe. Upon receiving their statement, I became very distressed contemplating possible collections litigation especially since my husband and I live paycheck to paycheck and a $1,834.04 would have put us in deep financial hardship. I would greatly appreciate you look into this for me for the experience left me never wanting to return to Rutland Regional Medical Center for any future healthcare need. I feel they treated me like I had no healthcare insurance at all, rather than what I have through the Department of Veterans Affairs.

I went to provider ***, MD on 1/14/19 for diagnostics on a knee injury. I am covered with *** health insurance through my husband who is a 100% disabled veteran. That day I saw the doctor who examined my X-rays, examined my knee and gave me an injection for pain. Afterwards, I received a statement from Rutland Regional Medical Center dated 03/28/2019 with ENCOUNTER # ***. The breakdowns of those charges were $1053.18 for the visit, plus an additional $852.41 for "adjustments" for a patient balance total of $1,905.59. Upon receiving my statement from *** dated 02/19/19, I immediately noted a discrepancy for the total amount billed, which came to only $1053.18. The explanation of benefits listed their HAC payment to provider was $64.61 and my cost share was $71.55. The amount not covered was explained in the remarks/codes section which stated, "CFR 17.272(B) (3) REQUIRES PROVIDER TO ACCEPT *** ALLOWABLE AS FULL PAYMENT." Therefore, I sent Rutland Regional Medical Center a check for $71.55 before their 03/28/2019 due date. However, this past Saturday, May 4th, I received another statement from Rutland Regional Medical Center dated 04/27/2019 with a new patient balance total of $1,834.04. Their statement only listed my $71.55 payment, and nothing more, with a due date of 05/27/2019. Today, I called *** who confirmed their payment of $64.61 had gone out by check # *** dated 02/21/19, which validated Rutland Regional Medical Center had in fact accepted assignment and recommended I call them to verify they reconcile my account to a $0 balance. When I called their Patient Accounting Representative, the agent initially told me that I was still responsible for any non-covered services, which I knew was a lie. After an extended hold on the phone while the agent spoke with his "billing department" he came back on to say that my balance was now $0 and to mention his name "" going forward if I receive any further statements stating I owe anything. Please accept this complaint for I believe these are suspicious business practices on the part of this healthcare provider. I am very suspicious why their statement dated 04/27/2019 never reflected any payment from *** and why they continually pressed me for a payment that I did not owe. Upon receiving their statement, I became very distressed contemplating possible collections litigation especially since my husband and I live paycheck to paycheck and a $1,834.04 would have put us in deep financial hardship. I would greatly appreciate you look into this for me for the experience left me never wanting to return to Rutland Regional Medical Center for any future healthcare need. I feel they treated me like I had no healthcare insurance at all, rather than what I have through the Department of Veterans Affairs.