ComplaintsforSpring Valley Hospital Medical Center

• Initial Complaint

  09/17/2024

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  I had cervical Spinal surgery on November 7th 2023. I signed up for Senior Advantage plan and paid 5.00 and the Admitting employee said I did not have to pay the ******** that when you sign up on this plan it waves that fee. I have been trying to talk to the billing **** and explained i showed the girl my Senior Advantage Plan card when I went in for surgery that morning as instructed by admitting the week prior. They still bill me I have tried making ***** payments as that is all I can afford and as you know prices of everything are very high. I don't understand why they will not honor the Senior Advantage Plan I paid for and signed up for. I would like that fee waved as per my conversation with admitting and I will attached the plans pictures that shows exactly what I signed for.

  Business response

  09/30/2024

  Hello,

  Thank you for bring this to our attention. We have forwarded your concerns to our ****************** Director and they have reviewed your account and applied all discounts which resulted in a zero balance. Thank you.

  Customer response

  10/01/2024

   
  Better Business Bureau:
  
  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 Complaint

  08/26/2024

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  04/20/2024.Patient Name: ***** ***** (my daughter)DOB: ********** Total Charges: $6.495.00 Account Balance: $289.00 I took my daughter to the Emergency room for stomachache and vomiting.Diagnosis: Abdominal pain, Urinary tract infection, and vomiting.I took my daughter to the emergency room of the hospital. She had diarrhea right at the entrance. There were two nurses talking to each other. They didn't say anything to us.After checking in, they took a urine sample to test.They gave her medicine to drink.We waited a long time in the emergency room. Finally the doctor came and asked about my daughter.After the urine test results, they said she had a urinary tract infection, which caused her stomach pain and nausea.They prescribed medicine to go to ********* and take home.They told me that if she didn't get better, I should go to ********* Pediatric Hospital because they specialize in treating children.After taking their medicine at home, she didn't get better.Because of the stomach pain, I took my daughter to ********* Hospital Medical Center on 04/23/2024.After 2 weeks of waiting, I received the bill from the hospital.The bill was calculated as $6,495 And the part I had to pay was: $289.What did they do to my daughter in more than 2 hours? The doctor came and talked for less than 15 minutes. The nurse worked for less than 15 minutes I want the Government Hospital ************ to review the hospital's billing method. Is it appropriate? Or is it their right to charge whatever they want?I want to know if the money I have to pay is after my ***************** has paid them.If they calculate the hospital beyond the general regulations of the government, will they go to Jail? Because if so, they intend to steal the insurance money and my money.I hope BBB will bring all the hospital bills to the government's Board of Examiners for inspection. Hopefully, thousands of people will go to *****I hope for BBB's help.Thank you very much.Rang *****

  Customer response

  08/27/2024

   Please send the complaint to the business for an explanation of the charges.

  And let me know which Agency I should file the complaint.

  Thank you so much.

  Rang *****

  Customer response

  10/06/2024

  Please let me know what is government control about this hospital so I can contact.

  Thank you very much.

   

• Initial Complaint

  06/05/2024

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  on 02/14/2024 I paid Spring Valley Hospital $1160.00 for a procedure, on 03/02/24 United Health Care processed the claim, stating that the procedure was 100% covered, no payment should have been required of me, since then I have have contacted Spring Valley Hospital 5 times, each time they stated they are reviewing the claim, and will get back to me. I have yet to hear from them, and do not believe it should take 4 months to review, and return my money.

  Business response

  06/13/2024

  Hello,
  
  ************** did at the time of service make a $1,160.00 payment. Insurance was billed and paid leaving no patient responsibility. A refund of $1,160.00 was issued today to the original form of payment.           Please allow 5 to 7 business days for the refund to reflect on Mr. ****** account depending on the Bank or Credit Card Company. 

  Customer response

  06/14/2024

   
  Better Business Bureau:
  
  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 Complaint

  11/13/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  Went to the Spring Valley ER on 8/25/23. I informed them that my co-pay was $1000. They insisted that I pay $1750 before leaving. So I did. When billing came, I had been over charged by $726. I called their billing department on 10/13/23. I was told that they would refund the money to my card and i should see in in about 10 days. That did not happen. So I called again on 10/31/2023. They said something about a glitch and that they would resend it. Well, that never happened either. So on 11/19/2023 my wife, *****, called.She spoke to a women named ***. After talking to her for over an hour and getting nowhere, she then spoke to a supervisor named ******. He asked to to give him another week to see what he can find out!!! All the while the charge is gathering interest on my charge and at the time I told them what my copay was but they still insisted that i pay their inflated price.They took it very fast but sure taking their time giving it back.

  Business response

  11/20/2023

  On behalf of Spring Valley Hospital, thank you for bringing this matter to our attention. This message was forwarded to our ****************** Manager for immediate review and the account was sent to the refund department by our customer service department on 11-9-2023 and a refund back to the **** used to make the original payment in the amount of $726.00 was refunded on 11-12-2023. 

• Initial Complaint

  10/09/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I had surgery as an outpatient on January 11, 2023. I prepaid the amount of $2,249.27 as requested from their billing department prior to the surgery, as credited on their billing statement. I received a statement (see attachment) at the end of March 2023 that the hospital owes me a refund of $1,719.61. I have made numerous calls to the billing department for the past 7 months requesting a refund. Their response is that they are reviewing the payment from the insurance company. My insurance company has reviewed this, and issued their final review that no additional monies are due. The hospital's billing department continues to refuse to issue my refund.

  Business response

  10/12/2023

  Thank you for reaching out to us. We apologize for any inconvenience this may have caused you. This matter was escalated to our billing department for immediate review and the account has been vetted and paid correctly. The adjustment has been made to show patient credit. A refund of $1,719.61 has been sent back to the card on file and patient should see the credit within 72hrs. 

• Initial Complaint

  12/19/2022

  Complaint Type:

  Customer Service Issues

  Status:

  Resolved

  More info

  On 8/22/2022 I was admitted to Spring Valley Hospital. That evening they moved me to an upgraded care floor and later on the next day to the ICU.I have a special eye problem that requires very expensive, specialized contacts and precluded me from wearing glasses except at home for a very limited period of time. (see attachment 1, a quote for the contacts sent that day I found them gone from my provider. $1170 for the pair) The staff gathered my belongings and I saw the staff put my contacts in my grey tub that the hospital provided. (Documented by ***** *** attachment 2) That tub never made it to ICU. When I came out of sedation on the 24th I noticed my shaving kit was by itself and not on top of the grey tub. I reported it to my ICU Nurse ***** who sent it up to her Charge nurse. I kept asking about a follow up and again reported it to my ************ care nurse, (Attachment 3 documented by **********************). ******** gave me the Directors name, ******, and her number to call and follow up with. I was only able to speak to ***** once and she said she would be my contact.The intake form, per the Medical Surgical Director " ******" documented my contacts as being present. I have called tryig to get ****** on the phone and left messages for her to call me back the following dates:October 5, 7, 12, 24, 31 November 27 Dec 6, and four times on the 14th. I have been to her Office three times with no answer at her door and on November 27 I left a message with a Nurse who works on the ************ Care Unit to give to ****** to call **** have never heard back form ****** or anyone else.Spring Valley Hospital makes it almost impossible to make a complaint or find the next level supervisor.I just want them to pay for the replacement contacts directly to my provider.

  Business response

  01/03/2023

  We reviewed the complaint with the named Director, ******. ****** had not been aware of any attempts to contact her and immediately followed up with **************. Since then, she has been coordinating with him and his provider to get an updated quote on his specialized contacts in order to begin the process of reimbursing for them. ****** is maintaining regular communication with ************** and will continue to do so until the reimbursement process is completed.

  Customer response

  01/04/2023

   
  Better Business Bureau:
  
  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 Complaint

  10/26/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I was admitted to the ** on 6/17/2022 at 11:00pm because I passed out and rushed to nearest hospital. I had a breast Cancer surgery on 5/2/2022 and still going through the stress of having cancer when I passed out on 6/17/2022.I was discharged on 6/19/2022 after been admitted for observation and running tests. Surprisingly, I started getting bills for a lot of things totaling $55,886.00 a day and half stay at this hospital. Things like $11753.00 for laboratory,$5228.00 for emergency room, $4148.00 for IP- PVT( 1 Day), Cardiology- $9587.00;CT Scan $7129.00, OTH treatment RM -$2896.00,Other DX SVC- $3751.00( what is other service charge?, EKG Tracing -$1291.00, 3Mobservation- $2450.00, Observation Stat Charge- $3751.00, Duplex Carotids comp Bill- $4148.00, ** Statistical Charge- $9587.00,Doppler Complete- $7129.00,Another CT Scan charge - $1014, OT ********* Mgt Train? -$769.00, OT&PT Therapeutic Act - $1100.00(15 min)each, 3MLevel 5 ED ************* $5228. There are more other charges but looking at these amounts listed above, it seemed the hospital was just pulling up any amount to charge in other to get the maximum payments from the insurance company. No surgery was done but only in hospital for observation and the hospital wanted $50,886.00 for one day service? These are ridiculous charges by any standard that should not be allowed without investigation and review . The insurance are been manipulated to paying more than they should because this hospitals are over charging for everything to get around the contracts they have with the insurance companies. You can not just pull numbers out of the air to charge people. This why the insurance companies keeps raising their premium to cover the amounts paid out. $50,886.00 for a day stay at the Spring Valley Hospital,*********,**., this is abuse of the medical billing system that needs review.

  Business response

  10/26/2022

  Our nurse auditor has completed a full charge audit on the account and all charges are correct as far as services provided or administered. All patients whom are treated by the hospital for any service on the same day will have the same gross charge amount on their account regardless of their ability to pay or insurance coverage, ******************** companies do not pay total (gross) charges on an account and the majority do not consider gross charges as a factor in their reimbursement. After through review, all charges are correct for this date of services as well as the billing to, and payment from, the insurance company. The patient's insurance company paid the bill. The patient's responsibility is $250 deductible. The patient's balance is currently delinquent

• Initial Complaint

  09/27/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  We have received numerous bills for a emergency room visit. we have been given multiple methods by customer service representatives to resolve including working with insurance, but it seems like they keep changing the rules. we would like to get this settled.

  Business response

  10/14/2022

  
  Good Morning,
  
  
  I have spoken with the patients father ***** today and this is now resolved. The patient had Liberty Healthshare ********** coverage and they approved the claim and paid $0.00.  I explained this is not considered a health insurance and we typically receive letter of agreements for payments, however did not receive a LOA or payment from insurance. He settled the claim already on 9/29/22 and paid 60% of ttl chgs $5,572.00. I offered him the uninsured discount, 40% of total charges and he was happy to receive a refund of $1,114.40. He will be seeking reimbursement from Liberty Healthshare directly.

• Initial Complaint

  08/02/2022

  Complaint Type:

  Product Issues

  Status:

  Answered

  More info

  On 02/07/2022 I checked into Spring Valley hospital for a procedure. At that time, I made a payment of $743.73. After my insurance ******, paid Spring Valley Hospital, my responsibility was only $156.90. After multiple calls with ****** on the line with me informed them that they owed me a refund of $586.83. But 3 months later, I still have not received the refund of $586.83.

  Business response

  09/03/2022

  Business Response /* (1000, 5, 2022/08/04) */ After reviewing ******** explanation of benefits received 05/25/22, we have refunded the patient a credit of $586.83.

*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩