In the attached public record Atrium, through its General Counsel's office, informs CMS auditor Stephen Wood of PalmettoGBA of Atrium's 'No Pay' policy (see page 6).

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Of note is this statement (from page 6) from Atrium to CMS in 2022 concerning their 'No-Pay' policy with MedCost:

"So, when CMHA ['Atrium'] employees receive services from an [sic] CMHA hospital or other health care provider, instead of CMHA billing and paying itself, MedCost processes these claims as "No-Pay" claims and CMHA transfers money internally. MedCost follows a similar process for other health care provider clients that are self-insured. CMHA sets rates the "No-Pay" claim services [sic] as a discount from charges and ensure [sic] that such rates are not more than the rates commercial plans pay, such as Blue Cross Blue Shield, would pay. Then, CMHA transmits those rates to MedCost."

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Recently Atrium's Board informed me that there were 'no documents' related to this policy.

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From: LegalDepartment <LegalDepartment@advocatehealth.org>
Date: Thu, Jul 9, 2026 at 11:05 AM
Subject: Public Relations Response
To: Joe Vincoli

 

Dear Mr. Vincoli,

 

This email responds to the public records requests you submitted on January 30, February 26, March 18, and March 22, 2026. Each request is addressed below in the order received.

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...

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March 22, 2026 Request

You requested documents (internal and external related to the development and implementation of Atrium’s “No Pay” Policy.

 

After review and consultation with appropriate personnel, Atrium Health determined that there are no responsive records.

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Please let us know if you have questions regarding this response.

 

Regards,

 

Advocate Health

Office of General Counsel