I was told by the insurance company that SSM would have received an Explanation of Payment. When patients are in our care, it is our duty to respect, protect, and promote your rights. Neither Payment credited to our account. I had a life-threatening growth under my jaw which was a possibility that it could actually choke me. I would like this case to be closed. SSM Health continues to work to a resolution for the consumer. This will surely increase the credibility of your complaint. Account . across the room They had not billed several of my appointments. SSM SSM Health. International Association of Better Business Bureaus. Or was this another system error that no one wants to deal with. I felt like she was rushing through the appointment and didn't listen to what I had to say. Make sure you click Allow or Grant Permission if your browser asks for your location. What ensued was a six hour wait and I received a $300 bill and no services were rendered. Review your medical record and receive answers to questions you may have about it. I would not recommend this place to anyone who is looking for quality healthcare. Reviews from SSM Health employees about working as a Patient Services Representative at SSM Health. The patient states" my PCP ordered an MRI based off the other offices (specialist) requirement". (All of this should be well documented and if its not thats an even bigger problem. ) View ratings trends. SSM Health uses your location to provide you with relevant content, like doctor suggestions and local services. The average person has no idea and could spend the better part of the day navigating the site to get answers which mean nothing to us. Was given an address to hand mail a complaint, seriously? Please not that this response is somewhat delayed because the letter was addressed to the main mailing address at ***************. ****** reprocessed the claim and paid $30.26The initial guarantor on account ****** *******(ex-wife)was sent an invoice totaling $114.11 for the deductible and co-insurance portion.There were several calls received on the account from the patient parents disputing the appropriate guarantor on account and requesting update to Dad/***** *******. Ask about and be informed of business relationships among payors, hospitals, educational institutions, and other health care providers that may affect your care. SSM Health represents the very best of what it . SSM Health provides patient experience ratings for SSM Health Medical Group primary care doctors, specialists, nurse practitioners, midwives and physician assistants. She said she was working from home and wouldn't be in the office until Friday but she could email something to me. BBB Business Profiles may not be reproduced for sales or promotional purposes. Some providers new to our organization might not meet this time requirement. They are uncaring and cold. My insurance has handled the issue and rebilled it so I no longer owe any money. Again, we do apologize for this inconvenience you have had with these two payments. We have been on a Payment Plan for a Physicians Bill The insurance would not allow this charge stating that it is included in the $35.00 copay for an office visit. SSM Health uses your location to provide you with relevant content, like doctor suggestions and local services. SSM Health Medical Group has {1} locations, listed below. ****** insurance paid $30.26, $279.63 adjusted off as contractual adjustment,$114.11was assigned as patient responsibility for deductible and co-insurance portion. Dr. Lucy Magda is a board-certified Psychiatric Mental Health Nurse Practitioner with a Doctorate of Nursing Practice (DNP) from the University of Tennessee Knoxville in the psychiatric mental health specialty. ***** ** SSM Health Patient Financial Experience. You may request amendments to your record and may obtain copies as permitted by law at a fair cost in a reasonable time. And when I called to make the appointment Doctor ******* office, they told me to get an MRI. We're committed to posting all patient feedback both positive and negative. Be informed when the hospital restricts your visitation rights for your health or safety, or the health or safety of patients, employees, physicians or visitors. 1/25 Customer Service/***** said we need to fax front and back of check. SSM billing has made several errors in regards to my billing. Again never heard back from her either until I emailed ***** asking for his manager to follow up with me. There is no respect, privacy or dignity to patients. Customer Reviews are not used in the calculation of BBB Rating. Costumer service is lacking with SSM. Patient balance is now $0.00. Contact & Location Overview SSM Health Monroe Hospital in Monroe, WI is rated high performing in 1 adult procedure or condition. 73,115 were here. There were no bills pending or balance shown for any visits for him in January of 2022. Even their last communication - see "transaction totals by date" indicate that all of this was paid. This has been activated and guarantor- has On 4/21/23 I had a visit with my ******* Care Physician and SSM keeps trying to bill me as if she is a specialist. SSM doesn't seem to care and sill refuses to correct this situation. SSM Health uses your location to provide you with relevant content, like doctor suggestions and local services. Public Reporting Information for Southern Illinois, Public Reporting Information for St. Louis, Public Reporting Information for Wisconsin, Laura S. Kaiser, FACHE, President/Chief Executive Officer, Alexander Garza, MD, Chief Community Health Officer, Patrick McCruden, Chief Mission Integration Officer, Janet Smith-Hill, Chief Human Resources Officer, Steve Smoot, FACHE, Chief Operating Officer, Amy Wilson, DNP, RN, CPHQ, Chief Nursing Executive, Learn more about the DQA Bureaus and Offices. The charges for date of service02/17/20 billed to ****** and initially denied 2/27/20 pending receipt of other insurance information from Dad the policy holder. -Clear explanation as to why bill does not show up online, QR code does not work, and account # on bill not valid. Request a consult from the Ethics Committee to help you work through difficult decisions about your care. 2-1-22 insurance processed claim no payment received. It is expected this will be completed March 3-8. I gotta say, my experience with SSM Health's billing department has been less than stellar. Beneficiary Helpline, toll-free: 1-888-315-0636, Wisconsin Department of Health & Family Services Division of Quality Assurance I have spoken with someone at SSM Health 3 times and have mailed copies 3 times of the check in which they cashed, emailed a copy 4 times. I believe the Customer Service reps can't do anythingand are told to say that. I live out of town. We promise not to send you any unrelated messages, Click here if youd like to unsubscribe from notifications about new complaints of SSM Health, Overview of SSM Health customer experience. Ssm Health Patient Complaints Home Ssm health patient complaints Ssm health patient relations Ssm health it help desk Ssm health customer service Ssm health billing Ssm health pay bill Listing Websites about Ssm Health Patient Complaints Filter Type: Treatment Nutrition Questions or Concerns? This is not an unusual situation. There are a couple good nurses trying to provide care who are hampered by a ungodly system that SSM has created. Very accommodating, very caring. We are in good standing with a payment plan, we always pay our bills online and on time. No one follows up. Was not applied to our account. The PCP ordered the MRI at the patients request, not at the request of another provider. Springfield, IL 62761 I was put into collections without ever receiving a bill. I called SSM again 1/3/22 and spoke with ******* who stated it has still not been completed. Every part of this should be well documented as Ive communicated everything with my doctors office and they suggested for me to go to Dr ******* ******. My primary care doctor referred me to Doctor ******* ******. And to say that my *******would have ordered an MRI just so he could reevaluate something that he and three other specialist confirmed is ridiculous. I am rejecting this response because: The name provided at time of service is the name that was submitted to *****. Patients have reported long wait times, poor communication with staff, and inadequate care. I can't really see the credit when I look in My Chart but I did take her name and hopefully if I have any further issues I will ask to speak with her. Accept consequences for the outcomes if you do not follow the care, treatment, and service plan. Interested in working for SSM Health? Enter your location to receive information about nearby SSM Health services. Rock Run Center User does not have to select a country if they click this link. BBB Business Profiles are provided solely to assist you in exercising your own best judgment. You can learn more about our cookies in our Privacy Policy. SSM Health does not deny there is an issue with patient payments posting correctly and in a timely manner. The MRI that was supposed to be used to get a second opinion by a specialist was never evaluated by the specialist that ordered it. A few days later, I get a call from someone at SSM. You can not get an answer to any questions about care. I can't call anymore. remain so until payment is received from *****. You can find information in our Resources for Health Professionals section as well as our Employee Culture & Communication section. Woman hung up on me. he did not receive notification of outstanding balance in a timely manner. Not sure how a company can be run so poorly. Sincerely, It's simple, secure and free. 2/14 Customer Service /**** ,once again, said nothing he can do and will get Call Back from Manager. 1/5/23 Check Cleared but was Not Applied to our Account Name in system does not match When the other person - patient says I coughed she shrugs it off she has now blamed me for others coughing while her back is turned about 5 times it's becoming clear she's targeting me and my son due to not getting the flu shot she tried to push. You can learn more about our cookies in our Privacy Policy. I had to call again and finally got to someone who knew what they were doing. Overall, SSM Health has a negative reputation among consumers and needs to address these issues to improve their services. You are a key member of your health care team and you have the right to: Illinois Department of Public Health Additionally, some patients have reported unsanitary conditions and lack of cleanliness in the facilities. Charges were outrageous. Be informed of the hospitals policies about your rights and health care. This bill and balance does not exist within their own system that is visible to us to pay. Overview of SSM Health customer experience. 1 verified review. . Make sure you click Allow or Grant Permission if your browser asks for your location. 2/13 Makingthe next payment(last payment still not applied)but don't want to be behind. Be free from restraints of seclusion, unless medically necessary or needed to keep you or others safe. It is a general medical and surgical facility. Patients Father was advised, HCFA forms could not be sent to his attention but, would be mailed to patient. SSM Billing response: Don't know, must be an insurance problem I should have never been sent there at all. I'm tired of her screaming $#*! I have filed a complaint with Mediare OIG. This website uses cookies to analyze traffic, assist with navigation, and improve your experience. Choose who can and cannot visit you, without regard to legal relationship, race, color, national origin, religion, sex, sexual orientation, gender identity or disability. A review of the complaint revealed, ****** **** presented for treatment on dates of service 8/26/19 and 12/23/19. Have your records kept confidential; they will only be shared with your caregivers and those who can legally see them. That statement is inaccurate. 3-24-22 SSM Health mailed medical record to carrier for review to complete claim processing. Shame on you! Your insurance carrier should have sent In the event that you need a complete copy of your SSM Health medical records, you'll need to make a formal request. My daughter was injured at the university where she attends and we have been trying to get the HCFA OR UB forms from all of her visits for her injury and SSM refuses to send them to either us or the secondary insurance company (*** ******). Why was the balance amount owed not added to our payment plan? 22 Want to work here? We have worked with our attorney on this matter and the hospital has refunded a portion of our money. . Well guide you through the process. Overall, I was not impressed with my experience at SSM Health. Even as a doc, she couldn't get SSM to respond. Thank you for your help on this matter. I am rejecting this response because: Today is the last day SSM said the missing Oklahoma Payment , from December last year, would be posted. I would never have got an MRI done if my doctor was trying to evaluate my condition after he already did, two other orthopedic specialist and a neurologist. It's. BBB Business Profiles are provided solely to assist you in exercising your own best judgment. No one willing to talk to me and was told there is no complaint number or email to file complaint. We are committed to resolving our patients concern and will continue to follow the account until resolved. SSM Health Care bills patients based upon insurance payments and your contractual agreement with your insurance carrier. She targets people who won't get the flu shot I'm tired of her attitude as if she's gods greatest gift to earth and shouting things across a room full of people is okay or normal. Health Care bills patients based upon insurance payments and your contractual I went to SSM Health for a check-up and was seen by a nurse practitioner who was not very nice. Why does the bill not show up in our MyChart account to be paid? If I did not want to switch doctors, I would not step foot inside this clinic. Division of Health Care Facilities and Programs Complaint: ******** 5700 Lombardo Center Drive Have access to an interpreter and/or translation services to help you understand medical and financial information. It was NEVER stated we did not have access to his account, it was stated we do not see a BILL or a BALANCE to pay under his account. complaint. SSM Health However, BBB does not verify the accuracy of information provided by third parties, and does not guarantee the accuracy of any information in Business Profiles. Please provide any additional feedback about your experience for your provider. Complaint: ******** Office of Quality and Patient Safety Request religious and spiritual services. Reset. Guarantor also stated she does not have access to We paid the copay prior to the doctor's visit - as all co pays are paid before seeing the doctor. Privacy Policy. Patient Rights When patients are in our care, it is our duty to respect, protect, and promote your rights. Charged for a physician when was seen by medical assistant for 5 minutes. You and/or your family member, support person, or other designated individual acting on your behalf have the responsibility to: For more information about your Patient Rights and Responsibilities, please contact your local entity. Date of service 8/26/19, $327.00 charge ****** ****** **** paid -$68.74, applied -$158.21 as contractual adjustment; $100.05 assigned as patient responsibility. Please click on the country abbreviation in the search box below to change to a different country location. I went into dean ssm East to get allergy shots Shannon tried to harass me about a flu shot when I wouldn't get it she now is extremely rude to me and my son. ; If there is a medical emergency, call 911 or visit your nearest emergency room. I'm tired of her putting a target on my back and my sons for not getting the flu shot. It is apparent from other reviews and the response I got at the hospital that they do not care for people here. You're forced to call an impersonal 800 number each time you call. Donate, request or refuse organ and tissue donations. St. Louis, the sisters borrowed $16,000, to open their first hospital, St. Mary's Infirmary. Box 570 I have called again to try and have the payment put where it belongs but I don't know how long that will take to correct their many mistakes. Date of service 12/23/19, $508.00 charge ****** ****** **** paid -$68.74, applied. It is the goal of SSM Health to provide exceptional healthcare services and provide our patients with convenience, expertise, and compassion. Everytime we call SSM they either say it's been done or they have no record of ever talking to us. They are threatening to send us to collections even though the bill has been paid in FULL based upon records with what ***** has on file on what we owe. ***** stated that I should request proof of timely filing and a copy of the bill be emailed or faxed to her. She seemed to have a bad attitude and didn't seem to care about me or my health concerns. I sent several emails per ***** to his supervisor ***** who never responded until I sent a third email. Please begin by refreshing the page to see if your location populates the Near field. Claim it and get a lot of features. We are working with Management regarding the phone payment issue posting. Why are we receiving this bill 9 months after services? We will come in sit and wait to get shots someone other then me (another patient in the room will cough) Shannon will become dramatic and scream *In Canada, trademark(s) of the International Association of Better Business Bureaus, used under License. Consent or refuse to take part in research studies as well as recordings, films or other images made for external use. 2. BBB Business Profiles generally cover a three-year reporting period. Receive protective oversight while a patient in the hospital, and receive a list of patient advocacy services (such as protective services, guardianship, etc.). SSM Health offers two virtual options to access health care seven days a week, 6:00 AM to 11:00 PM. SSM has no problem sending people to collections but they won't help you resolve payment!! Fax: 1-630-792-5636, Missouri Department of Health & Senior Services Overall, I wouldn't recommend SSM Health to anyone who values good customer service and competent billing practices. Be respectful in your interactions with other patients, employees, physicians and visitors without regard to age, race, color, national origin, language, religion, culture, disability, socioeconomic status, sex, gender identity or expression, or sexual orientation. Provide correct and complete information about your financial status as best you can and promptly meet any financial obligations to the hospital. St. Mary's Hospital serves south-central Wisconsin and offers a full range of. I was not in a position to write down details of the call. Because they decided to re-submit all of my claims to **** Insurance she could not apply my co-pay to that visit yet but she took the $30.00 payment off of the ** visit in May and it is now there as a credit balance (anyway that is what she tells me). I had to do it for them. She refused to pull them out of collections even though I did not sign allowing that and they are violating HIPAA by giving a third party my hospitalization dates and information that again I never signed for, I asked for proof of signature and it was an electronic signature which I confirmed via messages that it was not my signature nor did I electronically sign anything. The consumer states he was never seen by a provider at SSM Health and is disputing the validity of the bill. It has been 1 YEAR (yes 1 year) and still no one has been able to explain the breakdown of the bill to me or even give me a call back. Please DO NOT add attachments that contain your or other peoples personal information, if you dont want it to be visible to the public. Date of service 1-19-22 completed by patient, services submitted to insurance for processing on 1-20-22. I am concerned our information has been accessed in violation of HIPAA resulting in this bill showing up without any reasonable explanation as to why it is not online or why there was a 9 month delay. ***** ** *** ****** ******* ********* **********. SSM has a policy that customers who have current payment plans they will work with them add the outstanding balance to their payment plan, this was not followed. I've never received any bills and I want them to withdraw my collections and send me an itemized bill to prove that I do owe money. I expect them to stop sending this bill that was paid for and cashed by them back in August. We typically utilize 12 rolling months of survey results to ensure accuracy of posted results. Amount sent to collects 3 days later leaving no opportunity to get response to their issues. the claim with the patient name as submitted. Submit a concern regarding your care. Today my mom's doc took her off SSM care because it is so awful. ******** dated 2/27/23. Leadership is aware of the issue and working toward an improved process. We detect that you are visiting from Singapore. They only noted one conversation but there were additional attempts to rectify this issue but no help or support was given by SSM. SSM Health provides patient experience ratings for SSM Health Medical Group primary care doctors, specialists, nurse practitioners, midwives and physician assistants. TTY (hearing impaired): 1-800-547-0466 She also seemed to be very judgmental and made some comments that were not very nice. And yet they want money but cannot account for their part of billing. Add a Review. What is the likelihood of your recommending this care provider to others? If you're still having trouble, please consult your browser's help page, or choose a city and state/province from the type ahead dropdown choices. I am rejecting this response because: Again SSM continues to blame and provide false information. -$344.88 as contractual adjustment; $94.38 assigned as patient responsibility. 2023, International Association of Better Business Bureaus, Inc., separately incorporated Better Business Bureau organizations in the US, Canada and Mexico and BBB Institute for Marketplace Trust, Inc. All rights reserved. I sent them copies of all the attached communication. -Pull amount owed from collections as we have in good faith attempted to resolve the issue but SSM has not provided any information Bill arrived around December 27th threatening to send to collections if not paid. As a courtesy to patient, -$20 was absorbed by SSM Health Medical Group. 2023, International Association of Better Business Bureaus, Inc., separately incorporated Better Business Bureau organizations in the US, Canada and Mexico and BBB Institute for Marketplace Trust, Inc. All rights reserved. About SSM Health Accountable Care Organization Public Reporting Information for Southern Illinois Public Reporting Information for St. Louis Public Reporting Information for Wisconsin Beneficiary Notifications Community Health Illinois Mid-Missouri Oklahoma St. Louis Metropolitan Area Wisconsin Community Health Needs Assessments We have contacted them numerous times to get this resolved but no one was able to fix this issue. In charge my son is autistic. Bill states must be paid immediately but when you type in account number or scan QR code states invalid information. Patient paid -$59.38. Follow your agreed-upon care plan and report any unexpected changes in your condition to your doctor. Ask for a change of care provider or a second opinion. Until that happens a $50 customer service adjustment was posted to the account and will only be reversed when the payment is received and posted. She was very hostile and refused to do anything to make it right. It's like they're just making it up as they go along. If you believe that SSM Health Physical Therapy has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with: Compliance Officer, 888-735-6332. ins info - may need to update with insurance co. That was on 1/10/22, four At this point, I need a closure letter sent to me explaining my was insurance was verified as being active at the time of service but never billed properly. Across our ministries, we are committed to continually improving what we believe are the three elements of exceptional care: high quality outcomes, an excellent patient experience, and a safe environment for our patients and staff. That is a very short period of time to send someone to collections when they have attempted to pay. All of this is very frustrating and I'm sure it will get worse. Take part in decisions about restricting visitors, mail or phone calls. goes above & beyond to keep me healthy. This complaint was posted by a verified customer. Speak to a trusted SSM Health provider via video or fill out a five-minute questionnaire to receive a treatment plan. Contact Us - SSM Health Health You may not use any tobacco produce while inside or outside the health care facility. Be informed about your health problems, treatment options, and likely or unanticipated outcomes so you can take part in developing, implementing and revising your plan of care and discharge planning.

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