Greene County General Hospital in Linton, Ind., on Tuesday served Anthem with a breach notice, alleging significant payment and adjudication issues affecting the hospital and its patients. Anthem has been paying claims far below what the hospital believes is required under contract, and many commercial claims were adjudicated under an out-of-network framework.
"Anthem has acknowledged that claims were not handled correctly, yet the problem remains unresolved," CEO Brenda Reetz said. "This has harmed our hospital, likely harmed our patients and continues to put pressure on our operations."
According to the hospital, the issue involves regular commercial claims that were processed under the wrong framework, reducing payment to the hospital and likely affecting patient financial responsibility.
"This is not just about old claims," she 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. Rural hospitals cannot continue absorbing this kind of payment failure. When reimbursement is suppressed over time, it becomes harder to protect services that our community depends on."
Although Anthem acknowledged the issue, the hospital said it has failed to provide a timely and meaningful resolution. "We have tried to resolve this directly and constructively," Reetz said. "At some point, acknowledgment without correction is just continued harm."
The hospital is asking Anthem to fully identify the scope of the affected claims; properly reprocess and pay them; correct any improper patient financial responsibility; and engage promptly in resolving the broader contractual issues. "Our patients and our hospital should not continue paying the price for Anthem's errors," she said. "We are asking for accountability, correction and action."
The issues outlined by Greene County General Hospital reflect broader trends documented in the Indiana Hospital Association's newly released Payor Scorecard, which analyzed claims data from 70 Indiana hospitals. The scorecard found that in 2025 alone, Indiana hospitals delivered more than $717 million in care that went unpaid because of claim denials, delayed payments and insurer practices after care was delivered. The association estimated that when all hospitals statewide are included, total unpaid care likely exceeds $1.6 billion.
"What we are seeing at Greene County General Hospital is not an outlier -- it is one example of a much larger, systemic problem documented across Indiana," association President Scott B. Tittle told WTHI-TV in Terre Haute, Ind. "Our data show hospitals are delivering care but not being reliably paid by insurers, often because claims are delayed, denied or processed incorrectly, even when the care is contractually covered
"Patients and hospitals should not continue paying the price for insurer errors. When claims are processed incorrectly or not paid as required, the consequences show up in patient bills, growing pressure on employers who sponsor coverage and hospital financial losses, where many of our more than 160 hospitals are rural and operating on thin margins."
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