Redmond Regional Medical Center Complaint - Redmond Regional Billing Scam
ROME, GEORGIA -- This complaint is in reference to the billing practices of Redmond Regional a hospital in Floyd County, GA. I had not visited this hospital in over 2 years before this incident.
Early this year I was involved in a car accident where I was taken by ambulance to Floyd Medical Center in Floyd County. I rode in a seat of the ambulance and was given a cold-pack for my knee. At the hospital they collected my insurance information and did some X-rays and an exam. Thankfully my injuries were minor and healed quickly. Much more quickly in fact than the ordeal that trip to the hospital would cause.
Floyd billed my insurance shortly there after and claim closed no issues. Three months after the accident I received a letter/bill from Redmond Regional Medical Center in the mail that had been forwarded. It was a bill to the sum of over $1200 for the ambulance ride and had me listed as uninsured. This also was a final notice bill that came with a letter that explained that after many bills/calls my balance with them was now final and would be going to a collection agency on X date - happened to be the day after I received the bill. I immediately called them and found out the ambulance I had rode in was one of theirs and since the EMT didn't collect the required information from me that night they used my information on file from my last visit - An address I had not lived at in 8 months and a phone number that had been long disconnected. They tried to bill my old insurance company as well. I gave updated information including insurance and the person apologized and said my balance would not be written off and they'd bill my insurance.
I happened to be reviewing my claims about a month later and noticed they had been denied by my insurance because it wasn't filed in a timely manner and explained they could not bill me and would have to appeal to the insurance company. Didn't think about it until about a month later I received a letter (not a bill) from Redmond that basically said that they had not heard anything back about their claim from my insurance - that I needed to call my insurance company and find out what the deal was or they would be billing me the full amount. I called them again and explained they had been denied and gave the appeal procedure as I read it online, the person again apologized and said they'd take care of it.
Two weeks later I receive a bill/letter from Redmond for the full amount and it stated that because they were unable to contact my insurance about the claim I was now solely responsible for the balance and I had around a week to pay it in full or it was going to a collection agency. Fed up with their billing department I called my insurance who told me they had actually spoke with Redmond not once but twice after the denial of the claim and Redmond knew exactly what forms they had to produce to appeal the claim but likely couldn't produce because they waited outside the legally acceptable timeframe to file. With me on the phone, she called Redmond and spoke to whom I assume was the head of their billing department and I was assured by both sides this time I was not liable for anything my balance was cleared and the issue was strictly between Redmond and my insurance. I'll have to wait and see I guess. It has been about a month since I heard anything. I was actually told though that the last Redmond person I spoke with was the only competent person in their billing department (not my words) and that "most people" just deal with her directly if they want anything "done right".
In closing, I feel sorry for those people actually sick or elderly that may not think to look into things and would fall for these billing scams - Redmond blatantly lied several times and sent me borderline rude and harassing/threatening letters trying to bully me into paying a balance they knew I was not liable for because they knew they goofed and wouldn't be getting it easy from my insurance.