Health and Wellness
Catholic Health SystemThis business is NOT BBB Accredited.
Find BBB Accredited Businesses in Health and Wellness.
Complaints
This profile includes complaints for Catholic Health System's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 3 total complaints in the last 3 years.
- 0 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:05/24/2024
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.
The health care provider thru chsbuffalo.org is billing me for 244.32 in addition to ******** covers for a service clearly indicated by ******** as not payable. I only visited this health care provider once 0n 2/29/24 for my first ******** advised visit to a ******** advised primary care and never during the visit was told that i have to pay above and beyond what is covered by ********. At reception I gave them my ******** part B card an they copied the card that clearly says effective 2/1/2024 and was told that their office accepts ********. The details of the 244.32 extra is:---------------
********
Billed to Insurance $492.36Billed to Insurance
$492.36
Insurance Covered -$160.21Insurance Covered
-$160.21
Remaining Responsibility $332.15Remaining Responsibility
$332.15
Deductible $78.29Deductible
$78.29
Coinsurance $9.54Coinsurance
$9.54
Not Covered $244.32Not Covered
$244.32
Detailed Account Information
PPPS, subseq visit - G0439 (HCPCS) $244.32PPPS, subseq visit - G0439 (HCPCS)
$244.32
Office/Outpatient New Moderate Mdm 45 Minutes - 99204 (CPT®) $248.04Office/Outpatient New Moderate Mdm 45 Minutes - 99204 (CPT®)
$248.04
Payments and Adjustments
******** -$160.21********
-$160.21 -----------------
The chsbuffalorg claim that the 244.32 is part of my remaining responsibility is false and they are engaged in false billing. chsbuffalo.org need to adjust their bill and remove the $244.32 that is not payable by ********Business Response
Date: 06/27/2024
Good morning, After reviewing the complaint, it has been determined that ******** did deny the service as non-covered as the patient had the service
elsewhere in the last 12 months. The system automatically transferred the
account to the patient and a statement was generated in error. The Billing Department has moved $244.32, the charge in question, back to the insurance bucket and will subsequently write off the amount. The patient will be provided with a
corrected statement as he was billed the $244.32 in error. If you have further questions or concerns, please feel free to reach out. Sincerely, Leonardo S***********, Esq.General Counsel, Catholic HealthCustomer Answer
Date: 06/27/2024
I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint.
In the business reply, Leonardo S***********, Esq.General Counsel, Catholic Health claims
"It has been determined that ******** did deny the service as non-covered as the patient had the service elsewhere in the last 12 months." I did not have ******** in past 12 months nor did I use the billed service elsewhere, as I told Catholic Health Center when I scheduled my appointment, I just got ******** as of 2/1/2024 and per ******** email I selected a primary physician and scheduling my first visit to discuss health background. ******** publications encourage the new to ******** in their Welcome to ******** to do this and also indicate this first visit is FREE. The provider copied my ******** card upon entrance the care clearly indicates 2/1/2024 as my ******** start date. At the appointment i also mentioned to physician that except a pre employment physical in 2021 , I have not been to a Doctor since 2018. This case is best to expose Catholic Health predatory billing that repeatedly indicates collection comes next an their fabricated false bills. What suppose to be a welcome to ******** ends up being entering to the gates of HELL specially as a month after first visit I called for an appointment when I was sick, I was told they are booked up and go to urgent care or ER , what good is a primary doctor when he is not available ( except for the initial half hour visit that Catholic Health generated about a $500 bill)?
Regards,
***** ****Business Response
Date: 07/08/2024
In follow up to the customer's rejection of our initial response, the Billing Department called ******** this time and were told that ***** **** did not
in fact have the G0402 billed, which is his Welcome to ******** visit. Mr. **** is correct that he did not receive any ******** service earlier. We have
now billed the G0402 to ********. When the new claim is re-processed, a new
statement will be generated. Until then Mr. **** does not owe any balance. Thank you for your time. Sincerely,Leonardo S***********, Esq.General Counsel, Catholic HealthCustomer Answer
Date: 07/08/2024
I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. They are correct removing the bill. It will be my pleasure NEVER again go near ***** ***** ****** Catholic Heath System as I do not trust them and not consider them honest
Regards,
***** ****Initial Complaint
Date:11/07/2023
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.
I was billed for pre-surgery testing I had done in May 2023. My insurance company (***** through the Foreign Service Benefit Plan) stated that they covered the full bill and used funds from my HRA to cover the copay amount of $39.02. I have received a bill each month since then, demanding that I pay $39.02. I have repeatedly called Catholic Health billing to explain that I do not owe them anything. ***** has repeatedly called them and sent documentation showing that the bill has been paid in full. Last month, ***** spoke with a Catholic Health group rep named "Bear," who said that the issue would be escalated to a supervisor for resolution. Instead, I received another bill today.Business Response
Date: 11/28/2023
Hello Kevin: Thank you for reaching out. The information and complaint sent over for the respective patient has been reviewed. The patient and ***** are correct in their statements—the patient does not owe $39.02. Patient should disregard the received bills as an error in the billing system has caused a redundancy. The error is being corrected moving forward. Should you have any additional questions or concerns, please do not hesitate to contact me.Customer Answer
Date: 11/28/2023
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:09/15/2022
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 was billed for a procedure (03/2/2022) at the doctor's office. My insurance company (******** ** ****) stated that they covered the full bill using my funds from my HRA account. In May I received another bill from the doctor's office stating that I stilled owed a balanced. On 5/23/22 @ 4:50pm I called the doctor's office and notified them of their error. (I also called my ins. company to confirm that they did indeed pay them and that the check was cashed). I was told that "we will look into it". I again received the same bill in June. I called on 6/28/22 @ 12:22pm and spoke with my ins. company, and my ins. company called the office. My ins. company, after talking to the office, said they will fix their error. I received another bill in August. I once again called my ins. company (spoke with Amy) on 8/29/22 and they again called the office and spoke with Jeffery. Amy said that the office would fix it. In september I received a letter that the balance was being sent to collections.Business Response
Date: 10/07/2022
3/15/22 First **** ****s remit file was posted on 3/15 for a zero payment and indicated a patient deductible owed of $187.90. 3/15/22 Patient Statement generated and does list detail for date of service listing the $187.90 as deductible. 5/23/22 Customer Service Rep, Geoffrey L**, answered call from patient who stated that **** ***** told him they made payment. This started investigation by Professional Billing Follow-up, they noted that they did not see a “new” payment posted and patient should contact **** ***** as the first remit was for a deductible. 6/6/22 Payment posted for $187.90 based on new remittance from **** ***** 6/15/22 EPIC creates a new patient statement indicating patient owes $16.51. 8/20/22 EPIC places patient to *** **** ****** 8/29/22 Patient calls Customer Service on 8/29/22 and comments state that Geoffrey Lee told patient that the newest payer remit did not indicate patient responsibility, he then emailed **** *** *********** team to correct the self pay balance and remove from Bad Debt. 8/31/22 Account was cancelled from *** **** ****** 9/3/22 Account was closed in system If you need anything else, please let me know. Thank you! CONFIDENTIALITY NOTICE: This message is confidential, intended only for the named recipient(s) and may contain information that is privileged, or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender by reply e-mail, delete this e-mail from your computer, and destroy any copies in any form immediately. Receipt by anyone other than the named recipient(s) is not a waiver of any attorney-client, work product, or other applicable privilege. This message and all contents may be reviewed by authorized parties of the Catholic Health System other than those named in the message header.
Catholic Health System is NOT a BBB Accredited Business.
To become accredited, a business must agree to BBB Standards for Trust and pass BBB's vetting process.
Why choose a BBB Accredited Business?BBB Business Profiles may not be reproduced for sales or promotional purposes.
BBB Business Profiles are provided solely to assist you in exercising your own best judgment. BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. However, BBB does not verify the accuracy of information provided by third parties, and does not guarantee the accuracy of any information in Business Profiles.
When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints.
BBB Business Profiles generally cover a three-year reporting period, except for customer reviews. Customer reviews posted prior to July 5, 2024, will no longer be published when they reach three years from their submission date. Customer reviews posted on/after July 5, 2024, will be published indefinitely unless otherwise voluntarily retracted by the user who submitted the content, or BBB no longer believes the review is authentic. BBB Business Profiles are subject to change at any time. If you choose to do business with this company, please let them know that you checked their record with BBB.
As a matter of policy, BBB does not endorse any product, service or business. Businesses are under no obligation to seek BBB accreditation, and some businesses are not accredited because they have not sought BBB accreditation. BBB charges a fee for BBB Accreditation. This fee supports BBB's efforts to fulfill its mission of advancing marketplace trust.