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Business Profile

Insurance Agency

R1 RCM Inc

Headquarters

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Insurance Agency.

Complaints

Customer Complaints Summary

  • 12 total complaints in the last 3 years.
  • 4 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.

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Complaint status

Complaint type

  • Initial Complaint

    Date:04/15/2025

    Type:Billing Issues
    Status:
    UnansweredMore 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 5/31/2024, I was involved in a motorcycle accident. The following day, 6/1/2024, I visited ****************************, where a CT Thorax Scan was performed. At that time, Intermountain Health in *****, ** billed my medical insurance. However, my medical insurance required my auto insurance to pay on the claim first. My auto insurance provider, ***********, processed and paid the claim.R1RCM, a contracted billing processor for ********************, incorrectly recorded the payment as if it had come from my medical insurance instead of the auto insurance. We have contacted R1RCM multiple times to address this error. After receiving the payment from my auto insurance, R1RCM was expected to bill my medical insurance (Regence BCBS) as a secondary claim so that the remaining balance could be processed correctly.I am requesting the BBB's intervention in this matter to hold the third-party billing agency accountable for properly processing and coordinating my insurance claims. Their poor handling of this situation reflects unacceptable business practices and has added unnecessary stress during an already challenging time.36
  • Initial Complaint

    Date:02/23/2025

    Type:Service or Repair Issues
    Status:
    UnansweredMore 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.
    During my employment with R1RCM, my issues were not satisfactory addressed. I had sent emails to provide details of an somewhat hostile environment. However, I was let go and given the reason of "not a good fit for company". Since October, I haven't been able to get employment from another company. The job was a good job, I really liked it. However, the manager of the company I was employed with continuously micromanaged my work. I worked diligently on improving my work. I don't believe that it was the issue. Due to favoritism of a younger employee, that complained and made notes of my work. I had taken the initiative to resolve the issue. But I was not heard or my issue addressed was not taken into consideration. I reached out to HR to assist. However the manager had written up many times, weekly my attendance. It became increasingly uncomfortable and the person I had issue with, did her best to make it difficult. I wasn't expecting a reprocussion from the incident. I did not initiate the rude remarks made, but the intense surrounding was made very hostile. The other employees on the shift, became increasingly quiet and refused to assist me in any way. I'm an older person and reluctant to participate in idle gossip. Most of all, it has affect me in ways I think I should not let this incident keep me from getting other employment. However, it has. I very self aware of what I'm capable of and wouldn't let someone else disrespect what I've work so hard for. I challenge R1RCM to at least check out all sides of an issues. Not just care about damaging the reputation of a loyal person but take into consideration the story behind it all. We are who we hire.
  • Initial Complaint

    Date:02/04/2025

    Type:Billing Issues
    Status:
    UnansweredMore 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.
    R1 RCM Inc. is a revenue cycle management company that provides outsourced services to larger organizations, including ******************* among its clients. While it is legal for hospitals to send unpaid medical bills to third-party collection agencies, they often refuse to submit appeals for denied claims. I frequently receive calls from them at all hours of the day and night.I have already provided my insurance information, yet it continues to be removed from my Hospital Account Record (HAR). Despite my requests to update this information during phone calls with representatives, they consistently fail to do so. As a result, my balance has been transferred to self-pay. Additionally, the company outsources to an agency based in *****, which operates around the clock, resulting in a 24-hour turnaround time.I was never formally notified that my information would be outsourced to a foreign country, nor did I give permission for this. They need to remove me from the outsourced company, as if I have ever submitted a request.Regarding financial assistance, hospitals are generally required to inform patients about options for financial assistance before sending their debts to collections.
  • Initial Complaint

    Date:07/09/2024

    Type:Billing Issues
    Status:
    UnansweredMore 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 received a bill for health care coverage that I did not approve of. This company applied me into Some form of Cobra Plan that I did not approve of, or I did not sign up for. This is complete fraud and I want to see this company shut down. They are asking for payment of services I did not approve of totaling ******. I am asking for 5 billion dollars if fees for this being done to me. Account Number ********* Address on Bill is ********************** ********************************************************************************* Phone numbers ************ and ************ This bill should be erased, and an apology needs to be rendered. I also have insurance through my workplace and with this occurring it will mess with my current insurance
  • Initial Complaint

    Date:01/25/2024

    Type:Customer Service Issues
    Status:
    UnansweredMore 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.
    Multiple issues with billing. Was told they would escalate issue. Never seemed to happen. Spent HOURS on the phone with them to try to resolve the issue. Was promised that they would recycle the billing to post pone it going to collections while THEY resolve the issue on their end. Was told the supervisor would call me several times. Never got a call back. Supervisor refused to take my call. **************** rep deserves a raise since she works under this person who does not do their job. Supervisor said she would escalate the issue to upper management but at the same time the **************** rep told me it was resolved. It was clear that the Supervisor had no idea about my ongoing issue and if she did, I never heard from her or spoke to her.I want my debt from the debt collector to be pulled in good faith, have my account processed correctly, so my child can continue to receive mental health services from a provider that has no control over who DMG negotiates billing with. It will cause her to lose a patient and for my child to have disruption in receiving proper medical care. Ill be contacting the ** or President with a complaint as well.
  • Initial Complaint

    Date:01/25/2024

    Type:Service or Repair Issues
    Status:
    UnansweredMore 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 a preventive annual visit on March 20 of 2023. My doctor's ****** (Upper Great Lakes Family ******) drew blood for the labs, but the UP **************** ******* hospital processed them. Somehow it got coded as diagnostic at $862.00 as my share, instead of preventive, which should be a $0 requirement on my part. My doctor's ******, the hospital and I have been trying on several occasions since April 2023 to get the billing company (its name is R1) to send the proper preventive coding to Humana. They keep getting it WRONG. The kicker is, I am a Humana employee, and I know how this is SUPPOSED to work.When I have contacted R1, they are dismissive and sometimes rude. I have had to contact them to let them know that although UP **************** ******* processes the labs, Upper *********** Family ****** is the doctor's ****** that draws the labs. I have given permission for R1 to speak directly with Upper Great Lakes Family ******'s ****** so the billing can be corrected to preventive. Today the lady on the call said that ****** denied it again and completely ignored that they have the incorrect coding, despite Upper Great Lakes Family ****** and UP **************** ******* repeatedly trying to remedy this. They do not update the coding when the hospital sends them the correct coding. Seems to me I should not have to pay for a service I did not receive. I received preventive labs, not diagnostic.
  • Initial Complaint

    Date:09/27/2023

    Type:Product Issues
    Status:
    UnansweredMore 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 recieved a bill from R1 RCM physicians for an ER visit. It showed that my bill for services rendered on 7/24/2023 was $1,213.00 and my insurance paid $1,115.92. My balance remaining was $97.08. There was a statement on the bottom of the bill saying "A prompt payment discount will be applied to this account if you remit a payment of 50% of these charges within the next 30 days." So I promptly logged in and made a payment of $48.54, 50% of the bill, on 9/13/2023. On 9/27/2023 I received an additional bill for $48.54. I called the toll free number on the bottom of the bill since I was confused and thought it was paid in full. I was informed that the 50% discount only applies to cash accounts that aren't billed through insurance first and that the $48.54 due was the remainder of my original balance. I questioned the representative why the 50% discount offer even appeared on my bill since it was billed through insurance and was told that it was a generic form sent out and that account information was automatically populated. I feel like it's false advertising to even list an offer of a 50% discount if it doesn't apply to your account or at the very least they should add a disclaimer that it doesn't apply to accounts billed through insurance. There's no way for a customer to know that this offer doesn't apply until you continue to receive additional bills still showing a balance and call in to find out why. I'd like to receive a refund of the second $48.54 I paid since I feel I shouldn't have been required to pay this since I adhered to the terms of the first bill and submitted my 50% payment within the 30 days.
  • Initial Complaint

    Date:04/17/2023

    Type:Product Issues
    Status:
    UnansweredMore 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 on medical leave which was processed through Met Life a 3rd party. My doctor and Met Life were in constant communication and since I was "on leave, " I am not allowed to go to work, thus not having access to my e-mail or any other R1 material. Upon return - Met life called and checked in and told me all was good and completed on my end.Now my HR is stating that I should have received instructions and turned in info prior to my return which makes no sense since I can't go to work during medical leave.I am not going to be paid for the work for the last 2 weeks in time because they didn't communicate appropriately with me or my Met Life team. I reached out to HR multiple times via e-mail and through our portal prior to my submission of time card because it kept stating I was on leave. Our HR has to go through our system which routes it to ***** first then our American team. This takes 1-2 business and now they have messed around so long getting to me that I am missing the pay cycle.This has happened once before with R - where I didn't make any errors but my director did not submit my time card in the timely manner and this caused me not to receive my paycheck which in turn caused bank errors and nsfs etc.. which they did not take ownership of and reimburse me. I They are not a company that cares for their employees.Also, I have 2 suits filed with my HR team at R1 for defamation of character and unfair treatment in the workforce and the timing and way they are handling this has been a joke. I am reporting R1 to the BBB because I cannot get resolution through them for anything I have filed. Thank you, kindly,*********************** ************
  • Initial Complaint

    Date:03/13/2023

    Type:Billing Issues
    Status:
    UnansweredMore 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 have been trying to resolve a posting error on my account by R1 since October 2022. R1 is actually billing me more than the cost of the procedure I had, which is also more than they submitted to my insurance. This is illegal.I had a CT scan on 5/11/22 at AdventHealth which uses R1 RMC for their billing. The procedure cost $99. My insurance did not provide any coverage for this scan so I am responsible for the entire amount of $99. I have attached my EOB from my insurance showing this and showing that the provider submitted a claim for only $99. My bill from AdventHealth thru R1 shows an additional amount of $29.70 listed as an "Adjustment". I have called many, many times to correct this error with no results. I have emailed my EOB to AdventHealth/R1 on Dec. 16, 22 and Jan. 12, 23. My insurance company has faxed a copy of my EOB to AdventHeath/R1 on Jan. 26. 23. I have also attached a copy of an itemized statement from R1 showing incorrect postings which have been added then removed from my account along with the Contractual Allowance Adjustment on 10/12/22 for $29.70. The Contractual Allowance Adjustment is the difference between what AdventHealth/R1 bills for the service versus what it will actually be paid by the insurance company according to it's contract with the insurance company. As can be seen from the **** the amount billed is $99 and the insurance discount (listed as Bright Discount) is $0. There is no co-pay or co-insurance, and I did not meet my deductible so I am responsible for the $99 cost of the scan I had. I tried to pay $99 but the payment portal will only allow me to pay the full amount of the incorrect amount of $128.70.
  • Initial Complaint

    Date:11/17/2022

    Type:Order Issues
    Status:
    UnansweredMore 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 promised in writing a $1000 sign on bonus after three months of employment. My first day of work was on March 7th, 2022. I still have not received my $1000 bonus. I have asked multiple times for this payment and have not gotten any resolution. As of today it is November 17, 2022, and I am still currently with the company. I wish to be paid my $1000. At the end of March 2022 R1 RCM took over.

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