I had surgery at this hospital earlier this year. I want to be clear that my review is not about…read morethe doctors, nurses, or the clinical care I received. The medical staff provided very good care, and the facility appeared clean, professional, and well maintained.
My concern is limited to the billing and post-procedure communication process. After the procedure, I reviewed the Explanation of Benefits from my health insurer, and the amount billed to me appeared to be significantly higher than what I understood to be the insurer's indicated patient responsibility. Because billing matters can be complicated, I tried to contact the hospital to ask for clarification and to request a written review of the account.
In my experience, however, the process was very difficult to navigate. The available communication appeared to rely mainly on phone calls during business hours, which was challenging for me because of my schedule. I left voicemail messages explaining the issue, and I also sent fax communications asking the hospital to review the account and respond. As of this review, I have not received a clear written response resolving the discrepancy.
I later contacted my insurer to seek clarification as well. From my understanding, the balance may still be treated as unpaid or not fully resolved, although the matter remains under review. I am continuing to work with both the insurer and the hospital to understand the final amount, if any, that I actually owe.
What has been frustrating is not the medical care, but the lack of a clear and accessible written communication process for a billing issue involving an insurance EOB. If the hospital disagrees with the insurer's EOB or believes additional patient responsibility applies, I would expect a clear written explanation so the patient can understand the basis for the charge and address it appropriately.
Again, I appreciated the clinical care I received. However, the billing follow-up experience was stressful, time-consuming, and difficult to resolve. Prospective patients may want to confirm in advance how this hospital handles insurance billing, EOB discrepancies, written billing disputes, and communication options other than phone calls. I would also encourage prospective patients to read a range of reviews, including lower-rated reviews, before deciding where to receive care.
