![Not BBB accredited](https://m.bbb.org/terminuscontent/dist/img/non-ab-icon__300w.png?tx=w_120)
ComplaintsforAllied Benefit Systems
Need to file a complaint?
BBB is here to help. We'll guide you through the process.
Complaint Details
Note that complaint text that is displayed might not represent all complaints filed with BBB. See details.
Initial Complaint
05/03/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
I have never had this bad of customer service in my life from a company, let alone an insurance company. I have worked in the Insurance field for over 15 years for multiple carriers, and am fully licensed on the insurance side and Financial Advisors side (Series 6 and 63). In all of my years in management at these companies, when someone requests a call back, and are told they will have one, it happens.That is definitely not the case at Allied Benefit Systems. You cannot get a straight answer and they pull dates out of the air on claims. I have a claim every day, and it is the same claim (amount, services provided, etc.). Allied will pay one on 12/07, but will then randomly not pay the claim on 12/08 for insufficient data / and medical necessity. It is the same claim every day, and when you ask for an explanation you ABSOLUTELY cannot get one. I have had 3 different people attempt to explain things, and all 3 have different explanations, so they tell me that I will receive a call from a Supervisor or ************* Team Member. I have been told 10 times that I would receive a call, and have only received the call I was promised 3 times.They requested a call from my *******************, and received the call - then said their was still an issue with medical necessity. He let me know that he got that issue cleared up, and provided them what proof of medical necessity. I have reached out to my my employer about the lack of service being provided, and am going to do so again today. I truly feel that they try to make the process as DIFFICULT as possible, so that you give up, and then they dont have to pay. I need a clear explanation of what is needed, and why the claims are being denied. It is to the point where I am strongly considering reaching out to my college roommate (lawyer) to ensure that I get correct answers and things taken care of in a timely manner.Business response
03/01/2023
We did receive the records with an appeal and all claims were reprocessed accordingly on 5/24/22. This complaint has been resolved. Initial Complaint
04/14/2022
- Complaint Type:
- Billing Issues
- Status:
- Resolved
I mailed in 3 checks to Allied for my April premium. They only applied one check in the amount of $1,000. When I checked my benefits it said inactive. My husband is unable to pickup his diabetes and heart medicine and I am unable to go to the doctor. My husband had an unlawful termination on September 2, 2021 which we are involved in a lawsuit. That is the reason we have these COBRA insurance. I have been calling them since4/1/2022. They tell me the checks have not been received. How can that be?????? In the envelope were 3 checks, $1000, $1,102 and $75. Which equaled my premium plus the April coupon. How do you deposit 1 check and discard the other 2. Every time I call, they tell me my checks have not been received. They tell my they understand. How do they understand. My husband cannot get his medicine and I cant go to the doctor. This is a very serious problem. We. Need medical coverage ASAP. I did a **** pay for the difference. I hope they receive this. I demanded a reason for the missing 2 checks and they dont have an answe.Business response
03/01/2023
Allied confirmed that member's premium payments were received and all claims to date have been processed. This complaint has been resolved. Customer response
03/09/2023
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. The matter has been resolved
Sincerely,
*************************Initial Complaint
03/24/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
Allied Benefit continually denies coverage for healthcare claims stating that my provider is "out of network". When I call to appeal they acknowledge that he is in fact, in network. Each time it takes over a month to correct the claim and they apologize and say it won't happen again. It's happened seven times now. Each time I have to call them and spend collectively hours on the phone talking to customer service reps, service rep ******** and supervisors who all assure me it will be taken care of. Each time (of the seven denied claims) I have had to call at least four times (once I called ten different time for the same issue). They refuse to admit fault and continue to deny healthcare coverage for providers who are in network. According to other reviews on this company I am not the only one.Business response
03/01/2023
We reviewed the file and found that while the network did originally send us claims as out of network, we have since received the appeals and reprocessed the claims as in-network as of 12/23/22. This complant has been resolved. Initial Complaint
02/21/2022
- Complaint Type:
- Customer Service Issues
- Status:
- Answered
I have received constant phone calls soliciting business and I asked to be removed from their contact list. I have received 3 more calls since requesting to be removed. They will call at all hours of the day starting at 8 a.m. up to 11 p.m.Business response
03/01/2023
Unable to identify a member matching the information provided. We would need the member ID to investigate further. Please advise the member to contact Allied Member Services. Initial Complaint
10/26/2021
- Complaint Type:
- Sales and Advertising Issues
- Status:
- Answered
Allied insurance is a fraud. In there paperwork they claim they will pay for doctors visit. This is untrue. What they actually do is they do not pay the **** correctly. The company decides how much should be deducted and then they may pay a portion. However, the amount they choose to deduct doesn't actually get deducted off the ****. The patient is then responsible for that amount. That is false advertisement, they are not paying 100% like they claim. In my case, a well-check up for my child at his pediatricians costs $473 on 7/16/21. My **** to pay is $298.78. The insurance only paid $174.22. That is not 100% and yet they claim the pay 100%. This is just one example of them not paying their portion. I have atleast $6000 worth of medical bills that in reality I should've only had to pay $2500 for deductibles. I want this company shut down or to be restructured. I would love a lawsuit against this horrible company.Business response
03/01/2023
We reviewed the claim and confirmed that is was was processed and paid according to the plan's allowable rate that is outlined in their Summary Plan Description. This complaint has been resolved.
*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. ↩
BBB Business Profiles may not be reproduced for sales or promotional purposes.
BBB Business Profiles are provided solely to assist you in exercising your own best judgment. BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. However, BBB does not verify the accuracy of information provided by third parties, and does not guarantee the accuracy of any information in Business Profiles.
When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints.
BBB Business Profiles generally cover a three-year reporting period. BBB Business Profiles are subject to change at any time. If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile.
As a matter of policy, BBB does not endorse any product, service or business. Businesses are under no obligation to seek BBB accreditation, and some businesses are not accredited because they have not sought BBB accreditation.
Customer Reviews are not used in the calculation of BBB Rating
Customer Complaints Summary
25 total complaints in the last 3 years.
12 complaints closed in the last 12 months.