ComplaintsforR1 RCM Inc

• Initial Complaint

  07/09/2024

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  I received a bill for health care coverage that I did not approve of. This company applied me into Some form of Cobra Plan that I did not approve of, or I did not sign up for. This is complete fraud and I want to see this company shut down. They are asking for payment of services I did not approve of totaling ******. I am asking for 5 billion dollars if fees for this being done to me. Account Number ********* Address on Bill is ********************** ********************************************************************************* Phone numbers ************ and ************ This bill should be erased, and an apology needs to be rendered. I also have insurance through my workplace and with this occurring it will mess with my current insurance

• Initial Complaint

  01/25/2024

  Complaint Type:

  Customer Service Issues

  Status:

  Unanswered

  More info

  Multiple issues with billing. Was told they would escalate issue. Never seemed to happen. Spent HOURS on the phone with them to try to resolve the issue. Was promised that they would recycle the billing to post pone it going to collections while THEY resolve the issue on their end. Was told the supervisor would call me several times. Never got a call back. Supervisor refused to take my call. **************** rep deserves a raise since she works under this person who does not do their job. Supervisor said she would escalate the issue to upper management but at the same time the **************** rep told me it was resolved. It was clear that the Supervisor had no idea about my ongoing issue and if she did, I never heard from her or spoke to her.I want my debt from the debt collector to be pulled in good faith, have my account processed correctly, so my child can continue to receive mental health services from a provider that has no control over who DMG negotiates billing with. It will cause her to lose a patient and for my child to have disruption in receiving proper medical care. Ill be contacting the ** or President with a complaint as well.

• Initial Complaint

  01/25/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Unanswered

  More info

  I had a preventive annual visit on March 20 of 2023. My doctor's ****** (Upper Great Lakes Family ******) drew blood for the labs, but the UP **************** ******* hospital processed them. Somehow it got coded as diagnostic at $862.00 as my share, instead of preventive, which should be a $0 requirement on my part. My doctor's ******, the hospital and I have been trying on several occasions since April 2023 to get the billing company (its name is R1) to send the proper preventive coding to Humana. They keep getting it WRONG. The kicker is, I am a Humana employee, and I know how this is SUPPOSED to work.When I have contacted R1, they are dismissive and sometimes rude. I have had to contact them to let them know that although UP **************** ******* processes the labs, Upper *********** Family ****** is the doctor's ****** that draws the labs. I have given permission for R1 to speak directly with Upper Great Lakes Family ******'s ****** so the billing can be corrected to preventive. Today the lady on the call said that ****** denied it again and completely ignored that they have the incorrect coding, despite Upper Great Lakes Family ****** and UP **************** ******* repeatedly trying to remedy this. They do not update the coding when the hospital sends them the correct coding. Seems to me I should not have to pay for a service I did not receive. I received preventive labs, not diagnostic.

• Initial Complaint

  09/27/2023

  Complaint Type:

  Product Issues

  Status:

  Unanswered

  More info

  I recieved a bill from R1 RCM physicians for an ER visit. It showed that my bill for services rendered on 7/24/2023 was $1,213.00 and my insurance paid $1,115.92. My balance remaining was $97.08. There was a statement on the bottom of the bill saying "A prompt payment discount will be applied to this account if you remit a payment of 50% of these charges within the next 30 days." So I promptly logged in and made a payment of $48.54, 50% of the bill, on 9/13/2023. On 9/27/2023 I received an additional bill for $48.54. I called the toll free number on the bottom of the bill since I was confused and thought it was paid in full. I was informed that the 50% discount only applies to cash accounts that aren't billed through insurance first and that the $48.54 due was the remainder of my original balance. I questioned the representative why the 50% discount offer even appeared on my bill since it was billed through insurance and was told that it was a generic form sent out and that account information was automatically populated. I feel like it's false advertising to even list an offer of a 50% discount if it doesn't apply to your account or at the very least they should add a disclaimer that it doesn't apply to accounts billed through insurance. There's no way for a customer to know that this offer doesn't apply until you continue to receive additional bills still showing a balance and call in to find out why. I'd like to receive a refund of the second $48.54 I paid since I feel I shouldn't have been required to pay this since I adhered to the terms of the first bill and submitted my 50% payment within the 30 days.

• Initial Complaint

  04/17/2023

  Complaint Type:

  Product Issues

  Status:

  Unanswered

  More info

  I was on medical leave which was processed through Met Life a 3rd party. My doctor and Met Life were in constant communication and since I was "on leave, " I am not allowed to go to work, thus not having access to my e-mail or any other R1 material. Upon return - Met life called and checked in and told me all was good and completed on my end.Now my HR is stating that I should have received instructions and turned in info prior to my return which makes no sense since I can't go to work during medical leave.I am not going to be paid for the work for the last 2 weeks in time because they didn't communicate appropriately with me or my Met Life team. I reached out to HR multiple times via e-mail and through our portal prior to my submission of time card because it kept stating I was on leave. Our HR has to go through our system which routes it to ***** first then our American team. This takes 1-2 business and now they have messed around so long getting to me that I am missing the pay cycle.This has happened once before with R - where I didn't make any errors but my director did not submit my time card in the timely manner and this caused me not to receive my paycheck which in turn caused bank errors and nsfs etc.. which they did not take ownership of and reimburse me. I They are not a company that cares for their employees.Also, I have 2 suits filed with my HR team at R1 for defamation of character and unfair treatment in the workforce and the timing and way they are handling this has been a joke. I am reporting R1 to the BBB because I cannot get resolution through them for anything I have filed. Thank you, kindly,*********************** ************

• Initial Complaint

  03/13/2023

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  I have been trying to resolve a posting error on my account by R1 since October 2022. R1 is actually billing me more than the cost of the procedure I had, which is also more than they submitted to my insurance. This is illegal.I had a CT scan on 5/11/22 at AdventHealth which uses R1 RMC for their billing. The procedure cost $99. My insurance did not provide any coverage for this scan so I am responsible for the entire amount of $99. I have attached my EOB from my insurance showing this and showing that the provider submitted a claim for only $99. My bill from AdventHealth thru R1 shows an additional amount of $29.70 listed as an "Adjustment". I have called many, many times to correct this error with no results. I have emailed my EOB to AdventHealth/R1 on Dec. 16, 22 and Jan. 12, 23. My insurance company has faxed a copy of my EOB to AdventHeath/R1 on Jan. 26. 23. I have also attached a copy of an itemized statement from R1 showing incorrect postings which have been added then removed from my account along with the Contractual Allowance Adjustment on 10/12/22 for $29.70. The Contractual Allowance Adjustment is the difference between what AdventHealth/R1 bills for the service versus what it will actually be paid by the insurance company according to it's contract with the insurance company. As can be seen from the **** the amount billed is $99 and the insurance discount (listed as Bright Discount) is $0. There is no co-pay or co-insurance, and I did not meet my deductible so I am responsible for the $99 cost of the scan I had. I tried to pay $99 but the payment portal will only allow me to pay the full amount of the incorrect amount of $128.70.

• Initial Complaint

  11/17/2022

  Complaint Type:

  Order Issues

  Status:

  Unanswered

  More info

  I was promised in writing a $1000 sign on bonus after three months of employment. My first day of work was on March 7th, 2022. I still have not received my $1000 bonus. I have asked multiple times for this payment and have not gotten any resolution. As of today it is November 17, 2022, and I am still currently with the company. I wish to be paid my $1000. At the end of March 2022 R1 RCM took over.

• Initial Complaint

  06/06/2022

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  My father, *************************, a disabled senior citizen, had to be transported by ambulance on 6/18/2020 from his home to St. ****** hospital in downtown *************. Initially, his ****************** declined paying for the $2,556.00 **** for transportation to the hospital. I processed an appeal on behalf of my father to ******** and the decision was reversed to pay for the ****. I called the ****************** and they confirmed getting double paid by my personal credit card and ********* Never contacted to me to start the reimbursement. So I have tried to get reimbursed from the ambulance company San ************************* since the appeal was approved back in November, 2021 and have called 6 times and I keep getting this reimbursement takes time. No one should have to wait 8-9 months for reimbursement of $2,556.00. Please help me as I am need of this money.

• Initial Complaint

  05/24/2022

  Complaint Type:

  Product Issues

  Status:

  Unanswered

  More info

  I am on VA health benefits and I went to a hospital emergency room in ********** ******* back in 2018, *************************** wasn,t ready to settle the claim at that time so the hospital sent the **** to a collection agency to threaten me to pay the ****. I payed most of it and I just received a letter from the VA the beginning of April, 2022 that the entire claim was settled and ******** full. So I called r1rcm on the phone and the phone and the representative told me that they sent my refund check for $180 dollars on April3, 2022. I have not received it yet and it is the end of may and the few times I called to inform them that I haven't received the refund and they were rude to me on the phone as if the money belonged to them and the money didn't belong to me. It's my money and it belongs to me and they don't realize that. One time the representative told me to write a hardship letter to get the refund and another time a representative hung up on me. The money belongs to me and I would like my refund. I'm not 100 percent sure of their address but the phone number I have for them is accurate. r1rcm ************. This company is not very reputable.

• Initial Complaint

  02/11/2022

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  I received a doctor **** in April of *************************************** May to set up payment arrangements. They put my account on hold for thirty days at a time for the next six months for reasons such as not having what they needed from my health insurance. My insurance, on the other hand, repeatedly told me they had responded. Finally in October they set up a payment arrangement. Ive kept that arrangement but only December payment has been posted and that only after I called them. The **** comes every month with total balance due minus the November payment and with a different due date each month-not according to the date we agreed upon. And now the **** has a note stating total balance due in ninety days.I spoke with them about this also and they tell me the payment arrangement is Still in effect. Last time I spoke with them was on February 9th. Found out December and January payments still not posted. They wanted the check numbers so I did give them. All checks they have received have been taken from my account in four days. I also asked for their address.They gave me ****************************************************. When I asked for physical address they said they couldnt give it to me. The physical address I gave you I found on website.The address I send the payment to is in ****** *****. I am confused about all of this now and dont feel comfortable sending anymore payments at this point. They put my account on hold again pending them finding and posting my checks.Any help you can give me would be much appreciated.

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