ComplaintsforAthens Health and Rehabilitation, LLC

• Initial Complaint

  04/11/2023

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I spent two (2) twenty day stays at the Athens Rehab (Restore) recuperating from a leg amputation. My ******** providers -Aetna was picking up all charges for those days there. I received the bill dated 10-31-22 for the disputed amount. On 11/2/2022 I called Aetna and was informed they had paid the exact amount $1392.69 on 10/6/2022, tracking #***************. I told Restore about my call and told them their complaint should be with *****, not me, but I keep getting monthly bills and threats about being seriously delinquent. My fear is that they will turn this unpaid amount over to a credit bureau and accuse me as the delinquent party.

  

  Business response

  05/12/2023

  Good Afternoon,
  This is in response to the complaint ******************************* is filing against Athens Health and Rehabilitation.
  
  ********************* admitted on 5/6/2022 under his Aetna HMO.
  He discharged home on 5/26/2022.
  Aetna processed and paid his claim deducting $1392.60 coinsurance.
  
  ********************* contacted me after he received several billing statements.
  He advised that he thought we made a mistake billing him and ignored them.
  Since they continued to come, he contacted ***** to see why he was being 
  billed and why they didn't pay the bill in full.  He stated that ***** told him that
  the amount he was asking about was paid to the facility and provided him with a 
  tracking number.
  I told him that I did not show a payment but I would gladly call Aetna to determine
  the issue.  I contacted ***** and explained my conversation with the member (*********************).
  I provided them with the payment amount and the reference number he was provided.
  Aetna verified that a payment was made to us, but that that reference number did not pertain to this member (**********************).  
  The payment belongs to a different member.
  
  I called ********************* and let him know about my conversation with Aetna.  
  He stated that he would be calling them back because he shouldn't have any copays due.
  I had not spoken with ********************** since then, nor have I received any other payment or documentation
  from Aetna until we received this complaint he made to the BBB on 5/4/2023.
  
  Due to his complaint, we have reached back out to ***** on 5/5/2023, and requested them to review this matter
  and let us know what they find out as soon as possible.  As of this writing, I have not heard back from them yet.  We also have tried to reach out to **********************, but he has not answered our calls or returned our messages.
  
  We have also attached the *** from Aetna, his payment reconciliation and a print out of my request to ******
  We are willing to do whatever we can to help resolve this matter between ***** & **********************.  Thank you.
  *****************************, Facility Administrator, Athens Health and Rehabilitation

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