Business Profile

Hospital

Atrium Health

Complaints

This profile includes complaints for Atrium Health's headquarters and its corporate-owned locations. To view all corporate locations, see

Customer Complaints Summary

159 total complaints in the last 3 years.
38 complaints closed in the last 12 months.

If you've experienced an issue

Submit a Complaint

The 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:08/20/2024
Type:Service or Repair Issues
Status:
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 June 9, 2024, my son ***************************** was admitted to the emergency room after suffering an injury to his foot from stepping on a wooden floor and being stuck with a large wooden splinter of approximately 2 inches in length. The total bill for this visit from Atrium Health was $4087.55 with an additional $170.53 billed by Carolina Emergency Physicians. The emergency room physician could not locate the splinter, which had its topmost portion removed before going to the emergency by my wife. We knew there was more to the splinter from looking at the floor where ****** was injured, however the emergency room staff did not investigate further (no scans or other means of finding the splinter other than a visual exam and local anesthetic for probing with a scalpel), and sent ****** on his way. ****** remained in pain and discomfort the following two weeks, until the splinter started to emerge from his foot; he then pulled it out himself. We have pictures. We feel that it is unfair to have a bill this large for a service that failed in every way to treat a relatively simple and straightforward injury. We would have been no worse off having stayed at home and waiting for his foot to expel the splinter. We would not be disputing this had the emergency room accomplished their task of locating and removing the splinter. Upon disputing this bill with Atrium's home office, we were notified in writing that their internal review concluded that "you received appropriate care" and that "All associated charges for your hospital visit remain due and payable as noted in your statement(s)."We feel that it is grossly unfair to charge this amount of money for essentially no benefit. Furthermore, if we cannot trust the hospital to be able to locate and remove a splinter, what trust should we have in the hospital, and why should we be expected to pay such a great amount for their own incapability to deliver a successful outcome in this instance? Thank you,***********************
Business Response
Date: 08/26/2024
Aug 26, 2024

Better Business Bureau of Southern Piedmont

*****************************************************

Matthews, NC 28105

Consumer: ELIJAH ********

Case#********

To whom it may concern:

I am writing in response to the email you sent to Atrium Health on 8/21/2024. We appreciate your willingness to take the time to communicate your concerns on behalf of ***********;******** BBB Case #********

We have completed our investigation of the concerns regarding the recent experience at Atrium Health. The complaint has been addressed with the complainant and resolved as of 8/2/2024.

For additional questions or concerns, please reference my contact information below.

Sincerely,

Customer Care
***********************************************************************
************
Initial Complaint
Date:08/13/2024
Type:Billing Issues
Status:
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 had taken my son ************************************* to ********** Pediatrics on May 13, 2024 to be seen by ****************** for a sick visit. His regular pediatrician is ************** that he does see regularly at this location. ********* has down syndrome and he is autistic and nonverbal and he had been sick for over a week with severe diarrhea seven times a day. ********* does have celiac disease and he does have a specialist at Levines **********************. ****************** did determine it was probably most likely something viral, but we did do a stool sample since Christian is high-risk and he is in school and had been sick over a week. ********* went home and actually continued with his diarrhea, and I actually followed up with his specialist ********************** who did more testing two days later down at Levines that was sent off also. As the claims processed on United healthcare apps everything processed fine for Dr. ********** stool samples but the charges from ********** Pediatrics the office visit had my normal co-pay of $30 but the stool sample charge was denied and I was being charged $747.15 for Christian stool sample. I made numerous phone calls to your billing department to the pediatricians office and to my insurance company. The determination was it was not paid due to the billing code used for the test being the diagnosis of diarrhea undiagnosed which did not make the test medically necessary. I called multiple times to the practice, trying to speak to the office manager, ******** and it took four times to finally get a hold of her. When I did, ****************** was on vacation. ******** said she would speak to her when she got back and they would review his visit and resubmit his test for billing. Weeks had gone by. I had never heard anything back. I received another bill and I called your customer experience line. ******** called two weeks later saying it could take weeks but then I received an EOB showing only the visit has been resubmitted. Now being told under review need help.
Business Response
Date: 08/26/2024
Aug 26, 2024

Better Business Bureau of Southern Piedmont

*****************************************************

Matthews, NC 28105

Consumer: CHRISTIAN *********

Case 22136953

To whom it may concern:

I am writing in response to the email you sent to Atrium Health on 8/14/2024. We appreciate your willingness to take the time to communicate your concerns on behalf of CHRISTIAN ********* BBB Case #22136953

We have completed our investigation of the concerns regarding the recent experience at Atrium Health. The complaint has been addressed with the complainant and resolved as of 8/13/2024 .

For additional questions or concerns, please reference my contact information below.

Sincerely,

Customer Care
***********************************************************************
************
Customer Answer
Date: 08/28/2024

I am rejecting this response because:
This date of service with this specific charge has yet to be corrected and submitted to my insurance company correctly. The office manager at the pediatricians office never resubmitted it to the insurance company. This was verified with the insurance company. The insurance company let her a message to resubmit. ******** never returned the phone call to the insurance company. They reach out to her a second time and spoke to a ********* who said it was being researched. Also, I spoke to a joy back in June who was supposed to submit to the insurance company the office notes for Christians date of service to be reviewed and it was never submitted. Other than the original submission that was denied, there has never been a correction for the lab service with this charge.
Business Response
Date: 09/06/2024
Sep 06, 2024

Better Business Bureau of Southern Piedmont

**********************************************************

Matthews, NC 28105

Consumer: FLORENCE *********

Case #22136953

To whom it may concern:

I am writing in response to the email you sent to Atrium Health on 8/28/24. We appreciate your willingness to take the time to communicate your concerns on behalf of FLORENCE ********* BBB Case #22136953

We have completed our investigation of the concerns regarding the recent experience at Atrium Health. The complaint has been addressed with the complainant and resolved as of 9/5/24.

For additional questions or concerns, please reference my contact information below.

Sincerely,

Customer Care
***********************************************************************
************
Initial Complaint
Date:08/13/2024
Type:Billing Issues
Status:
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.
Atrium endoscopy center performed a colonoscopy on 10/20/2023. When filing insurance they put incorrect MPI number causing entire procedure to be out of network. This had already been pre authorized by ******. Humana and I have tried to have them correct this ***** times. It has not been corrected properly and now I have collections after me for CHS ANESTHESIA and CAROLINA PATHOLOGY GROUP. Since facility out of network all out of network. The facility wrote off their amount somehow which leaves me with out of network providers I have to now pay. Please help. They need to completely redo their claim to get everyone paid.
Business Response
Date: 08/26/2024
BBB of ***********************

*********************************

Matthews, NC 28105

Aug 26, 2024

To whom it may concern:

I am writing in response to the email you sent regarding Atrium Health on 8/13/2024. We appreciate your willingness to take the time to communicate your concerns on behalf of PATRICE CATALDO BBB Case #********.

Atrium Health is dedicated to providing our patients with excellent healthcare and being mindful of the cost of care. We appreciate the opportunity to investigate and resolve these concerns. You will be notified upon the resolution of this case.

In the meantime, please do not hesitate to contact me with any questions.

Sincerely,

Customer Care
***********************************************************************
************
Customer Answer
Date: 08/27/2024

I am rejecting this response because: this is the same response they have given me for the last year! They dont even have the decency to sign the response so I could contact the individual. They need to pull the original bill they sent to ******. The *** number needs to be corrected to the proper number which was given to them at least 10 times! I do not understand nor accept the incompetence of this billing department. I need this corrected immediately as I have debt collectors calling me from various drs and labs from the procedure of 10/20

Business Response
Date: 10/25/2024
I have forwarded this to the *** who is handling the case. On 10/9 I was told that the investigation is still in progress. Thanks
Initial Complaint
Date:08/12/2024
Type:Billing Issues
Status:
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 used this facility in January and February of 2024 to provide physical therapy (PT) services for a neck issue that I was experiencing. I have used physical therapy services within the past 2 years for other conditions and have never paid more than $100 an hour for these services. The Atrium Center never provided me with the cost of my services in advance of my starting treatment. I attended 4 PT sessions that totaled no more than 3 cumulative hours of treatment and subsequently received an invoice for $1,393.83 after insurance coverage had been applied. This represents almost 6 times as much as I had previously paid for PT services. I established an account with AccessOne to enable me to pay this bill in monthly increments, which I have done since March 2024. However, I am increasingly finding it difficult to pay this amount for the quality of service that I was provided, and the manner in which I was charged (i.e. - with no prior communication of the cost). I have contacted Atrium and been informed that they do not negotiate costs. As a result, I am reaching out to determine if I might have some other recourse to somehow decrease this balance due. I would also like to help others avoid finding themselves in similar situations. Thank You
Business Response
Date: 08/26/2024
Aug 26, 2024

Better Business Bureau of Southern Piedmont

*****************************************************

Matthews, NC 28105

Consumer: ************;*****

Case #: ********

To whom it may concern:

I am writing in response to the email you sent to Atrium Health on 8/13/2024. We appreciate your willingness to take the time to communicate your concerns on behalf of ************;***** BBB #********

We have completed our investigation of the concerns regarding the recent experience at Atrium Health. The complaint has been addressed with the complainant and resolved as of Aug 16, 2024.

For additional questions or concerns, please reference my contact information below.

Sincerely,

Customer Care

***********************************************************************

************
Customer Answer
Date: 08/28/2024
This complaint was not, in my opinion, resolved. The business simply told me that they do not negotiate prices. My issue is that the price they charged was exorbitant and that they did not inform me of the price prior to providing services.
Initial Complaint
Date:07/26/2024
Type:Service or Repair Issues
Status:
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 was seen at ********/****** (Atrium Prosperity Crossing) in late June for a procedure. The Nurse Practitioner called me to say by the time the biopsy got the lab, it was compromised. According to my explanation of benefits, I was charged over $300 for the procedure and $101.74 for the lab service. The procedure was completed and I do not dispute the charge and will pay my responsibility for that portion. However, I never received a lab result and do not believe I should have to pay for a service that was not completed. I spoke with the Manager at ****************** (*******) who understood and agreed with my position. She advised me to call Billing. I spoke with ********* who stated she initiated a charge dispute.
Business Response
Date: 08/05/2024
Better Business Bureau of *****************

**********************************************************

******************

Aug 05, 2024

Consumer: ********************************

Case

#********

To whom it may ************
I am responding to your email sent to Atrium Health on 7/28/2024. We are investigating your concerns and will contact you on or before 8/28/2024.

Atrium Health is dedicated to providing our patients with excellent healthcare and being mindful of the cost of care. Please know that your feedback is important to us, and we appreciate the opportunity to investigate and resolve these concerns.

Atrium Health wants to continue to be your hospital of choice, and I apologize we did not meet your expectations.

Sincerely,

***************************

Sr. Patient Experience Consultant

Atrium Health

P.O. Box 32861

Charlotte NC 28232

Phone: ************
Initial Complaint
Date:07/24/2024
Type:Billing Issues
Status:
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.
May 17 th 2024 am have visited Endocrinologist Attrium health center there are couple of test doctors was prescribed . The billing department charged incorrect code to me $123 test name is Continuous Glucose Monitoring Analysis I&R - ***** I have multiple times to practice manager and customer service the above test and charges are incorrect this test was NOT ordered by doctors and there is NO evidence of test results available , I have asked multiple attempts to dispute the. Charge Attrium health has failed to provide evidence to proof that this charge is correct.
Business Response
Date: 08/01/2024
Aug 01, 2024

Better Business Bureau of Southern Piedmont

**********************************************************

Matthews, NC 28105

Consumer: ASHPAK *****

Case #: 22035106

To whom it may concern:

I am writing in response to the email you sent to Atrium Health on 7/24/2024. We appreciate your willingness to take the time to communicate your concerns on behalf of ASHPAK ***** BBB Case #BBB case #22035106

We have completed our investigation of the concerns regarding the recent experience at Atrium Health. The complaint has been addressed with the complainant and resolved as of July 24, 2024.

For additional questions or concerns, please reference my contact information below.

Sincerely,

***************************

Patient Experience Consultant

Atrium Health

P.O. Box 32861

Charlotte, NC 28232

Phone: ************
Customer Answer
Date: 08/02/2024

I am rejecting this response because:
Could you please share me the evidence where is the doctors office prescribed this test continue gloucose monitor Analysis i&R ( *****) and where is Test results of this please dont show me other test results which I have it . I am asking specific test results and doctors ordered this test. Both billing department and doctors office failed to provide this evidence.
Business Response
Date: 08/05/2024
letter attached
CM
Business Response
Date: 08/21/2024
The Practice Manager spoke with ************** yesterday, 8/19 with the resolution to his complaint. ************** was happy with the outcome.

Customer Answer
Date: 08/21/2024

Better Business Bureau:

I have reviewed the response made by the business in reference to my complaint, and find that this resolution is satisfactory to me.

Thank you.
Initial Complaint
Date:07/22/2024
Type:Service or Repair Issues
Status:
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.
Yesterday(July 4, 2024) I did an online consult and was recommended to go to the EMERGENCY ****** Atrium University ) alleged somehow my info didnt cross over. I sat for 3 hours and watched patients being called back. They never called me back. I had checked in and signed my privacy forms and consent to treat. I finally approached the window for check in where I was asked was I being discharged. I told the person checking people in I have never been called back or seen. Im in the ** on a holiday I explained. I expected a wait time longer than most but 3 hours was absurd for the symptoms I was having. (Elevated heart rate over the last 12 hrs) Another employee asked for my name and I gave her my Drivers license. Both workers looked at the computer and couldnt figure out why I was never called back. I became upset but never raised my voice. A nurse asked if I wanted to her to go see what happened. By this point I DID NOT TRUST THE CARE I MAY RECEIVE. I asked for my license back. And a security guard named ****** told me I need to step away from the desk which the person who checked me in told me to approach. As I was aware there are other patients not feeling well and i too close to another family being checked in. I explained the worker asked me to come closer. ( patient privacy is my right as well) a person named ***** came from the back with my wristbands and explained there was a glitch on their end. I asked for an explanation of how this happens. I received the standard hollow Im sorry how can we help you now? I expressed calmly that I came to the ** FOR HELP! I expressed I wasnt going to wait another 3 hours to be helped. I didnt trust that I would receive competent care at that point and said Id seek help elsewhere. I thanked ****** for his help and exited the ***************
Business Response
Date: 08/01/2024
Aug 01, 2024

Better Business Bureau of Southern Piedmont
**********************************************************
Matthews, NC 28105

Consumer: DEONTRAIS ********
Case #: 22023913

To whom it may concern:

I am writing in response to the email you sent to Atrium Health on 7/9/2024. We appreciate your willingness to take the time to communicate your concerns on behalf of DEONTRAIS ******** BBB Case #22023913

We have completed our investigation of the concerns regarding the recent experience at Atrium Health. The complaint has been addressed with the complainant and resolved as of July 18, 2024.

For additional questions or concerns, please reference my contact information below.

Sincerely,

***************************

Patient Experience Consultant
Atrium Health
P.O. Box 32861
Charlotte, NC 28232
Phone: ************
Initial Complaint
Date:06/21/2024
Type:Service or Repair Issues
Status:
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.
My son visited Atrium Health Provide ** on May 20. He spent over 3 hours just waiting to get some ultrasound that was requested by the urgent care. The ** room is charging for level 5 high severity and threat treatment. This was patently not how they treated him, since it was a lot of waiting around for imaging. On top of that they have charged twice for the same ultrasound service. Upon calling about bill, the atrium health just ignored what we were saying.
Business Response
Date: 06/24/2024
Better Business Bureau of *****************

*************************** 300

********, ** 28205

Jun 24, 2024

Consumer: *****************************

Case #********

To whom it may ************
I am responding to your email sent to Atrium Health on 6/21/2024. We are investigating your concerns and will contact you on or before July 24, 2024.

Atrium Health is dedicated to providing our patients with excellent healthcare and being mindful of the cost of care. Please know that your feedback is important to us, and we appreciate the opportunity to investigate and resolve these concerns.

Atrium Health wants to continue to be your hospital of choice, and I apologize we did not meet your expectations.

Sincerely,

***************************

Sr. Patient Experience Consultant

Atrium Health

P.O. Box 32861

Charlotte NC 28232

Phone: ************
Initial Complaint
Date:05/30/2024
Type:Service or Repair Issues
Status:
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 would like to understand why Atrium Health would have my Mother on a large dose of Abilify (15 mg) when she has had significant issues with her diabetes and it is a known issue with this medication.The psychiatric department of Atrium seems to be a revolving door of doctors, which limits continuity of care, and there seems to be a lack of coordination amongst doctors within the same healthcare system. For instance, why didnt my Mothers primary care doctor identify that she was on a medication that could be affecting her diabetes and work with her psychiatric doctor to either move her to an alternative medicine or taper her off of the medication?We had similar issues in 2014 when her primary care doctor took her off of Gabapentin cold turkey, and she experienced significant withdrawal symptoms which led to her being hospitalized. She was not hospitalized because she has a chemical imbalance - it was because her body was dependent on Gabapentin and it was stopped cold turkey.Last, I am disappointed that my mothers psychiatric doctors have ignored my requests to taper her off of some of these psychiatric medications. Instead, they are increasing them. Over the past ***** months she has developed retinal toxicity which is likely linked to these excess medications she is taking.These psychiatric medications create dependency, and come with significant side effects. When you stop taking them, you experience withdrawal symptoms that mimic the exact symptoms you took them for in the first place. Her medications should have been slowly tapered down and adjusted since she was released from the hospital in 2015. She should not be taking 2400 mg of gabapentin for over a decade when her symptoms have clearly improved. She is having problems with memory, concentration, and cannot make decisions and have normal feelings because her brain is doped up on excess psychiatric drugs.Please call me so we can discuss this further.
Business Response
Date: 06/03/2024
Better Business Bureau of *****************

*************************** 300

********, ********

Jun 03, 2024

Consumer: ***********************

Case 21783058

To whom it may ************
I am responding to your email sent to Atrium Health on 5/31/2024. We are investigating your concerns and will contact you on or before 6/30/2024.

Atrium Health is dedicated to providing our patients with excellent healthcare and being mindful of the cost of care. Please know that your feedback is important to us, and we appreciate the opportunity to investigate and resolve these concerns.

Atrium Health wants to continue to be your hospital of choice, and I apologize we did not meet your expectations.

Sincerely,

***************************

Sr. Patient Experience Consultant

Atrium Health

P.O. Box 32861

Charlotte NC 28232

Phone: ************
Initial Complaint
Date:05/29/2024
Type:Billing Issues
Status:
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.
My wife, *****************************, woke up one morning with a swollen face, she was suffering no other symptoms, such as pain. I took her to the ** and was met by Dr. ************************** During the visit which did not exceed 5 minutes, he looked at her and determined it was a tooth infection, offered anti biotics which we declined as we decided to visit our dentist instead. No Xray was taken, no ** reading, just a question and an answer. Later I was sent a bill for ******* dollars.When I inquired about a detailed bill, all I was provided was a severe tooth infection. The doctor submitted the paperwork to my insurance Anthem BCBS as dental which was declined as Er does not cover dental. As a patient we initially went there thinking it was an allergy attack since my wife had suffered that previously and had to get a shot.We were not aware of a tooth infection due to lack of any kind of pain. I asked the hospital to recode the claim to the insurance so that it can be covered since we did not know the cause, and they refused. The issue I have is that the bill should not be anywhere near that amount since we were there for 5 minutes, and no services were conducted. I am now being billed and no one is willing to take an action. Please help
Business Response
Date: 06/03/2024
Better Business Bureau of *****************

*************************** 300

********, ********

Jun 03, 2024

Consumer: *****************************

Case 21774981

To whom it may ************
I am responding to your email sent to Atrium Health on 5/30/2024. We are investigating your concerns and will contact you on or before 6/31/2024

Atrium Health is dedicated to providing our patients with excellent healthcare and being mindful of the cost of care. Please know that your feedback is important to us, and we appreciate the opportunity to investigate and resolve these concerns.

Atrium Health wants to continue to be your hospital of choice, and I apologize we did not meet your expectations.

Sincerely,

***************************

Sr. Patient Experience Consultant

Atrium Health

P.O. Box 32861

Charlotte NC 28232

Phone: ************
Customer Answer
Date: 06/04/2024

I am rejecting this response because: at it says is that they will look into it. Furthermore, they sent me an explanation of benefits claiming the charges were for facility fees and a high risk medication which we never received or accepted

Business Response
Date: 06/04/2024
acknowledgement letter attached. CM

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