ComplaintsforMarietta Memorial Hospital
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Complaint Details
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Initial Complaint
11/16/2023
- Complaint Type:
- Billing Issues
- Status:
- Answered
I went to Marietta Memorial Hospital ER suffering with chest pain in July. They kept me overnight for observation. I have been in contact with Marietta Memorial Hospital and my insurance provider ********** Marketplace since July 2023. Each time I have contacted both parties I was told the bill would be taken care of. ********** has agreed to pay 13,301.81. I don't understand why this is taken so long and I feel I need help getting this issue resolved. I pay my bills on time and, I do not want to be sent to collections. I have tried to get this taken care of on my own, but I am the retired middle man and this is not working. I feel that if I take this extra step it will be the help I need to resolve this bill. Please help.Business response
11/20/2023
Dear Mr. ******,
I am following up on the concern I received on November 16, 2023, regarding your July 9-10, 2023, experience at our health system. You shared a concern about communication between Memorial Health System and your insurance, ********** Marketplace, regarding billing. Leadership has reviewed your concerns. Alexis, Self-Pay Operations Supervisor, called you and spoke with ********** to discuss these concerns.
********** denied your claim as they felt you were stable enough to receive treatment in an in-network facility, this letter was mailed to you from your insurance as well as Memorial Health System. We appealed their decision with medical records, but they upheld the denial. In your complaint, you shared that ********** informed you they are willing to pay $13,301.81. This was not included in the Remit (Explanation of Benefits) that we received from **********.
********** sent our health system an Explanation of Benefits with a contractual adjustment only and no payment, but we were unable to accept the zero payment and contractual adjustment as we are not in their network. Because of this, no financial adjustment is warranted.
Delivering compassionate, high-quality care to every patient is of the highest importance to everyone at Memorial Health System. Thank you for allowing us the opportunity to address your concern. If I can be of further assistance, please contact me at 740-374-3072.
If you need financial assistance, please call 740-568-5263.
Sincerely,
Shannon *****
Service Improvement Coordinator
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Customer Complaints Summary
3 total complaints in the last 3 years.
2 complaints closed in the last 12 months.