Summit Health

We are currently researching [redacted] question and will respond once all information is gathered

I was Just seen at the Hospital in W [redacted] pa And I want to make it very clear to everyone how terrible this hospital is the staff is SO RUDE..I was seen by doctor P [redacted] R [redacted] and she treated me absolutely terrible was so rude to me ask me questions that were simply none of her business wanted to know why I drove so far to my doctor and that I needed to get a family doctor to take care of this problem and that there's no reason why I don't have a family doctor after they gave me papers to get a local doctor in the area the last time I was there to be seen for a kneck injury in the end of January Number One at is MY DECISION not HERS at how far I choose to drive to the doctor to get exceptional cr two It is none of her business if I don't want to have a local doctor for the temporarily time we are here THAT MY RIGHT and drive an hour and a half to get what I feel is the best care possible ! That was the absolute worst experience I have ever had in a hospital before she sent me home with absolutely no answers and told me to basically go somewhere else on Monday and let them deal with it! VERY UNPROFESSIONAL AND RUDE

During my Visit to Summit Heath OBGYN, previously Potomac OBGYN when privately owned, in I was advised that I had to get a ColposcopyI expressed that I needed them to check with my insurance and make sure that this was covered 100% without hitting my deductableAs the next year approached they told me that they cannot proceed with my annual exam until I had the Colposcopy completedAs I had mentioned in 2015, I needed them to make sure that this procedure was covered by my insurance 100% without hitting my deductableIn February I was assured by the OB office that it was covered and I would not pay an out of pocket expenseJune I had the procedure completed as well as my annual examTo get the results I was advised that I had to make a follow up appointment to get themThese results couldn't be provided over the phone or in a mailingThis appointment was made on June Shortly there after I received a bill from Summit Heath saying I owed them for the Colposcopy and for the follow up visit to get my resultsWhen calling to resolve this issue with Summit Health and speaking to the manager as well as the billing departmentAt first they said that they called my insurance in Feb and they were told it was coveredThey even had the name of the associate that called and got the approvalI called the insurance and they never called to verify this procedureSummit Health then said that they cannot check to see if procedures are coveredI have received numerous other excuses from Summit Health but the bottom line is that when I expressed the fact that I would not have had this procedure had it not been covered Summit Health said that I am still responsible for the billIn my mine that is like taking your car to a mechanic and they give you an estimate of $but then they do the work they charge you $5,Would you be OK with paying the $5,000? I would never recommend anyone to go to Summit Health OB, Family Physician or Hospitals

Complaint ID# ***
Patient: *** ***
Thank you for the opportunity to try to resolve *** ***' complaintUnfortunately, it appears that the patient
has very limited insurance benefits and we will gladly work with her to establish a payment plan if necessary. Summit Physician Services (SPS) does engage a third party, Origin, to bill anesthesia services to insurance companies. It is SPS' policy not to bill patients for services until insurace enefits have been persued
With that said, I requested Amy H***,Billing Operations Manager for Summit Physician Services (SPS) research the *** ***' account. Anesthesia billing for SPS is performed by a company named Origin. Amy H*** had SPS' client manger, *** investigate the claim in question. Origin's records did not show a record of the patient ever contacting them to discuss the account. However, Origin's records did show that they started follwith the insurance carrier on 01/20/and followed up on the following dates: 02/21/14, 04/16/14, and 06/12/14. This was a PHCS plan that then needed to be forwarded to a different company- *** Health Solutions that actually processed the claim. Origin did mark the claim that it needed to be forwarded to *** but it does not look like it was sucessful until they submitted it on 06/12/14. As of 08/27/14, they still had not heard back from the patient's insurance company so Origin followed up again on 7/6/14. During this call, Origin was told the claim denied as "maximum benefit reached". Origin was never sent an Explanation of Benefits by the insurance company
Again, we are sorry for any inconvenience to *** ***. From the explanation above, it is clear that SPS extensively pursued the patient's insurance benefits prior to contacting the patient for payment. I encourage the *** *** to contact Amy H*** at ###-###-#### to work out payment terms
Sincerely,
Mary R***
Director of Corporate Compliance

We are currently researching [redacted] question and will respond once all information is gathered.

I was Just seen at the Hospital in W[redacted] pa . And I want to make it very clear to everyone how terrible this hospital is the staff is SO RUDE..I was seen by doctor P** R[redacted] and she treated me absolutely terrible was so rude to me ask me questions that were simply none of her business wanted to know why I drove so far to my doctor and that I needed to get a family doctor to take care of this problem and that there's no reason why I don't have a family doctor after they gave me papers to get a local doctor in the area the last time I was there to be seen for a kneck injury in the end of January . Number One at is MY DECISION not HERS at how far I choose to drive to the doctor to get exceptional care. Number two It is none of her business if I don't want to have a local doctor for the temporarily time we are here THAT MY RIGHT and drive an hour and a half to get what I feel is the best care possible ! That was the absolute worst experience I have ever had in a hospital before she sent me home with absolutely no answers and told me to basically go somewhere else on Monday and let them deal with it! VERY UNPROFESSIONAL AND RUDE...

Review: I received a bill for almost $1000 from summit anesthesiology (which is part of summit health) today for services I received almost a year ago (11/4/13). This is absolutely unacceptable. I was a member of a bill sharing program at that time that would have paid this bill in full had a received it in a timely manner. ALL of my other services from that date were billed to the SAME insurance company and I received those bills promptly, regardless of whether or not my insurance company had responded. If it was an insurance delay there is absolutely no reason that I should not have been notified about it by summit health. I am now no longer part of the bill sharing program, as again this was almost one year ago so I cannot submit this bill to be pai3Desired Settlement: bill to be terminated

Business

Response:

We are currently researching [redacted] question and will respond once all information is gathered.

Business

Response:

Complaint ID# [redacted]

Patient: [redacted]

Thank you for the opportunity to try to resolve [redacted]' complaint. Unfortunately, it appears that the patient has very limited insurance benefits and we will gladly work with her to establish a payment plan if necessary. Summit Physician Services (SPS) does engage a third party, Origin, to bill anesthesia services to insurance companies. It is SPS' policy not to bill patients for services until insurace enefits have been persued.

With that said, I requested Amy H[redacted],Billing Operations Manager for Summit Physician Services (SPS) research the [redacted]' account. Anesthesia billing for SPS is performed by a company named Origin. Amy H[redacted] had SPS' client manger, [redacted] investigate the claim in question. Origin's records did not show a record of the patient ever contacting them to discuss the account. However, Origin's records did show that they started follow-up with the insurance carrier on 01/20/14 and followed up on the following dates: 02/21/14, 04/16/14, and 06/12/14. This was a PHCS plan that then needed to be forwarded to a different company- [redacted] Health Solutions that actually processed the claim. Origin did mark the claim that it needed to be forwarded to [redacted] but it does not look like it was sucessful until they submitted it on 06/12/14. As of 08/27/14, they still had not heard back from the patient's insurance company so Origin followed up again on 7/6/14. During this call, Origin was told the claim denied as "maximum benefit reached". Origin was never sent an Explanation of Benefits by the insurance company.

Again, we are sorry for any inconvenience to [redacted]. From the explanation above, it is clear that SPS extensively pursued the patient's insurance benefits prior to contacting the patient for payment. I encourage the [redacted] to contact Amy H[redacted] at ###-###-#### to work out payment terms.

Sincerely,

Mary R[redacted]

Director of Corporate Compliance

I was Just seen at the Hospital in W[redacted] pa . And I want to make it very clear to everyone how terrible this hospital is the staff is SO RUDE..I was seen by doctor P** R[redacted] and she treated me absolutely terrible was so rude to me ask me questions that were simply none of her business wanted to know why I drove so far to my doctor and that I needed to get a family doctor to take care of this problem and that there's no reason why I don't have a family doctor after they gave me papers to get a local doctor in the area the last time I was there to be seen for a kneck injury in the end of January . Number One at is MY DECISION not HERS at how far I choose to drive to the doctor to get exceptional care. Number two It is none of her business if I don't want to have a local doctor for the temporarily time we are here THAT MY RIGHT and drive an hour and a half to get what I feel is the best care possible ! That was the absolute worst experience I have ever had in a hospital before she sent me home with absolutely no answers and told me to basically go somewhere else on Monday and let them deal with it! VERY UNPROFESSIONAL AND RUDE...

Review: I had Surgary and started making payments on the bills I was receiving. Summit Health forwarded my information to two different collection agencys even though I was making payments. When I called there billing office I was told they expected more of a payment, so they sent it to collections I made two payments so far.Desired Settlement: I would like to keep making payments and have them remove this from the credit agency and from my credit.

Business

Response:

Please see attached response.

Consumer

Response:

[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]

Review: [redacted]

I am rejecting this response because:

Regards,

If the hospitol Has a policy to only except payment of $25 I would think they would inform a patient before surgary. And as for reaching out to me I have a voice mail on my phone saved from monday after I made this complaint where [redacted] from the[redacted] Business says shes sorry no one contacted me before now that it should have been done in October but no one gave her my Information. All I am asking for is them to send me a bill so that I can make payments on my account. Yesterday I recieved another collection notice from another Collection agency.