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Allegheny Health NetworkThis business is NOT BBB Accredited.
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Complaints
This profile includes complaints for Allegheny Health Network's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 51 total complaints in the last 3 years.
- 19 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe complaint text that is displayed might not represent all complaints filed with BBB. 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.
Initial Complaint
Date:04/10/2025
Type:Billing IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
*********************************************. Could not be admitted due to lack of beds. 3/8 ER Doctor diagnosed and treated for pneumonia. Still in ER 3/9.3/9 late afternoon neurologist came in for 5 minutes and wanted to do test on 3/10.3/9 still no beds and sat in hallway outside nurses station in wheelchair due to lack of rooms in ER.Was discharged on 3/9 at approximately 4-5 pm.Left with 3 prescriptions (********* and antibiotics for pneumonia).Received bill from *** for $225 under code 351 for head CT. Our cost thru BCBS is $150 for CT scan which I then called and questioned billing department.Itemized bill from AHN showed room and board which is $225 copay but was not charged but head CT code was charged.*** agrees should have been code 0120 room and board but doesnt know why billing coded that way Their reason for the $225 charge instead of ER charge of $125 is he received inpatient care due to neurologist stopping by for 5 minutes and did not see an ER Dr ********* not see any other doctor after because I was *********** need for neurologist on 3/9 because on 3/8 was diagnosed with pneumonia and head CT was normal. Have not seen or heard from the neurologist since being discharged. Did not need or ask for neurologist and not sure why ER requested since head CT was normal and diagnosis of pneumonia was made and treated on 3/8.Was never admitted or assigned a room at the hospital. Was removed from ER room, sat in the hallway on 3/9 in a wheelchair due to lack of ER rooms and discharged. Had to dress in hallway so I could leave.Terrible treatment, unnecessary request of neurologist and outrageous coding and billing by ***Business Response
Date: 04/15/2025
4/15/2025
Better Business Bureau
Complaint ID# ********
Dear BBB,
Thank you for the opportunity to respond to the concerns expressed by ******* RossMarano that was dated April 10th, 2025, and received by the ************* ********************** on April 10th 2025. Allegheny Health Network places great importance on the resolution of concerns that are expressed by our patients and/or their family members.
I understand that ******* Ross ****** has the following concerns with Allegheny Health Network:
Mr. ****** has advised of dissatisfaction with the coding, service classification, and cost share applied, along with the care rendered for date of service 3/8/2025-3/9/2025. Mr. ****** is disputing the bill received for the inpatient co-pay of $225.00.
We would like to thank you for bringing Mr. ******* concerns to our attention, and for providing us with the opportunity to address them. Mr. ******* concerns were immediately shared with the appropriate leadership for investigation and ************ response to Mr. ******* concerns, we have determined:
Several departments collaborated on reviewing this case including Coding and **************** They have confirmed the coding and charges are accurate based on the medical documentation. Additionally, the ** classification was appropriately upgraded to an Inpatient Admission on 3/8/2025 due to the physicians orders. The criteria for inpatient classification was met and approved by ************************************, resulting in processing the claim with $225.00 co-pay.
The care concern has been forwarded to our Patient Experience Team to review the care rendered and it was concluded the care and treatment were appropriate. Attempts to communicate the outcome to Mr. ******* spouse have been unsuccessful, as the spouse refused to acknowledge the culmination of the review.
Thank you again for sharing Mr. ******* concerns. We will utilize the feedback you have shared in our efforts to continually improve our services. I wish all the best for her good health and well-being.
Please let me know if you have any additional concerns or require additional information.
Sincerely,
The ************* **********************
**********************Customer Answer
Date: 04/16/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
The Neurologist who requested the ************** was ***************** *****. She came to ** on 3/9 for 5 minutes and wanted to do an *** on 3/10. **** was discharged from the ** on 3/9 (approx 1 hr after Dr ***** ***** ***** visit) and the *** was performed on 3/17 at the *** Health and Wellness Center. **** had been diagnosed on 3/8 and treated by ** Doctors in the Emergency Room and sent home with3 prescriptions (*********,, ********* and amoxicillan for treatment for pneumonia). Don't' know why Dr. ***** ***** stopped by since he had already been diagnosed with pneumonia on 3/8 and released with prescriptions for home continuing treatment for same. We did not request Neurologist, hospital did.
Since having 3/17 *** and results posted on *** My Chart, have never been contacted by Dr. ***** ***** regarding the results (which were normal for 85 yr old) or has she followed up on those results.
Absolutely no need for inpatient care in the ** for Neurologist since pneumonia was diagnosed and treated 3/8 n ** by ** Doctors and released 3/9 with that diagnosis and treated at home for same. So ** charge should be $125 not $225 in patient care.
Regards,
**** ******Business Response
Date: 04/24/2025
4/23/2025
Better Business Bureau
Complaint ID# ********
Dear BBB,
Thank you for the opportunity to respond to the concerns expressed by ******* RossMarano that was dated April 16th, 2025, and received by the ************* ********************** on April 16th, 2025. Allegheny Health Network places great importance on the resolution of concerns that are expressed by our patients and/or their family members.
I understand that ******* Ross ****** has updated his concerns with Allegheny Health Network.
In response to Mr. ******* updated concerns, we have determined:
Several departments, including senior leadership and the grievance committee, collaborated with Patient Experience to confirm that the care and treatment you received was appropriate. Specifically, our assessment indicates that you underwent an appropriate medical evaluation and received specialist consultations aligned with your presenting needs. During your visit, you were admitted to an inpatient level of care, necessitating the assignment of a dedicated inpatient care team to manage your treatment. While you remained physically within the emergency department, the level of care provided was consistent with that delivered on our inpatient units.
Patient Experience has responded to the patient directly. The patient balance is a result of a contractual obligation Mr. ****** has with his insurance payor and by regulation is the patients responsibility.
Thank you again for sharing Mr. ******* concerns. We will utilize the feedback you have shared in our efforts to continually improve our services. I wish all the best for her good health and well-being.
Please let me know if you have any additional concerns or require additional information.
Sincerely,
The ************* **********************
**********************Customer Answer
Date: 04/24/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
Regards,
**** ******Initial Complaint
Date:04/08/2025
Type:Billing IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
*** submitted a claim to my insurance on multiple occasions that was denied, even though I was seeing a PCP. Over and over, I've just been told to contact my insurance company rather than the company working with the insurance company (which literally owns their offices) to get it resolved. I've been on the phone with both Highmark and ***, neither is helpful and BOTH have customer service **** that do not speak English very well. I was told *** isn't allowed to contact the insurance company, which is insane. That cannot be true or logical. Between myself and my employer, the insurance company has received probably $3K per month, just for *** to not code something that can be properly taken care of. People that don't even pay for insurance are better off at this point because you are legalized scammers. You're a shameful business.Business Response
Date: 04/09/2025
4/9/2025
Better Business Bureau
File # ********
Dear BBB,
Thank you for the opportunity to respond to the concerns expressed by ***** ******* that was dated April 8th, 2025 and was received by the ************* ********************** on April 9th, 2025. Allegheny Health Network places great importance on the resolution of concerns that are expressed by our patients and/or their family members.
I understand that ***** ******* has the following concerns with Allegheny Health Network:
Mr. ******* is upset that he has been billed for a claim that was denied by his insurance despite multiple attempts to resolve the issue with Highmark and Allegheny Health Network.
We would like to thank you for bringing Mr. ******** concerns to our attention, and for providing us with the opportunity to address them. Mr. ******** concerns were immediately shared with the appropriate leadership for investigation and follow up. In response to Mr. ******** concerns, we have determined:
A review by our coding department determined that an additional diagnosis code was supported for this date of service.
Our Insurance Follow Up team made corrections to the coding for date of service 10/22/2024 and submitted a corrected claim to Highmark for processing.
Mr. ******* was contacted by phone and advised of the actions taken on his account to resolve his billing concerns.
Thank you again for sharing ***** ******** concerns. We will utilize the feedback you have shared in our efforts to continually improve our services. I wish all the best for her good health and well-being.
Please let me know if you have any additional concerns or require additional information.
Sincerely,
The ************* **********************
**********************Initial Complaint
Date:04/08/2025
Type:Billing IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I have told the billing department at Allegheny General over and over again how to file a claim against my insurance - which is government-provided insurance similar to ********** yet they still don't know how to follow simple directions or do their job. I am tired of having to repeatedly tell them how to do their job as it takes time out of my day and I am not getting paid for this. Please deduct the balance on my bill from their paycheck as I think that is the only way they will learn.I am now being billed $605 for Diagnostic Radiology and "special otorhinolaryngologic service" for my VFSS that I had done on January 28th. Apparently they cannot read and said that the current referral/authorization I had from the VA was invalid and didn't cover this appointment. The VA authorization covered me from 07/22/24-01/29/25 and my appointment was on 01/28/25. So the authorization is still valid. ***LEARN HOW TO DO YOUR F**** **** JOB.****>>>>>>>RESUBMIT THE CLAIM. >>>>>>>I SHOULD NOT BE BILLED PER THE MISSION ACT AS I AM A VETERAN.The VA authorization number is **************** should sent the claim to VA CCN Optum P.O. ***************************** Fax: ************Business Response
Date: 04/14/2025
4/14/2025
BBB
Ref: Liber,Mei-Ling Complaint #********
Dear BBB,
Thank you for the opportunity to respond to the concerns expressed by ***-**** ***** (Complaint # ********) that you shared in an email dated 04/08/2025 and received by the ************* ********************** on **/08/2025. Allegheny Health Network places great importance on the resolution of concerns that are expressed by our patients and/or their family members.
I understand that ***-**** ***** has the following concerns related to her Services with Allegheny Health Network from DOS 01/28/2025:
Ms. ***** wishes for her services to be billed to the *********************** for payment.BBB,
on behalf of Allegheny Health Network, we would like to thank you for bringing ***-**** ****** concerns to our attention, and for providing us with the opportunity to address them. Ms. ****** concerns were immediately shared with the appropriate leadership for investigation and follow-up. In response to ********* concerns, we have determined:
A claim was submitted to the *********************** on 01/30/2025 for Ms. ****** 01/28/2025 services. On 2/26/2025 Allegheny Health Network received a denial on this claim for lack of authorization on file. There was one call received by Allegheny Health Network regarding this date of service. On 3/19/2025 the caller was advised of the denial. A call was placed to the ************************ Allegheny Health Network was advised that there was no authorization on file for date of service 01/28/2025. A billing statement was sent to Ms. ****** In follow-up to Ms. ****** complaint, a second call was placed to the ************************ The representative advised Allegheny Health Network that the newest authorization was labelled differently and was cause for the previous representatives misinformation. The claim is currently under an additional review with the ************************ *********************** call reference numbers that Allegheny Health Network was provided are available to Ms. ***** upon request.BBB,
thank you again for sharing ***-**** ****** concerns. We will utilize the feedback you have shared in our efforts to continually improve our services. I wish all the best for her good health and well-being. Please let me know if you have any additional concerns or require additional information.
Sincerely,
************* **********************
**********************Customer Answer
Date: 04/14/2025
Better Business Bureau:
I will change this rejection to "accepted" once the customer service department at ******************************************* figures out how to do their job and fixes their incompetence with billing to my insurance. It's not rocket science and really not that hard. They didn't even need to call the VA if they simply understood that all they needed was the authorization number on the claim. This document can be found when I scheduled my appointment with otolaryngology. LEARN HOW TO PROCESS GOVERNMENT INSURANCE CLAIMS. ITS REALLY NOT THAT HARD.Regards,
***-**** *****Initial Complaint
Date:03/24/2025
Type:Service or Repair IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
In August of 2024, I scheduled a new patient appt with *** Rheumotolog, for April 11, 2025. . In the beginning of March I got a phone call from that office to reschedule that appt. The doctor wont be in the office. So I was given one for April 4, 2025. Today, being March 24, I received another phone call from this office telling me to come tomorrow because the doctor wont be there yet again. I cant be there tomorrow I told them. The next available appointment for me is in September of 2025. Even though I had 2 scheduled and they said the doctor wont be here. So thats my fault? To wait over 13 months from making the appointment. After you gave me 2 then canceled them. Im not waiting until September I will file complaint after complaint. You cant do this to patients.Initial Complaint
Date:03/19/2025
Type:Billing IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Hospital was overpaid and will not assist with getting refund . I have bee n trying to find someone to help me since November 2024Business Response
Date: 03/21/2025
3/21/2025
Better Business Bureau
File # ********
Dear BBB,
Thank you for the opportunity to respond to the concerns expressed by ***** **** that was dated March 19th, 2025 and was received by the ************* ********************** on March 19th, 2025. Allegheny Health Network places great importance on the resolution of concerns that are expressed by our patients and/or their family members.
I understand that ***** **** has the following concerns with Allegheny Health Network:
Mrs. **** is upset Allegheny Health Network has not refunded her for an insurance-issued consumer spending overpayment.
We would like to thank you for bringing Mrs. ***** concerns to our attention, and for providing us with the opportunity to address them. Mrs. ***** concerns were immediately shared with the appropriate leadership for investigation and follow up. In response to Mrs. ***** concerns, we have determined:
Allegheny Health Network processes returned funds back to the original source of payment. The credit on Mr. ****** account is related to an insurance payment.
The credit balance was reviewed with the insurance payor and was approved to be directly refunded to the patient based on the remittance.
Mrs. **** was contacted via phone and advised of Allegheny Health Networks credit balance policy. Mrs. **** has been updated on the refund status and Allegheny Health Network steps moving forward.
Thank you again for sharing ***** ***** concerns. We will utilize the feedback you have shared in our efforts to continually improve our services. I wish all the best for her good health and well-being.
Please let me know if you have any additional concerns or require additional information.
Sincerely,
The ************* **********************
**********************Customer Answer
Date: 03/22/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
Regards,
***** ****Initial Complaint
Date:02/22/2025
Type:Billing IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Hospital was unable to complete cardio angiogram. Hospital refusing g to return co pay they required upfront. *** won't return my money until my insurance pays for a procedure I didn't have completed. My insurance says they're not paying them since it wasn't ************ main concern is I'm getting charged interest because this payments on a credit card. While they stole my money and they're collecting interest on my money.Business Response
Date: 02/24/2025
February 24, 2025
Better Business Bureau
Complaint ID # ********
Dear BBB,
Thank you for the opportunity to respond to the concerns expressed by **** ******** ID # ******** that you shared in an email dated February 22, 2025, and received by the ************* ********************** on February 24, 2025. Allegheny Health Network places great importance on the resolution of concerns that are expressed by our patient and/or their family members.
I understand that **** ******** has the following concerns related to his Services with Allegheny Health Network:
Mr. ******** made an upfront collections payment for his cardio angiogram services. The service was not able to be completed, therefore he is requesting a refund. Mr. ******** believes Allegheny Health Network is not returning his funds, his insurance carrier declines to make payment for the cancelled service and is afraid of the increasing interest on his credit card.
We would like to thank you for bringing **** ********* concerns to our attention, and for providing us with the opportunity to address them. **** ********* concerns were immediately shared with the appropriate leadership for investigation and follow up. In response to Mr. ********* concerns, we have determined:
**** ******** placed a call to the ************* ********************** on February 5, *************************** the amount of $502.89 he made on January 13, 2025. Mr. ********* refund was initiated and accepted to the ********** ending in 4496 on January 22, 2025. Should Mr. ******** have any additional questions regarding the refunded amount, we encourage him to speak with his *******************
BBB, thank you again for sharing **** ********* concerns. We will utilize the feedback you have shared in our efforts to continually improve our services. I wish all the best for his good health and well-being.
Please let me know if you have any additional concerns or require additional information.
Sincerely,
Thank you,
******** Case
Revenue Cycle Supervisor
4 Allegheny Center, 10th Floor
********************
Phone **************
Fax **************Customer Answer
Date: 02/24/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.(See attached.)
Regards,
**** *******Business Response
Date: 02/25/2025
February 25, 2025
Better Business Bureau
Complaint ID # ********
Dear BBB,
Thank you for the opportunity to respond to the concerns expressed by **** ******* ID # ******** that you shared in an email dated February 22, 2025, and received by the ************* ********************** on February 24, 2025. Allegheny Health Network places great importance on the resolution of concerns that are expressed by our patients and/or their family members.
I understand that **** ******* has the following concerns related to his Services with Allegheny Health Network:
Mr. ******* made an upfront collections payment for his cardio angiogram services. The service was not able to be completed, therefore he is requesting a refund. Mr. ******* believes Allegheny Health Network is not returning his funds, his insurance carrier declines to make payment for the cancelled service and is afraid of the increasing interest on his credit card.
We would like to thank you for bringing **** ******** concerns to our attention, and for providing us with the opportunity to address them. **** ******** concerns were immediately shared with the appropriate leadership for investigation and follow-up. In response to Mr. ******** concerns, we have determined:
During a phone discussion between the ************** Office Supervisor and Mr. ******* on February 25, 2025, it was advised that the payment of $502.89 was disputed with the card company. Upon further investigation, it was identified that the card company provided the funds back to Allegheny Health Network. The Supervisor re-issued the refund to the source of payment on the same day. Mr. ******* was provided with the Supervisors direct line and advised if the funds are not returned in 7 days to place a return call.
BBB, thank you again for sharing **** ******** concerns. We will utilize the feedback you have shared in our efforts to continually improve our services. I wish all the best for his good health and well-being.
Please let me know if you have any additional concerns or require additional information.
Sincerely,
Thank you,
******** Case
Revenue Cycle Supervisor
4 Allegheny Center, 10th Floor
********************
Phone **************
Fax **************Initial Complaint
Date:02/15/2025
Type:Billing IssuesStatus:UnresolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I am being put into collections for charges i have not been billed yet. We call and they say we are not in collections. We pay way more that is minimum and they not know where the extra money went? i have been put in collections for $27.10, $10, & $10 and i paid my last bill off in full.Business Response
Date: 02/28/2025
Date 2/26/2025
Better Business Bureau
Complaint ID #********
Dear BBB,
Thank you for the opportunity to respond to the concerns expressed by ***** ******* ID #********
that you shared in an email dated 2/17/25 and received by the ************* ********************** on 2/**/************************* places great importance on the resolution of concerns that are expressed by our patient and/or their family members.
I understand that Mr. ******* has the following concerns related to his payments with Allegheny Health
Network:
Patient states he was sent to collections when he had paid his balance in full, and the customer care ********************** advised he did not have any accounts in collections at this time.
We would like to thank you for bringing Mr. ******** concerns to our attention, and for providing us
with the opportunity to address them. Mr. ******** concerns were immediately shared with the
appropriate leadership for investigation and follow up. In response to Mr. ******* concerns, we have
determined:
After a review, it was determined Mr. ******** account was subject to collection action on 1/11/2025 due to lack of payment. Mr. ******* was sent 4 communications for each service date prior to his visits being sent to the collection agency. Mr. ******** partial payment was received on 1/22/25 and applied to a portion of his outstanding total balance.
BBB, thank you again for sharing Mr. ******** concerns. We will utilize the feedback you have
shared in our efforts to continually improve our services. I wish all the best for his good health and wellbeing.
Please let me know if you have any additional concerns or require additional information.
Sincerely,
***** M
Manager **************************Customer Answer
Date: 02/28/2025
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Thank you for the opportunity to reply. I dont understand why and what charges were sent to collections. I am enclosing my statements from December 2024, January, and February 2025.The December and January show I made payment the months prior. It appears to me that AHN bills and separates their charges. Even though I made a payment they apparently did not apply it to the charges they put me into collections for. Can they do that? On 1/6/25, I mailed a payment with check number 2123 for $612.20. The February statement does not show I made a payment. Their bills are truly itemized and very vague. Where was that payment applied?Given, I did not want my credit to suffer, I paid the collection already. On February 26, *** called saying they can apply my payment to the collection payments? The return number that was given does not work.I am not sure what I can do now other keep making large payments and hopefully I will not wind up in collections.Thank you for your review of this matter
Regards,
***** *******Initial Complaint
Date:02/02/2025
Type:Billing IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
My complaint is AHN billing. You receive a bill with a Bill ID and make payments based on the line items on this Bill ID.I receive another bill with a different Bill ID that contains some of the same line items that I previously paid under the first Bill ID for services of January and February 2024. I called customer service to find out that they applied my payments to the oldest unpaid items. Although this cannot be true since the first bill was for the period of January and February 2024. Some of my payments were applied to dates in March and April 2024. I also learned that the Bill ID is ever changing and even though I paid the items under a certain Bill ID does not necessarily mean that is what I am paying for.I am almost certain that I have paid for speech therapy that we did not receive and physical therapy that I have requested since May 2024 that they submit to insurance.This kind of billing is incompetent and unheard of. It totally eliminates any accountability on ****** this time, I am caring for my terminally ill husband and do not have the time to argue with this group any longer. I will pay out of pocket until I reach my maximum and they can continue to threaten me with collections.Just an FYI, to date I have paid AHN in 2024 $6,450 under one insurance plan, January through February 2024 and $$5,566.10 under an insurance plan March through December 2024. I am send another payment of $1.508.29 this week.Initial Complaint
Date:10/22/2024
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
On their financial aid/hardship application, there is an entire section for monthly expenses in addition to income. I was told they do not consider expenses when making a decision. Having that on an application then disregarding it is a completely unreasonable and bad faith tactic. No other business or bank would operate like that. Theres no way you do an accurate financial assessment of anyone without all the necessary information, including income and expenses.Business Response
Date: 11/01/2024
November 1, 2024
Better Business Bureau
Complaint ID #********
Dear BBB,
Thank you for the opportunity to respond to the concerns expressed by **** ****** ID # ******** that you shared in an email dated October 22, 2024 and received by the ************* ********************** on October *******. Allegheny Health Network places great importance on the resolution of concerns that are expressed by our patient and/or their family members.
I understand that **** ****** has the following concerns related to his Services with Allegheny Health Network from Service in question:
Patient has concerns regarding monthly expenses being listed on the Financial Assistance Application related to approval for the program.
We would like to thank you for bringing **** ****** concerns to our attention, and for providing us with the opportunity to address them. **** ****** concerns were immediately shared with the appropriate leadership for investigation and follow up. In response to **** ****** concerns, we have determined:
Approval for the Financial Assistance program is based on liquid assets, income level of 200% or below of the Federal Poverty Level guidelines, and Medical hardship per our policy.
Under expenses, patients are able to list out Medical expenses for hardship.
BBB, thank you again for sharing **** ****** concerns. We will utilize the feedback you have shared in our efforts to continually improve our services. I wish all the best for his good health and well-being.
Please let me know if you have any additional concerns or require additional information.
Sincerely,
The ************* Advocacy DepartmentCustomer Answer
Date: 11/04/2024
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Thats not a response at all. It looks like something that is auto generated. But the questions were:1. How is it acting in good faith when you intentionally put expenses on a form knowing that you dont consider them?
2. How do you conduct an accurate financial assessment of someones situation without expenses.
Regards,
**** ******Business Response
Date: 11/19/2024
November 19, 2024
Better Business Bureau
Complaint ID #********
Dear BBB,
Thank you for the opportunity to respond to the concerns expressed by **** ****** ID # ******** that you shared in an email dated November 2, 2024 and received by the ************* ********************** on November ******. Allegheny Health Network places great importance on the resolution of concerns that are expressed by our patient and/or their family members.
I understand that **** ****** has the following concerns related to his Services with Allegheny Health Network from Service in question:
Patient has concerns regarding conducting an accurate financial assessment without expenses listed.
We would like to thank you for bringing **** ****** concerns to our attention, and for providing us with the opportunity to address them. **** ****** concerns were immediately shared with the appropriate leadership for investigation and follow up. In response to **** ****** concerns, we have determined:
Approval for the Financial Assistance program is based on liquid assets, income level of 200% or below of the Federal Poverty Level guidelines, and Medical hardship per our policy. The policy is in compliance with applicable law and requirements of the Internal Revenue Code Section 501(r).
Under expenses, patients are able to list out medical bills for any consideration for hardship.
To make a complete determination of a patients approval for the program, patients are required to send in all requested documentation.
BBB, thank you again for sharing **** ****** concerns. We will utilize the feedback you have shared in our efforts to continually improve our services. I wish all the best for his good health and well-being.
Please let me know if you have any additional concerns or require additional information.
Sincerely,
The *********************************Customer Answer
Date: 11/19/2024
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Again, this is not a response. This is an auto generated copy and pasted response.
Regards,
**** ******Initial Complaint
Date:08/27/2024
Type:Billing IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Dates of service March 7 through the 10th 2024 for my son ******* ******. Ive called multiple times to review this bill with them. They keep billing the wrong insurance that Insurance keeps denying because my son was not covered. There is the correct insurance is on file they have the correct insurance on file for the same dates where they billed for the physician services which the insurance did pay for. Im getting billed $25,916. The insurance paid zero because they keep billing the wrong insurance, the insurance then adjusted the price $23,324.40 leaving me a balance of $2591.60 which again I should not be billed yet because they keep billing the wrong insurance. Ive called multiple times spoke with multiple different people. They keep getting it sent back to the wrong insurance and Which again they have the correct insurance on file for the same dates of service March 7 through the 10th for the physicians the insurance did pay. at this point I no longer want to be sent these bills. I want the hospital provider to take care of this. These bills will not be paid by me as theyre not being billed correctly as they are not billing the correct insurance. please have someone review this and stop billing me and harassing me.
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