Complaints
This profile includes complaints for Kettering Health's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 9 total complaints in the last 3 years.
- 4 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:06/06/2025
Type:Customer Service 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.
Had a set appointment booked months in advance. I get a call today saying they need to reschedule me due their being some issues with insurance but instead of contacting my insurance I’m getting the connotation that they forget to get my authorization approved. So they said the only solution is to rebook me for August which is unacceptable. They made a mistake on their end now I’m getting the short end when I’ve been waiting months for this. Especially regarding my health. They need to get the correction authorization from my insurance and rebook me within the next few weeks in a timely manner.Business Response
Date: 06/09/2025
Thank you for the opportunity to address this patient's complaint. We are truly sorry the patient's scheduled testing had to be rescheduled. Due to the recent cyber security breach we unfortunately experienced, we were unable to obtain or verify if the insurance authorization for his test had been received due to our computer systems being down. Once our diagnostic systems are fully operational, our staff will be monitoring and evaluating our appointment schedules to meet our patient's health care needs. We appreciate our patient's patience during this difficult time.Initial Complaint
Date:09/09/2024
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.
My son ***** ******** went to Urgent Care about 6 months ago. He’s a student in Ohio. Come to find out his insurance is out of network there. So his insurance, which is mind insurance won’t paid for the visit. The office manager ******** ***** said she would send paperwork to billing that he’s a self pay where he would receive a 30% discount and I agree to pay her immediately. Well now I can’t get in touch with her!!! Please help it’s a simple fix. The bill is $264, they just have to give my son the 30% discount.Business Response
Date: 10/29/2024
Thank you for sending this information to us. Our Patient Resolution department has reached out to the complainant in an attempt to resolve the matter and they are not returning phone calls. If we hear from the patient, we will work toward a resolution.Customer Answer
Date: 11/08/2024
The issue have been resolved. Thank You!Initial Complaint
Date:03/14/2023
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 went to the ER in May of 2022 for an allergic reaction to a medication I was prescribed. I have no complaints about my care received - the staff at KHN were great, and I was in and out quickly. My issue is with the billing department. They incorrectly coded my visit as being for dental, which it absolutely was not, and as such my medical insurance is denying my claim. I specifically selected this hospital because they're in my network. I was told my claim is considered dental because my dentist prescribed me the medication I was allergic to.
If you review my claim, you'll see that I did not receive treatment for any dental issues or pain. I was prescribed an anti-nausea medication and injection. To add insult to injury, the ER physician's bill was corrected and resubmitted to my insurance, but the hospital refuses to update their coding, citing "insurance fraud". Is it insurance fraud, or does KHN not want to award the discount I'm entitled to because the hospital is in-network?
I have filed appeals with KHN and my insurance company to no avail. Of course my medical insurance isn't going to cover it, the claim is marked as a dental service! I have been dealing with this issue since September of 2022 when I first discovered my claim was denied. I've talked to probably 8 different people with no resolution in sight. It really is a shame because the treatment I received was great, but the issues I've had from the billing side will ensure I never return to KHN for services in the future.Business Response
Date: 03/17/2023
The coding was thoroughly reviewed by our coding department and determined
to be coded properly, per physician documentation.
Our claim was denied by insurance as non-covered. There is no
contractual adjustment indicated on the explanation of benefits, therefore a
contractual adjustment is not applicable.Customer Answer
Date: 03/20/2023
Complaint: ********I am rejecting this response because:It makes absolutely no sense that the ER physician can update their coding, but the hospital continuously refuses to. I submitted the updated EOB that was sent to my insurance company from EMS, and subsequently my insurance covered the physicians charge. I have spoken with ******** at EMS who has spoken with somebody at Kettering health Network, and she also does not understand why this can't be updated. Additionally, I am not satisfied that the person who contacted me from Kettering Health Network was the initial person I had a complaint with! I want to speak with a supervisor. Again, going around in circles over a very simple coding issue is ridiculous.Sincerely,******** *****Business Response
Date: 03/28/2023
Per further review and auditing with the coding
department, there is documentation in passing about the nausea and
vomiting, but only as a secondary issue. Primary exam, treatment, and
documentation all indicate the patient’s dental issue as the primary reason for
the visit.
Per the False Claims Act, we cannot code this account
in a manner that doesn’t match the documented medical records to generate
payment from her insurance.
The patient is welcome to reach out to our Medical Records
department to request an amendment to her chart. That number is
************ option 3. Per HIPAA law, the
patient is allowed to make amendments to her own record at any time.Initial Complaint
Date:01/03/2023
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.
I got approved for an MRI finally! I had to jump through a million hoops since june to get this approved. So a scheduling Lady named **** calls me and leaves a vm on or about friday the 23rd dec. It was late in the day when I heard the vm and just before my holiday celebration for saturday. I was busy in the kitchen. So I call this week and keep calling. Only to find out she isn't in the office. She's out for a whole other week. There is a note saying no one else is allowed to schedule my MRI!!and no one can tell me if anyone is temporarily filling her position while she is gone! That is incompetent work on behalf of kettering network. All I want to do is get on the schedule so I know my appointment ahead of time. I have many health appts every week. Its very important to get the date and time. I will resend everything from kettering and go to ***** if this isn't corrected asap. A grievance will be filed. To hold my information hostage and not allow me to schedule with **** ******** hospital is absurd!!Business Response
Date: 01/11/2023
January 11, 2023
******* ********
*** ******** ****
*********, **
Dear Ms. ********:
I hope this letter finds you well.
Your Complaint with the Better Business Bureau (BBB) was received, and
an investigation begun on January 3, 2022. At Kettering Health Network, we are
committed to provide high quality healthcare services to our community and it
is always our goal to serve you safely and effectively with respect,
integrity, teamwork, and excellence.
Therefore, our responsibility is to assure you, your concerns have
been investigated and appropriate actions have taken place.
Your care concerns were shared with and reviewed by the Director
of the Radiology Department, the Manager of the Radiology Department, the Manager
of Scheduling Services, as well as the Manager of the Patient Relations
Department. These individuals are the
most appropriate to review this matter and take any warranted follow up
actions. Our investigation into your
concerns was completed on January 10, 2022.
I understand that you were approved for an MRI after you had to
work very hard to get your insurance to approve the testing. Our investigation found that our staff
member had reached out on 12/19, 12/22 and 12/26 and left a message. When you
returned our call, you were told that the person who needed to schedule your
MRI was out of the office for a week and no one else could provide you the
assistance you needed to schedule this MRI.
We found that a note had been
placed on your chart not to schedule/reschedule/or cancel the MRI but send
your call to the original scheduler. So,
when you called the team referred you back to this scheduler. Because this happened it inhibited your
ability to get this test scheduled in a timely manner. We very much appreciate that you have
brought this issue to our attention.
We are currently looking at our current process and possible changes
we can make to avoid this occurrence for other patients in the future. After finishing our review, I did note that
you were able to be scheduled for the MRI on January 6, 2022. Again, please except our apologies as this
should not have occurred.
I truly hope the above
information is beneficial to you. On
behalf of the KHN, please accept our most sincere apologies if we have failed
to meet your care expectations and for any stress and anxiety you may have
experienced. We appreciate you
bringing your concerns to our attention and allowing us the opportunity to
address and improve upon the quality of care and treatment we provide to our
patients. This completes the investigation and follow-up process. I truly hope your recovery is going well
and wish you God’s blessing of improved health for the future.
Should you have any further needs or concerns, please do not
hesitate to contact me at 513-867-3399.
Sincerely,
******** ****** RN, BSN-CCM, MHA
Manger of the Patient Relations Department
Kettering Health Hamilton
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