Greene County General Hospital has served Anthem with a breach notice after months of disputes over how insurance claims were processed and paid.

Hospital CEO Brenda Reetz says the issue involves routine commercial claims that were handled under an out-of-network framework, resulting in payments below what the hospital believes is required under its contract with Anthem.

“Anthem has acknowledged that claims were not handled correctly, yet the problem remains unresolved,” Reetz said.

Reetz says the payment discrepancies have affected both the hospital and its patients. She says claims processed under the wrong framework can increase patient financial responsibility while reducing reimbursement to the hospital.

“This is not just about old claims,” Reetz said. “When a payer underpays below contract and processes in-network business under the wrong logic, the impact reaches patient bills, hospital stability, and access to care.”

According to Reetz, the ongoing payment issues have contributed to financial strain and operating losses, raising concerns about the hospital’s ability to sustain services.

“Rural hospitals cannot continue absorbing this kind of payment failure,” she said. “When reimbursement is suppressed over time, it becomes harder to protect services that our community depends on.”

Reetz says the hospital made multiple attempts to resolve the issue directly with Anthem before issuing the breach notice.

“We have tried to resolve this directly and constructively,” she said. “At some point, acknowledgment without correction is just continued harm.”

The hospital is asking Anthem to identify the full scope of affected claims, reprocess them correctly, adjust any improper patient billing, and work toward resolving broader contractual concerns.

“Our patients and our hospital should not continue paying the price for Anthem’s errors,” Reetz said. “We are asking for accountability, correction, and action.”