ComplaintsforAlbuquerque ER & Hospital

• Initial Complaint

  12/05/2022

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  I was in an accident December 27 2021 Not my fault nothing has been paid to me one of the claims needs to have the code changed so workers comp will pay it and me nothing is being done I called them and I was told they can't change it something has to be done if not I don't get my money and the girl that caused the accident gets off scott free Please help me

  Business response

  01/11/2023

  See attached for full details

   

  Allowed amount is accepted and non-covered charges are written off per contractual obligation agreement.

• Initial Complaint

  11/24/2021

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  ABQ EP, LLC is attempting to collect a debt in the amount of $695.77 even though the Insurance approved only $53.49 of the claim for a ER visit on 2/14/2021. ABQ EP, LLC states in several documents that it only collects the insurance in-network amounts and does not balance bill or attempt to collect out-of-network amounts. However, that is in fact what they are doing. Additionally, their debt collection letters are not allowing for remediation of the issue. We have never received an invoice from ABQ EP, LLC. The first letter we received was dated 11/1/2021, which we responded to, they sent their second letter on 11/8/2021, and their "final attempt to collect a debt" on 11/15/2021 (two weeks after the first letter). We have been in communication with them and have provided everything they have asked for within a week of receiving their correspondence., including the in network amount paid by the insurance company. Please see attached documents Enclosures 1-8.

  Business response

  12/14/2021

  Date: 12/06/2021 
  Complaint No: ******** 
  
  ALBUQUERQUE ER & HOSPITAL
   
  Thank you for taking the time to reach out to us for a response on complaint #******** After reviewing the account, the matter is being handled with the State of New Mexico Attorney General. Because this is a medical issue, we are not at liberty to share personal health information pertaining to this case. 
  
  Please be advised that we do not and are not balance billing patients for any services rendered at Albuquerque ER & Hospital. There is outstanding monies due for services that were paid by the insurance company directly to the insurance subscriber. Once this amount is paid there is an amount applied by the patient's insurance company that will be due for their yearly deductible. 
  Balance billing is any amount outside of the allowable amount which includes copay, co-insurance, deductible, and amount paid by the insurance company. If the insurance company applies a yearly deductible amount that is not considered balance billing. The patient would need to contact their insurance company for clarification as to why this amount was applied by them. 
  
  Thank you, 
  
  Keelyn M****** Director of Operations 
  

  
  

• Initial Complaint

  11/21/2021

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  On 8/23/2021 I was a patient at Albuquerque ER&Hospital. Albuquerque ER&Hospital widely advertises that they do not do balance billing. They told me that I should turn over all checks that I received from my insurance company to them. I received a check from Anthem Blue Cross in the amount of $98.78 and immediately went in person to give it to them. Then I received a check for $603.31 and also immediately turned it over to them. Then I received a letter from ABQ EP, LLC on 11/1/2021 implying that I had not given them the checks and saying I owed them $1888.97 without any explanation of the charges. I called and they said to disregard the letter. Then 5 days later I received an even more threatening letter stating "This is an attempt to collect a debt" demanding payment in 5 days. When I called they said that they were just slow in posting the $98.78 and I had not received a billing statement yet because they had not yet approved it. Then (5 days later) I received a letter dated "Final Attempt to Collect a Debt" and demanding $1888.97 in 5 days or they would "...take further action on your account. We have the right to file a lien, fila wage garnishment, or file charges."

  Business response

  12/14/2021

  Hello,
  
  Please see attached response, we appreciate your time!

  Date: 12/06/2021 
  Complaint No: ******** 
   
   
  Thank you for taking the time to reach out to us for a response on complaint #******** After reviewing the account, the matter is being handled with the State of New Mexico Attorney General. Because this is a medical issue, we are not at liberty to share personal health information pertaining to this case.
  Please be advised that we do not and are not balance billing patient's for any services rendered at Albuquerque ER & Hospital. 
   
  Thank you, 
   
  Keelyn M****** 
  Director of Operations

  
  

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