ComplaintsforDignity Health Yavapai Regional Medical Center

• Initial Complaint

  01/29/2024

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I keep receiving 2 bills from **** -Dignity Health for what I believe were physical therapy sessions. The first bill is statement# ********* for *******, and the second bill is statement #********* for *******. I have called the **** billing helpline ************ multiple times for resolution and they tell me my insurance(HMA) has rejected these claims. .My insurance has no record of **** sending them these claims to them. I would like **** to contact my insurance directly and rebill these claims. I also noticed that **** billed these claims for a date range(wrong) instead of the individual sessions(right).

  Business response

  04/16/2024

   A **************** Rep reached out to the patient to explain the situation. She also explained how the billing works for the service he received (billing is sent on a monthly basis to the insurance). The patient was kind, courteous and grateful for the information. The **************** Rep provided her direct phone # in case the patient has any further questions.
  
  Sincerely,
  
  *******************
  
  --
  ********************** MSN, RN, CNRN
  
  Quality and Patient Safety Program Manager
  
  Dignity Health-Yavapai Regional Medical Center

• Initial Complaint

  12/06/2023

  Complaint Type:

  Product Issues

  Status:

  Resolved

  More info

  Fraud alert. I received a bill ******** for Radiology on top of 6 grand of charges. Straight up fraud. I was only in for a few hours. I never left the bed for any type of Radiology. Straight up health care fraud.

  Business response

  12/07/2023

  Hello.  I am sorry ************** has a concern with the care that he received.  The facility he attached the bill for is not an Arizona General Hospital facility but appears to be a Dignity Health hospital in ********.  The leadership teams are not the same nor do I have the ability to intervene on behalf of the Yavapaii hospital.  I would suggest BBB and ************** please reach out to the correct location for assistance.  I will forward the concerns to their leaders but will ask BBB to please remove this complaint from Arizona General Hospital.  Thank you.

  Customer response

  01/08/2024

  
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution would be satisfactory to me.  I will wait for the business to perform this action and, if it does, will consider this complaint resolved.
  
  Regards,
  
  *******************
  
   
  

• Initial Complaint

  02/28/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  There is very disappointing medical care, including choices in Yavapai County. I am immunocompromised and am supposed to receive infusions every 3 weeks. My veins are very bad as well so a port a cath was placed. Infusions seemed to go smoothly for the first 6 months, however, the infusion center canceled my appointment in December of 2022 stating they were waiting for a new authorization from my insurance company. December came and went, as well as most of January 2023. I am proactive in my health but it is grossly ridiculous that the patient must do everything in order to get the care that was ordered. With that being said I constantly had to phone the infusion center to inquire about my infusions and usually received no response with a phone that is never answered. I finally phoned the nurse manager, ***, and left her a message that the authorization was approved on January 13, 2023 so if she would please phone me so I may set an appointment up to begin my infusions again. I never heard back. I finally decided to ditch the infusion center at YRMC since they are not concerned with my health, or many others health, so Ive heard. We are now on February 28th and I still have yet to hear from anyone from YRMC. I am now working on home health visits, however, due to the poor management and staff at YRMC infusion center I have now been unable to get my infusion for 3 months putting my health in high risk. On my follow up visit with my immunologist I received orders for labs to be done. I went to the main hospital since I have a port, registered and went to the lab. After spending an hour with all the registering, etc., and sitting at the lab waiting only to be told that she cant draw from a port and that only an RN can draw. Therefore, I was told I had to make an appointment with the infusion center ????I find it ridiculous that a hospital does not have appropriate staff available to be able to work with a patient that has a port!! The port is in place for a reason

• Initial Complaint

  12/30/2022

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  Hello, My name is *************************** and back on 7/29/22 I went to the BreastCare Center in Yavapai Regional Medical Center for a mammogram and ultrasound. I confirmed twice that my insurance would cover these services and I was told that it would. As a matter of fact, my insurance covered 100% of the medical bill from Yavapai since it was a preventive service. Now, 5 months later I have received a bill for $362.00 from *********************, LLP. I have called my insurance and verified that a radiologist who is out of network was used. I did not authorize these services. Never was I told about these surprise charges. On your bill it states: we have filed your insurance below, but there has been no response. That is a blatant lie that I confirmed with my insurance. They received the claim and it was denied, once again, because the provider is out of network. This is not my fault as I confirmed that my insurance would cover ALL these services beforehand. If someone did not do their job properly and an out of network provider was used without my consent, then that is not my fault as its something outside my control. I also see on this bill that another amount for $418.00 is insurance pending. My insurance stated that claim was also denied for the same reason. Not sure why youre trying to bill me for these outrageous amounts. Please correct these mistakes. Under the Federal No Surprises Act, youre not allowed to bill me as you wish, especially on a preventive service that is 100% covered by my insurance. It states: When you get non-emergency services from an in-network hospital or ambulatory surgical center, certain providers at that facility may be out-of-network. In these cases, the most these providers may bill you is your share of the cost (like the deductibles, copayments, and coinsurance) that you would pay if the provider was in-network. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, surgeons and assistant surgeons, hospitalists, and intensivist services. These providers cant balance bill you and cannot ask you to give up your protections not to be balance billed.I have called your company already to discuss this and was simply told I would be called back, which hasnt happened. I also called Yavapai Regional Centers billing office and they sent me back to you, as the bill is from your company.If this is not resolved promptly, I will be filling a complaint with the federal government via the No Surprises Act website. Another complaint will be filed with the ******* department of health services. Also, do not dare to report this to collections as I have just received this bill yesterday with a statement date of 12/14/22 and with a threat of you must pay in 20 days. The reality is youre only giving me 5 days. I hope to hear of a satisfactory solution very soon. Thank you for your time and for looking into this. Account number: ******

  Business response

  05/08/2024

  This concern to the BBB has been resolved. Here is the information I collected on the issue:
  
  4/23/2024 Confirmed with Prescott Radiology LLC staff that this claim was rebilled and their records show the  claim was resolved to the patient's satisfaction on 1/17/2023. ***************************;
  
  Sincerely,
  
  ***************************, RN, BSN
  
  Quality Patient Safety *****************************************

  Customer response

  05/08/2024

  
  Better Business Bureau:
  
  I am not sure why this complaint was re-sent to the business. I did not request for it to be re-sent as the matter had been resolved. 

  Regards,
  
  ***************************
  
   

  
  

• Initial Complaint

  09/02/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  On August, 29, 2022 the Yavapai Regional Medical Center, specifically their Physician Services, improperly charged my wife, *************************, who has original ********* a copayment of $40.00. There is no copayment for a patient on original ********* My wife didn't understand when the improper charge was requested, but this is a financial abuse of patients and it further demonstrates their billing incompetency. This charge should immediately be credited to our credit card account, but they refused.

*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. ↩