Complaints

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:08/15/2023

  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 husband ******************************* DOB 07/20/1933 was admitted to this facility in 2022. He had ******** and ****************** as a 2nd. Upon admission the admitting woman there said, he would not owe anything since he had 2 insurance companies. But the facility did not file the secondary on the last ***** days leaving him to owe $13,000 and refused to consider filing the claim. ****** (***) died and now they are billing me for $13,000.I do not owe them since he died and according what I have been told, the bill died when he died.

  Business Response

  Date: 08/30/2023

  ************ was admitted to Maggie Valley Nursing & Rehabilitation Center on September 2, 2022, and went home on December 10, 2022 for a total of 99 days.  He was admitted with 100 days of ******** coverage which is 20 days paid at 100% and the remaining days paid with the exception of co-insurance which at the time was $194.50 per day. When admitted, ************** had 99 days available,  he had 20 days covered at 100% by ******** and 1 Day covered by his insurance (see explanation of benefits page 1)

   He did have ********** Blue Shield of ** which in his case pays from day 21 to day 30, and his insurance was billed, however, all that ********** paid the facility was one day. The Explanation of benefits stated that the maximum number of services have been allowed.  We would not know where he used the other 9 days coverage prior to being admitted here. This leaves the account responsible for the remaining days of co-insurance. 

  I'm really not understanding why ************* is reporting this to you, the account has been zero since June 2023 at which time, all of the co-insurance due on this account was written off as a bad debt and she was sent a statement showing a zero balance.  I have attached the statement for your review as well as a transaction history showing the write off on the account.  If you need any additional information, please do not hesitate to reach out to us.  ***************************, Administrator