I have been to Spring Valley Hospital ER twice now and BOTH times my insurance paperwork was always a problem. Seems as if their ER doctor is always a separate bill and they have yet to get the paperwork right!! First time it cost me $700.00 and this time they still had insurance that changed over 4 years ago. Really?? Get your act together, You have your hands out for payment but get it right. No problems once I was in back getting my treatment. What a pity in this world of high tech a senior citizen has to be an accountant to navigate their maze of mistakes that are made before you are even seen by a physician.