Complaints

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:02/17/2025

  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.

  Allied provided false benefits for claim # ********** according to them I was liable for $378.24 from entire bill amount of $ *******.PDF with explanation of benefits attached .This was for mammogram done at ********************** which send me bill in full and I paid it $ *******. When asked Allied months later to clarify this for me - they gave me some sort of discount code - which is not honored by Rush OP Hosp.Rush billing told me they do not have contract with them .I called back Allied and was told to call *********************** -they`ll take care of that ,CHS responded a week later saying that they have nothing to do with that. Back to Allied - it was a quite run around for weeks.Then they said to submit an appeal. Submitted 08/23/24. They said it would take up to 60 days . 60 days later -no response I called again-they said :`No one looked at the case need more time . They send a letter via **** end of November/Received beginning of December 2024 saying my appeal was denied since 180 days passed by. Instead of providing a legitimate clause - supplying me with some sort of agreement they have with Rush-that would back up their own statement of benefits- which does not hold me liable for $ ******* they just told me to back off.I paid entire bill to Rush-and never asked Allied for any money-only to give me something LEGAL/ Legitimate so I can go to ************* and clear it up. Apparently they do not have that . And clearly deceived insured.. Please investigate their unlawful practices. Their statements are deceitful and meant to cripple us financially .So if they do not have proper agreements with hospitals why are they lying and deceiving insured ? If they are so right then should not be a problem to do one simple task. That is what we pay them for. Otherwise they can send a reimbursement my way - ONLY $******* for them

• Initial Complaint

  Date:01/29/2025

  Type:Billing 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.

  August 22, 2024 I was billed for services as if it were a deductible plan but it was a copay plan. I checked the online tool before appt. to see if ** was in network and he was. Even at the ********* I paid the $35 copay. After receiving a bill I called Allied Benefit Systems and told them what happened. The lady on the called verified that my visit should have been charged as a copay. She said she would submit a request to have it changed. Now it is January and I am still being billed for this. I call back and another lady says oh this was an out of network provider. Well he was in network back in August and November and I tell her the lady I talked to in November told me something different. Then she tells me well if you feel he was in network when services were rendered then you need to submit an appeal. I was like but from my last conversation the lady was supposed to had already rectified the situation. I am no longer with Allied Benefit Systems as we switched insurance carriers because this wasnt the first incident. I need them to fix the issue as he was in network and was listed on network and I paid the copay.

  Business Response

  Date: 02/05/2025

  
  ******,
  
  Thank you for reaching out to us and for your patience regarding your network pricing dispute.
  
  Our *************** Team has made several attempts to contact you by phone, but unfortunately, we have not been successful. Voicemails were left for you on February 3, 2025, and again on February 5, 2025, to provide guidance on how to submit an appeal for your dispute.
  
  Please feel free to reach out to us at your earliest convenience so we can assist you further.
  
  Sincerely
  Allied Benefit Systems, LLC

• Initial Complaint

  Date:01/23/2025

  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.

  I was prescribed ******** by my family doctor on 12/30/2024. To date I do not have my prescription. Allied-US-******* -Aetna said twice when I called they had not received any faxes from my doctor and then said they received a pre-auth but no treatment notes. I have spoken with my doctor several times and been told the pre-auth and treatment notes have been faxed to US ******* more than once. All this delay seems intentional. Perhaps if patients are frustrated and delayed they will just give up. I need my prescription! 

  Business Response

  Date: 01/24/2025

  *****,
  
  Thank you for bringing this to our attention. Weve reviewed the situation and confirmed that your medication approval is now in place. A member of our Care Team has reached out via phone to share this update and assist with any next steps to ensure you receive your prescription.
  
  We take these matters seriously and are committed to supporting you. If theres anything further you need, please dont hesitate to contact us. If youre satisfied with this resolution, wed appreciate it if you could update the status of your BBB complaint.
  
  Most sincerely,
  
  Allied **************** Team

  Customer Answer

  Date: 01/25/2025

   
  Complaint: ********
  
  I called Allied 1/24/2025 and was only then informed the 12/30/2024 prescription was approved 1/17.  There was no communication of this to me.

  It is a complete lack of customer service and or follow up or follow through.

  Hopefully the next prescription will be a more efficiently processed.
  
  Sincerely,
  
  ***** ********

  Business Response

  Date: 02/05/2025

  Dear Mr. ********************** you for bringing this matter to our attention. We sincerely apologize for the frustration and inconvenience caused by the delay in communication regarding your prescription approval.
  
  Allied strives to provide exceptional customer service. We are taking your feedback seriously and will review our communication protocols to prevent such issues in the future.
  
  We appreciate your patience and understanding. If you have any further concerns or need assistance, please do not hesitate to contact our member services team, using the phone number found on the back of your ID card.
  
  Sincerely,
  
  Allied **************** Team

  Customer Answer

  Date: 02/06/2025

   
  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.
  
  Sincerely,
  
  ***** ********

• Initial Complaint

  Date:01/20/2025

  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.

  I have 4 instances from June 2023-present where the insurance is refusing or threatening to refuse coverage altogether for health services when they were my primary insurance. I have received explanation of benefits indicating high possible charges and medical bills for services that should be covered ( amounts including $7,000, $11,000, $1,000 so far). I had to file a formal complaint with Priority Health who was the secondary insurance on one date of service in order to get charges reprocessed by Allied as they wouldnt assist me directly. This was to avoid paying over $7,000 out of pocket simply because they were not processing claims appropriately and working with Priority Health. Each time I have attempted to call allied for support I am given a variety of excuses (out of filing time, not responsible for fees, rude employees, requiring me to request medical records be sent to them in order to determine if I will pay $11,000 out of pocket). They seem to not want to cover things that are in fact their responsibility and I have reached a point of desperately needing support. 

  Customer Answer

  Date: 02/17/2025

  Thank you. I have attached financial verification of three different scenarios in which Allied has created complications with explanations below. 

  
  

  1) Explanation of Benefits (EOB) from Allied 

  Please note the section specific to Edgepark, which is a durable medical equipment company that supplied by insulin pump. I am a type one diabetic in which Allied had been authorizing my diabetic supplies each month prior. They are now claiming they require medical records to be sent to them to determine my eligibility for coverage. I have asked my diabetic providers to send medical records to ******************** on 3 separate occasions since January 6, 2025, and each time I contact Allied they tell me records have not been received despite my providers telling me they have received confirmation of receipt. They have 60 days to process by their medical review team and if these records are not received they state I may be eligible for the full amount. 

  2) **** from ************* Anesthesia 

  Allied has refused to cover epidural fees for my c section June 28, 2023, and the point of contact I have from the anesthesia company has told me they are refusing to cover claiming its my responsibility and not giving reason as to why. It is close to being sent to collections and I cannot afford this when it should be covered.

  3) A screen shot from ***************, medical provider for my c section and delivery of my son. Allied was my insurance and Priority Health my husbands insurance in which we both carried on our son. My husband and I spent an incredibly long time contacting both insurances and they were both refusing to pay for my sons newborn charges. Come to find out, Allied was responsible for the first 72 hours of my sons life for medical expenses per Priority Health, but were refusing to cover the expenses. They allowed no option to file a complaint, stating it was past one year processing time for claims, and I was told I needed to contact the medical provider and ask for all fees to be written off, in which that would never be possible. I filed a complaint through my husbands insurance, Prority Health, and they coordinated getting all bills reprocessed by Allied and just recently paid for. 

  
  

  Over all, I have felt they have refused to pay for medically necessary services that they are responsible for and have not provided any support. 

  
  

  I thank you for time and consideration in this matter and helping me to navigate these complex issues.

  
  

• Initial Complaint

  Date:01/02/2025

  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.

  Allied has been stalling on paying my medical bills from an emergency room visit that turned into a hospital stay and surgery on June 21/2024 and on an approved surgery on October 21/2024 at ******************************* in ************.

  Customer Answer

  Date: 01/04/2025

  I have more bills and emails if needed 

  Business Response

  Date: 01/25/2025

  Hi ****, 
  
  Thank you for bringing this matter to our attention. We apologize for any frustration or inconvenience youve experienced regarding the processing of your medical claims. 
  
  We want to assure you that we have thoroughly reviewed your concerns. The claims from your June and October 2024 procedures have been addressed, with payments issued. You were previously notified via email on December 17, 2024, about these payments, but a member of our team will follow up this coming week to ensure you have all the necessary details, provide further clarity and support, confirm the resolution and ensure you are satisfied. 
  
  We appreciate your patience as we worked to resolve this matter and remain committed to assisting you with any additional questions or concerns.
  
  Sincerely,
  Allied **************** Team

• Initial Complaint

  Date:12/20/2024

  Type:Customer Service 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 been fighting with them on my daughters behalf since late September early October. My daughter is over 18 and she has given permission for me to talk to her insurance. She has allied through her employer. I kept her on my family plan as secondary. Allied refused to pay because even though every person I have talked to admits allied should be primary they say they are secondary. Which is also what my insurance says. Allied wont return a call or reach out to the secondary insurance to coordinate benefits. ******** is being threatened my service providers that they are going yo turn her account over to collections if no payment is made. Allied has continued to accept her premium with no payments being paid out.

  Customer Answer

  Date: 12/19/2024

  ***** ****** <**********************************************************************>
  Attachments
  12:18 PM (54 minutes ago)
  to **********************************************************************************************
  
   
  
   
  
  ***** ******
  
  Assistant Vice President/Underwriter
  
  **************************************
  
  ***************, *******; 62864
  
  *************
  
  Fax **************

  Business Response

  Date: 12/19/2024

  Good afternoon Ms. ****************** have created case # ******* for Ms. ******** concerns. However, with the complaint information we received, I am unable to locate a policy associated with Ms. ******** daughter ********.  Please contact the complainant and verify if their concerns are associated with ********** or another carrier? In order to proceed, please have the complainant to provide the Nationwide/Allied policy number and the Nationwide/Allied policyholder's address on file.
  
  I will retain your file until the requested information is received or for 2 days, whichever occurs first. If you have any questions, please call ************** and refer to the case number above.
  
  Nationwide is On Your Side.

  Thank you!

   

  ******* ******

  Customer Answer

  Date: 12/19/2024

  Im not sure where nationwide came from it has always been allied insurance I have attached the card

  Business Response

  Date: 12/20/2024

  Better Business Bureau Of Columbus ****
  **************
  ******************-2540
  
  
  December 20, 2024
  
  
  Nationwide OCR Ref # *******
  
  
  Dear Better Business Bureau Of Columbus ****:
  
  We believe complaint ID # ******** for complainant ***** ****** was sent to Nationwide in error. This complaint is related to a health insurance claim with a different carrier. The other carrier is perhaps Allied Benefit Systems or Allied National, not Allied Insurance an affiliate of Nationwide Insurance. 
  
  Sincerely,
  
  ******* ******
  Nationwide Insurance
  Customer Relations Coordinator
  **************

  Customer Answer

  Date: 12/20/2024

  ****************

   

  *******************************************************************************************************

  Customer Answer

  Date: 12/20/2024

  ****************

   

  *******************************************************************************************************

  Business Response

  Date: 01/07/2025

  Hi *****,
  
  We appreciate the opportunity to address your concerns and want to assure you that this matter has been escalated to our client service representatives for resolution. We are actively working to investigate and rectify the issue youve described.  
  
  Due to privacy regulations, we cannot share specific details through this platform, but please know that we are committed to ensuring your daughters account is handled appropriately. Our team will reach out to you both directly with updates and next steps.  
  
  Thank you for your patience as we work to resolve this matter. If you have any additional questions, we encourage you to contact our member services team directly for further assistance.  
  
  Sincerely,
  Allied **************** Team

  Customer Answer

  Date: 01/08/2025

   
  Complaint: 22701714
  
  I am rejecting this response because:
  ****** client service *** called me on 12/20/24 from ************ and was very rude.  She kept telling me she told me why they were not primary well I still dont know why.  I asked if allied could call my insurance to get this worked out and was told no allied was not changing their stance.  Ok, but someone needs to help me figure it out instead of just not paying.  When I told ****** I was assured she would call me on Monday but yet here it was a Friday and she just called.  Her response was I did not have an update.  Good company policy would have been to call me and let me know it was still being worked on.  I have correspondence since 9/30/24 with nothing being fixed yet.  This company has drug their feet and not paid any claims but still took my premiums.  Wont respond to phone calls or emails.  I do not accept anything they have said and they need to get some good customer skill training.  I have sent an email to them complimenting some of their call agents.  I would love for someone in upper management to listen to all my calls and me being told the exact opposite of Brendas response but apparently she is the final answer and I will not talk to her again with her attitude and poor customer service.   I am still waiting on over ***** of bills to be reviewed and paid.   
  Sincerely,
  
  ***** ******

  Business Response

  Date: 01/21/2025

  Dear *****,  
  
  Thank you for bringing your concerns to our attention and for your patience while we worked to resolve this matter. As of now, all affected claims have been sent back for reprocessing. We are committed to ensuring these claims are handled appropriately, and we hope this addresses your concerns.  
  
  Additionally, our ************** Representative Manager reached out to you last week to share this update personally. We sincerely hope that this resolution demonstrates our dedication to addressing your concerns and supporting our members.  
  
  If you have any further questions or need assistance, please do not hesitate to reach out to us. If you feel your concerns have been resolved, we would greatly appreciate it if you could update the status of your complaint with the BBB.  
  
  Thank you again for your patience and for allowing us the opportunity to make things right.  
  
  Sincerely,  
  Allied **************** Team

• Initial Complaint

  Date:10/24/2024

  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 made numerous calls to receive my owed reimbursement money. I keep getting the run around and told many different solutions by many different reps. ** has been over a year to receive my owed money via check. I want to complain of the service I have received from Allied Benefit Systems. 

  Business Response

  Date: 10/31/2024

  Dear ****,
  
  Thank you for bringing your concerns to our attention. We understand how important this matter is to you and are committed to ensuring it is resolved as swiftly as possible. We apologize for any confusion or frustration you may have experienced in the process.
  
  Our internal teams are actively collaborating on your case. Please rest assured that we will continue to provide updates to you as they become available.
  
  Thank you for your patience as we work toward a resolution, and please know that we remain dedicated to assisting you.
  
  Sincerely,  
  Allied Benefit Systems

  Customer Answer

  Date: 11/04/2024

   
  Complaint: 22470426
  
  I am rejecting this response because: I have a reference #: CC6915230. I have attempted multiple times to resolve and I keep getting told per the supervisors there is "NO UPDATES"
  
  Sincerely,
  
  **** ******

  Business Response

  Date: 11/15/2024

  We understand the urgency of this matter and sincerely apologize for the experience youve had. Your concern has been escalated to the appropriate team, who will work directly with you to ensure a resolution. If you have any further questions or need additional assistance, please let us know.
  
  

• Initial Complaint

  Date:10/04/2024

  Type:Order 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.

  Allied is refusing to pay for a legally prescribed medication from my same doctor for the same prescription for the same quantity for the last 2 months now after successfully providing the medication for years.

  Business Response

  Date: 10/09/2024

  Dear Jason,
  
  Thank you for bringing this issue to our attention. We apologize for the confusion and delay you’ve experienced. Please know that this situation is highly unusual, and we are aligning with multiple departments to ensure a swift resolution.
  
  Currently, our team is working closely with CVS Pharmacy to address the issue. Additionally, a member of our Enhanced Case Management Team will be reaching out to you directly to provide further assistance.
  
  In the meantime, if you have any questions or need immediate support, please feel free to contact us using the number on the back of your ID card and ask to be transferred to our Enhanced Case Management Team. We are here to help and appreciate your patience as we work to resolve this matter.
  
  Sincerely,  
  Allied Customer Service Team

• Initial Complaint

  Date:08/01/2024

  Type:Order 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.

  Allied Benefits is handling my Cobra. I was mailing checks each month by the 10th of the month for the 1st of the following month. They lost 3 of my checks so I asked them what I could do to prevent this. They said to sign in on their system to have the payment drafted each month. The payment drafts on the 30th for due date of the 1st which causes a delay of 4-5 days for processing. I can't get prescriptions filled, etc. I have to call each month because of the gap in coverage. They won't allow the date to be changed from the 30th (due to government policy). There are no other options. This is unacceptable and very unprofessional. They need to fix their system in house to prevent losing clients checks and they need to improve their online payment system so there is not a gap in coverage.

  Business Response

  Date: 08/02/2024

  Thank you for bringing this to our attention. We take your concerns seriously and are currently reviewing the situation with our internal team. Someone will be reaching out to you shortly to discuss this further and work towards a resolution. 

• Initial Complaint

  Date:07/23/2024

  Type:Billing Issues
  Status:

  UnresolvedMore 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 want to know how a health insurance option be can be offered to someone who isn't ******** age, or receiving ******** stating it reimburses ******** and all other costs are the patient's responsibility. This costs ***** a month. It pays nothing if you are diagnosed with anything that requires a hospital stay or surgery. Unfortunately this was sold to my son as a health insurance option who was just diagnosed with end stage renal failure.

  Business Response

  Date: 08/02/2024

  Dear *******,

  We appreciate you reaching out regarding concerns related to your son's healthcare plan. Unfortunately, we are unable to disclose details of this complaint or complete a proper investigation without direct authorization from your son, who is the plan subscriber. If your son has already provided a HIPAA Authorization Form, please let us know his name and employer name so we can locate it. If he has not, please have him call our customer service team at the phone number listed on the plan subscriber's ID card to put one place.

   Thank you for your understanding,

   Allied Support Services

  Customer Answer

  Date: 08/03/2024

   
  Complaint: 22028218
  
  I am rejecting this response because: It did not answer the question as to how a policy can be sold stating it reimburses ******** first, and then patient is responsible for additional costs when the the patient is not Meducare age. I'm asking as a consumer. I would not have even been aware this type of insurance is even an option for people, if it had not happened to my son. This worries me that other young adults are paying monthly for coverage that will not cover any major medical expenses if they were to arise. 
  
  Sincerely,
  
  ***************************