ComplaintsforSt. Joseph Regional Medical Center

• Initial Complaint

  12/21/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Unanswered

  More info

  This businesses billing department is incompetent they billed my wifes primary insurance as well as tricare while I was on active duty. The primary denied it because she was on her dads insurance and it did not cover dependents that were pregnant. Tricare would have covered the charges had the billing department submitted why the primary denied the claim. Me and my wife have called many times to get this resolved. We called tricare and st joes on a three way call and the tricare worker worked the st joes billing person how to submit the claim and we were instructed not to pay. St joes then sent the bill to collections. This claim pertains to *************************** my wife. I was a active duty service member serving in *************** at the time these charges were accrued they should not have ever been billed to us personally we had active duty tricare

• Initial Complaint

  06/17/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Resolved

  More info

  My copay for an emergency room visit is $200. I am double covered and under my insurance I am only supposed to pay $200. We were charged $250 and we called and told them that our bill was wrong, they must have used the wrong insurance. We were told they would reprocess our bill but it probably wouldn't do anything. This makes absolutely no sense since I can look on the back of her insurance card that we provided 3 times and it says $200 copay for emergency room visit. We were then sent to collections for $250. We called collextions and they said to get ahold of st. ************** so we did and nothing was done. We ended up paying $250 when we only owe $200. On the attached bill it only shows one insurance which is the wrong one, but I already stated that they have been given the correct insurance at least 3 other times.

  Business response

  08/03/2023

  After review of this account, it appears that the patient's secondary insurance was the only insurance included on the registration for their visit. When the secondary insurance was billed the payment along with the remittance advice from insurance left a patient responsibility of $250. Unfortunately, that lead to the patient receiving a bill for that amount. It sounds like the patient made multiple attempts to update the insurance that ultimately weren't fully resolved. We sent this to our onsite financial counselor today to update the insurance and have this account rebilled to the primary insurance followed by the secondary. This should process appropriately and will likely result in a refund to the patient. 

  We weren't able to reach the patient today by phone but left them a message to provide an update on the steps being taken to fix this account along with a contact number to reach us for any further follow-up. Thank you for letting us know about this and if you receive any questions in the future for our facility, please make sure you send them to one of the following contacts.

  *********************, ********************************************************************************************* CFO - ****************************************

  Thank you,

  - *****

  Customer response

  08/04/2023

   
  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,
  
  *************************

*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. ↩