Greene County General Hospital (GCGH) has issued a second breach notice to Anthem after months of working to understand why certain claims were not being paid correctly.

GCGH previously issued a breach notice related to Anthem claim payment issues. GCGH says Anthem has not cured that first breach and has not fully resolved the financial impact to the hospital. The second breach notice raises additional concerns about Anthem’s claim payment practices and its failure to apply the contract correctly. GCGH says Anthem later acknowledged one payment issue, but Anthem had identified that issue internally on January 8 and did not disclose it to GCGH until March 15. GCGH continued pressing for answers during that time.

“This is about accountability,” said Brenda Reetz, GCGH CEO. “GCGH is asking Anthem to follow its own contract, cure the breaches, explain the payment issues, and resolve the amounts owed. A rural hospital should not have to spend months uncovering payment problems that a payer identified internally and did not promptly disclose.”

Reetz said, “Anthem’s reputation depends on trust. That trust is damaged when a rural hospital spends months trying to understand why claims are not being paid correctly, only to learn that Anthem had identified an issue internally weeks earlier and did not promptly disclose it. GCGH is asking Anthem to act with the transparency and accountability its members, employers, providers, and communities should expect.”

GCGH says the second breach notice focuses on Anthem’s failure to pay claims as required under the contract. The hospital is asking Anthem to review the affected claims, correct any improper payments, and settle the outstanding amounts.

“When claims are not paid correctly, it affects more than a billing department,” said Reetz. “It creates delayed cash, patient confusion, and added financial pressure on a rural hospital that our community depends on.”

GCGH says it is not asking for special treatment. It is asking Anthem to honor the agreement, be transparent about the issues identified, cure the outstanding breaches, and resolve the financial impact.

“Anthem has the claim data, the contract, and the internal systems needed to fix this,” said Reetz. “The question is whether Anthem will act with the urgency and transparency this situation requires.”