Georgetown Community Hospital

Band aid Station at best. Construction every where at the front door and you can’t get in the ambulance entrance, but I guess my situation wasn’t a true emergency any how, even though when I called my physician over symptoms he told me go straight to ER. Got in a room fairly quickly never seen a Dr only a PA and about 3 different nurses that all ask the same thing but performed different duties. I had had an emergency MRI the day before so they read me the results which I had already been told by the Dr office over the phone before they sent me to the ER. They gave me a shot, a Percocet, and a script for muscle relaxers and said you need to get to an orthopedic surgeon in the next few days. Ok so you can’t get in to an orthopedic surgeon without a Primary Dr referral, or at least that’s been my previous experience. So a huge bill for what I already knew and I had better medications at home. Complete waste of time. I gave them 2 stars because everyone was nice and I got in to a room quickly.

Took my son here in March of 2015 for stitches in his hand. The service itself was great. The ER wasn’t busy, and we were in and out completely in under 2 hours.
The nightmares have come from billing. When we arrived, I did all the normal paperwork and my insurance card was copied by a staff member. Another staff member came back and told me my expected out of pocket expense after running my insurance card, but offered me a 50% discount if I paid it immediately. I did this.
Fast forward and I started receiving bills for the full amount from both the hospital and the Emergency Physicians group (Southeastern Emergency Physicians, a sub group under Team Health and MESA, Marshall Emergency, I have found). I made calls to straighten this out, and was informed that claim was denied due to «no such policy exists».
This was incorrect, as clearly our policy does exist, and other doctors have had NO problem submitting claims and being paid for services. I gave the insurance info again, over the phone this time, and was told «aha! Problem was a missing number from the policy ID»
Good. Now you can bill.
Yeah, not quite. So a few more months went by, and Georgetown Hospital never billed my policy. I have access through our Anthem site to see ALL claims that are submitted, whether accepted or denied. Nada from either group submit a claim. Georgetown Community, however, did not send me anymore bills and eventually submitted a claim in late August or Sept (can’t recall off the top of my head). Claim was denied. I called Anthem to find out why. Turns out, GCH submitted the claim without the correct information needed for processing. Anthem informed GCH of this. Someone from GCH called Anthem, and Anthem gave me the person’s name and the exact date and time of the call. Anthem also took a proactive approach and called GCH again while I waited, to try and resolve the issue, being how they hadn’t received anymore contact from GCH.
GCH, tho, has not sent me anymore bills. Which they shouldn’t, as this is an issue on their end of someone not doing their job correctly.
The ER physicians they use, however, HAVE sent me multiple bulls despite my having given them the insurance information yet again even after the hospital copied the actual card while we were in. They have never submitted a claim, according to Anthem documents, and have now sent me to collections. In talking to the collection agency, where I once again gave over the insurance information, I was told they had indeed billed Anthem and that the claim was denied. Anthem’s documentation for our policy has shown that no claim has ever been submitted to be approved or denied.
In the meantime, all of our other physicians from various labs, hospitals, and offices have managed to use this same insurance information to get all of their claims paid for their services for everyone in our family who is covered.
This is still an ongoing issue, with certified mailed letters disputing, calls and faxes being bandied about with copies of the insurance card provided yet again. Still no claim has been made by the ER physicians that GCH uses, nor has GCH gotten back with Anthem to provide them with the required information to get their claim paid for.
Save yourself the billing headache and go elsewhere.