Complaints

This profile includes complaints for HealthComp, Inc.'s headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

close

Find a Location

HealthComp, Inc. has 2 locations, listed below.

*This company may be headquartered in or have additional locations in another country. Please click on the country abbreviation in the search box below to change to a different country location.

BBB accredited

Near

Country

USUnited States

Please enter a valid location.

Filter

• 

  HealthComp, Inc.

  621 Santa Fe Avenue Fresno, CA 93721

• 

  HealthComp, Inc.

  PO Box 45018 Fresno, CA 93718-5018

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

• Initial Complaint

  Date:10/03/2024

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  We have been waiting since June of this year (2024) to be reimbursed for medical supplies. Information was faxed to correct number. Three follow up calls have been made, with promise of call back. As of yet NO ONE has called back. It is being stated that the claim is in process, but nothing has come and again NO return phone call. One employee was very rude, that was the call made on August 29th of this year. We are just looking to get the reimbursement we are due and move on,

  Business Response

  Date: 10/30/2024

  The claim has been processed for the **** reimbursement for Mr. ************* The reimbursement will be sent to the member and paid at $499.20.  They should receive the check within the next 10 business days.  Please let me know if there are further questions or concerns.

• Initial Complaint

  Date:09/09/2024

  Type:Service or Repair Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  HealthComp owes me reimbursement for services on: 8/16/23, 8/30/23, 9/6/23, 9/20/23 for $300 on each date of service. I had to call and was informed the claims were filed by the original representative incorrectly. I received a duplicate check then for a claim I was already paid out on. It's chaotic and representatives continue to file and tell me the information incorrectly.

  Business Response

  Date: 09/17/2024

  Upon review, many claims were submitted, and some were duplicates so the HealthComp employees were sending the claims *** to the claims department for review, when in fact they were already processed and paid on different claim numbers.

  
  A Supervisor from *************** called the member on Thursday, but there was no answer, so she emailed the member directly to see when a good time for her would be to connect with the member.  The member responded and stated Friday at 12:00 PM PST.  The Supervisor called the member twice on Friday, but the member did not answer. The Supervisor left a voicemail for the member.  She will continue to follow up with the member.

• Initial Complaint

  Date:08/12/2024

  Type:Product Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I have had this medical insurance since 1/1/23, renewed in 1/1/24. I used it for a preventative, annual wellness visit on 6/28/24 which included routine screenings. I was contacted by the medical center telling me that HealthComp showed my status as not active. I cannot view my coverage on their website, but I can see that it is indeed active. I cannot speak to a person on the phone because it tells me the representatives are busy and then hangs up on me. I am pretty sure this company is a scam. I want the $635 that I paid out of pocket for my screenings refunded to me by the company IN FULL. And I want the premiums I paid for a health insurance that I cannot even use refunded to me from 1/1/23 to 9/1/24.

  Business Response

  Date: 08/20/2024

  To whom it may concern, Since receiving this BBB complaint alerting of this issue, we have reached out to the consumer, retrieved the information that they referenced and have sent this claim to be processed as urgent for review. The consumer was provided a direct telephone number to an Advocate if this issue continues to be a pain-point for this member. ******************** advised she did not need additional assistance and expressed being satisfied with the escalation provided today.

• Initial Complaint

  Date:07/16/2024

  Type:Sales and Advertising Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I was seen by a medical provider on 8/25/2023. They billed my insurance $625 of which my insurance allowed $288.60. Initially HealthComp sent the provider an Explanation of Benefits indicating that $288.60 was applied to my deductible. I paid $288.60 to the provider on 1/12/2024 and they wrote off the remaining $336.40. While researching another bill that I had received from the same provider, a care adviser noted that I had already met my deductible for 2023 and should not have had to pay an additional $288.60. The care adviser spoke with HealthComp on 1/19/2024. They were advised that HealthComp made a payment in the amount of $288.60 on 10/31/2023 (check # ********) and that I did not owe anything. HealthComp provided an Explanation of Benefits dated 10/4/2023 which indicated that they paid the full allowed amount of $288.60. The provider has no record of receiving this payment from HealthComp. For over 6 months, we have been requesting that HealthComp issue check tracers to determine whether the check has been cashed and still do not have an answer. HealthComp often tries to place the blame on Anthem but my insurance card clearly states ***************** and Blue Shield provides administrative claims payment services only and does not assume any financial risk or obligation with respect to claims. I have no way of contacting Anthem as my card only provides the contact number for HealthComp. It seems that HealthComp only serves to provide barriers to care and additional administrative costs.

  Business Response

  Date: 07/30/2024

  After researching previous communications with this member: we see that we had inquiries from this member regarding a Hearing Aid claim that we had not received from her provider. We had asked this claim to be submitted by the provider. After several inquiries, our ************** representative advised to send a receipt of payment for reimbursement of this claim. We received an attachment and expedited it to the claims department, where a clearer version was requested from the member as the details of the receipt could not be determined. We retrieved no further inquiries. I have escalated this outreach, and a **************s representative will be reaching back out to see if we can further assist this member. 

  Customer Answer

  Date: 08/02/2024

   I am rejecting this response because:
  
  This response has nothing to do with my original inquiry. It appears that HealthComp is getting so many BBB complaints that they are getting them mixed up. Please review and respond to my original inquiry. 

  Business Response

  Date: 08/06/2024

  Good Morning, 

  I apologize for any inconvenience you are experiencing as a result of this claim. Since receiving word that this has still not been resolved, several outreaches have been made to the pricing carrier, the provider, and the contact information provided here for the member to a find proper resolution. This claim has been adjusted, and payment reissued to the provider on file. The provider will be responsible for any reimbursements the member has paid. An advocate has been assigned on behalf of this member who has been attempting outreach to update the member with this information. If there are continuous questions or concerns regarding this issue, the member should reach out to the ****** Services line on the back of their ID Card and reference this issue so we can connect you with your Advocate assigned. Thank you.    

• Initial Complaint

  Date:07/13/2024

  Type:Sales and Advertising Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  we call healthcomp 2023 before purchasing a hearing aid the dumb person said my husband is eligible for hearing aid which we found out he is not and she sent the wrong clinic to purchase the hearing aid also we shoudl just not purchase if she said my spouse is not eligible we tried to reimburse but i think it is denied what a scam

• Initial Complaint

  Date:04/22/2024

  Type:Product Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Hello,This complaint is in regards to account **********, I have reasonnable doubts that health comp is not a real (legit) company. They might be scammers. The company I work for signed us up to receive our FSA benefits from them, *** since then, I have not **** able to receive one single reimbursement from them. I never received one single reimbursement from them,even though they keep saying they sent a payment. Could you please look into it for me (us)

  Business Response

  Date: 04/30/2024

  Confirming that we are aware of the complaint and have taken action to reconcile. Thank you.

  Customer Answer

  Date: 04/30/2024

   Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.

• Initial Complaint

  Date:03/10/2024

  Type:Service or Repair Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  2/29/2024: ************** @ Scripps Orthopedic prescribed post-operative physical therapy for my son's knee surgery. I chose the same physical therapy group that he used from October 2023-December 2023.Scripps authorization team contacted HealthComp. HealthComp told them that Rancho PT is not contracted. However, I confirmed Rancho PT is contracted via a live chat with HealthComp.3/7/2024: I spent 2 hours on the phone with HealthComp. Finally someone discovered the original mistake from HealthComp. She assured me she would contact ****************** office and a supervisor would contact me from HealthComp.3/8/2024: HealthComp supervisor called with no information or knowledge of the issue. He told me he would call me back after he familiarized himself with the notes taken from my phone call.I have not received any notification of authorization or a second phone call from HealthComp. My son's surgery is 3/13 with PT prescribed one week post op (3/20). I can't make any appointments until RanchoPT receives authorization.

  Business Response

  Date: 03/18/2024

  A Supervisor called the number and left a voice message. As a follow-up, they sent an email response to the member. The email included the provider for the procedure as well as the PT office listed on the roster using the names and TINs that were given during the calls. 

• Initial Complaint

  Date:02/26/2024

  Type:Service or Repair Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  HealthComp is very unresponsive to phone calls and is not transparent with coverage. I have been on 'hold' over over 1 hour now trying to find out my coverage, but no one picks up the phone. Also, coverage info is not available in the customer portal. I have a procedure upcoming this week, and I am not able to find out the coverage on it.Extremely dissatisfied as there is no way to speak to anyone or find out anything.

  Business Response

  Date: 02/29/2024

  The member has been contacted and assisted by one of our Team Leads. The member did not need additional assistance at the end of the call.

  Customer Answer

  Date: 03/01/2024

   Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.

• Initial Complaint

  Date:01/16/2024

  Type:Service or Repair Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Healthcomp is the insurance I have through my employer. Today, I logged onto the app to download my insurance ID cards. I have not received my new ones in the mail, since open enrollment on Jan 1. The app did not generate my cards, nor would it email them to me. I called Healthcomp and was on hold for 30 min. I tried the website and still the cards were not available. I called my employer and they said that the whole company (hundreds of people) have not received their health cards. She said something like 300 employees had called to complain. This is a travesty, as we are paying hundreds of dollars a month per employee, and I cannot get my prescription because Healthcomp has not made cards available to us. The company should refund us our premiums for this month, as we were unable to use our coverage.

  Business Response

  Date: 01/17/2024

  The issue with the app was identified and resolved by HealthComp. If members still have problems accessing their cards, please send a secure email via the member portal.
  
  A Member Advocate has also contacted the member and is working to provide further assistance. 

  Customer Answer

  Date: 01/17/2024

   Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. They reached out to me promptly today. 
  thank you to the BBB for helping to resolve this!

• Initial Complaint

  Date:11/22/2023

  Type:Service or Repair Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  This complaint is regarding a bill I received from HealthComp for a non-covered specialist visit, which they confirmed was covered and In Network prior to the visit. I scheduled a new patient consultation at the ****************************** on 10/25/23. I called ******** prior to the visit to ensure they had verified my insurance coverage. On 10/24/23, I spoke with a new patient coordinator, who placed a three way phone call to the financial clearance department, who then called HealthComp with all three of us on a recorded line. The HealthComp representative we spoke with confirmed that the sleep medicine specialist visit is In Network, and did not require a pre-authorization. I was told I would be responsible for a $50 copy, with no deductible or additional payment(s). A few weeks after the visit, I received a message from HealthComp that coverage for the sleep medicine clinic visit was denied, and I would be responsible for a total payment of $323.88. Their rationale was that the related diagnosis billed on the claim indicated that the visit was not medically necessary for treatment of a sleep disorder. This made no sense, as I had been diagnosed with a sleep disorder over five years prior, and had been fully compliant with the recommended treatment. I had scheduled a new patient clinic visit at ********, as I had recently moved to the area and wanted to establish care with a new Sleep Medicine specialist to continue managing and directing my treatment and care. I called ******** to obtain the billing codes that were used on the claim, and was given three codes, which are associated with a diagnosed sleep disorder and its symptomatic sequelae. In addition, the sleep medicine physician I met with recommended I schedule a follow up sleep study to ascertain the current status of my sleep disorder and treatment. I also reviewed my HealthComp Summary of Benefits Coverage document in depth, which lists an In Network Specialist visit as requiring a payment of $50/visit, with a waived deductible. It does not mention anything regarding coverage based on billing codes, and this was not mentioned during the aforementioned discussion with the HealthComp representative. I called HealthComp on 11/13/23 and spoke to a customer service representative regarding this issue. He put me on hold while he spoke to his supervisor, and told me that I would need to send in an appeal with all details proving the visit was medically necessary in order to contest the bill. I requested to speak with a supervisor, and was told that I would receive a call back within 24 hours. A supervisor called me back later that day, and left a voicemail as I was in the middle of a patient visit when she called (I work as a Nurse Practitioner). She did not leave her direct number, so I called HealthComp back in between patient visits, and was told that I would be transferred directly to the supervisor who had left me the voicemail. I was subsequently placed on hold for 20 min with no response, and was then told that the supervisor was in a meeting and would call me back later that day. This was over one week ago, and I have not received a call back. I called ******** on 11/14/23 regarding this issue, and was transferred to the financial clearance department. I explained the situation and requested that ******** advocate on my behalf, given that two ******** employees were on the aforementioned recorded phone call with HealthComp to verify my coverage prior to my visit. The representative I spoke with said she would discuss this case with her supervisor and call me back over a week ago, and I have not yet received a call back. I consider this to be a case of insurance fraud and misinformation on the part of HealthComp. I would appreciate further assistance from the Better Business Bureau, as I have already spent severals hours on the phone regarding this matter with both ******** and HealthComp, with no follow up response or resolution to date. I withheld the names of all individuals I spoke with for confidentiality purposes, but would be happy to provide you with this information upon request. Thank you for your assistance.