St Anthony's Medical Center

We have responded to the concerns and are sorry they remain dissatisfied. We consider this issue resolved

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me
Sincerely,
*** ***

A call was placed to Mr*** to explain the charges. We are sorry Mr*** remains dissatisfied

We billed primary insurance and $was applied to deductible. At that time *** forwarded to their internal HSA processing unit who sent the $without waiting for secondary insurance processing (Medicare) and without waiting for an accurate patient balance. Medicare was
then billed and paid $228.36; Medicare then took back the payment and we are still waiting on their payment as the claim is in a suspended status. We are going to refund Ms***, $which is the $her HSA paid minus the amount of $which we would have received from Medicare. When Medicare pays, we will refund the amount to Ms***

Initial Business Response /* (1000, 5, 2016/01/25) */
Contact Name and Title: *** *** CSR
Contact Phone: XXX-XXX-XXXX
Contact Email: ***@samcstl.org
I called the patient and explained to him that his insurance left a 20% coinsurance in the amount of $as patient
responsibilityPatient does not agreePatient remains dissatisfied

We did resolve the issue per the consumers desired resolution, and we have absorbed the cost and put this bill down to zeroWe contacted the collection agency to have them removed from their collections systemWe also have sent the request to remove this issue from the credit reports to the
credit bureausThey will be sending the patient the information about having this removedI am also sending the patient a statement showing their zero balance

I will accept this response by StAnthony's regarding a call from them to discuss and settle this issue as long as I receive a call no later than Tuesday, January 3,

The balance of $is not from StAnthony's Medical Center. It could possibly be from the ER physicians billing office, CEP America (phone# ***). We only bill for the facility and cannot help with the ER physicians bill since its separate from the hospital
billing. The patient balance with the hospital is currently $and has not been placed with a collection agency at this time. This could have been explained to Ms*** had she called our customer service office

This urgent care claim was billed correctly, per our contract with ***, with revenue code for urgent care. We corrected the taxonomy code and rebilled the claim on 3/5/and *** has still applied the $to the patient's deductible. We cannot bill this claim any other way,
but on a UBfor a hospital owned urgent carePatient should check their benefits and verify they have urgent care coverage

Complaint: ***
I am rejecting this response because:
StAnthony's continues to demand an additional $and change on services that A) I have already paid $for, B) were faulty,
and C) I could have ultimately performed on my son at a cost of less than $(had I bought the finger splint and adhesive wrap myself)They charged more for one visit than the we later had to pay to the orthopedic surgeon (a specialist) they directed us to. The final documents in my attachment show that the total cost for treatment of my son (who needed no medications or surgery) was originally billed at an excess of $1400! How will anyone be able to afford health care if a broken, splinted pinky finger costs this?Their representative tried to claim they are a "non-profit" agencyCharging $for something that in reality cost $and I could have done at home is certainly not "non-profit"It is greedy. I've paid them $(and several hundred more to the orthopedist)--far more than frankly ANYONE should have to pay for this injury or careIt is not just or proportionate to the care needed or required. They insist the charge is legitimateIf so, this is legalized theft and I am willing to be one of the people who steps up to call for reform in the system and fight in the courts and legislature. Even if I lose in court. If I don't, how on earth am I EVER going to be able to afford health care if something more severe than a broken pinky finger happens to my children or myself?What this amounts to is StAnthony asking people to sacrifice their ability to pay for future healthcare because of their inability to run a business efficiently or someone's rank greed.
Sincerely,
***

This account balance was adjusted to a zero balance as of 11/30/2016. We sincerely apologize for any miscommunication regarding the charges and billing on this account

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me
Sincerely,
*** ***

Initial Business Response /* (1000, 7, 2015/09/01) */
*** *** Director, Patient Accounts spoke with *** Pat *** insurance who reported *** processed the claim incorrectly*** Pinformed Ms*** that he is reprocessing the claim with a corrected code which will reflect a $
co-pay*** Preported the claim reprocessing should be completed within daysThe reference number provided is XXXXXXXXXXXX
Ms*** called and left a message for the patient, *** ***, at XXX-XXX-XXXX, so she can provide this information to her as well

This account is still in review with Medicare. The Patient Accounts department is actively working to resolve the issue

The bill the patient is referring to is not a bill from the hospital, it is from one of the physician's who cared for him. Patient was instructed to call the phone number on the invoice regarding this complaint

The second hearing aid was returned damaged and outside the time frame allowed for returns. This was explained to the client at the time