ComplaintsforAllied Benefit Systems

Insurance Claims Processing

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Initial Complaint
06/25/2024
Complaint Type:
Order Issues
Status:
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.
Allied Benefit Systems website says certain doctors and dentists accept our coverage. Even their member portal shows these providers as in network. When I call to make appointments with said providers, they have never heard of this provider, and don't accept the insurance. I have had several appointments cancelled by the provider, saying they are not in network, even though the Allied's member portal shows them as being in network. When I call Allied's member services number, it's an automated system saying that they do not have provider information, and then it hangs up on you. There is no way to talk to an actual person about the problems I'm experiencing. We're paying over $600 per month for family coverage, plus deductibles, and receiving nothing. This feels like a very fraudulent business.
Business response
07/01/2024
Dear ******,
We received your complaint, which is currently under review. An Allied representative may contact you directly if more information is needed.
Thank you,
Allied Support Services
Initial Complaint
06/13/2024
Complaint Type:
Billing Issues
Status:
Unresolved
The business responded to the dispute but failed to make a good faith effort to resolve it.
My daughter had an Ultrasound done at a hospital on 7/14/23. On 12/13/23 I received a bill from the hospital in the amount of $614.00. This was due to Allied Benefit Systems, my daughter's insurance company at the time had changed their claims mailing address and failed to let their customers know via letter with new cards. ******************** just sent new cards, I assume they expected their customers to figure the address change out for themselves. This resulted in the claim being rejected as it was sent to the wrong address by the hospital, prompting the hospital to send me the bill for the full amount. It was at this time that I discovered that Allied had made this claims mailing address change. So I provided it to the billing department at the hospital so they could resubmit the claim. They did as per statement dated 12/31/23. I then received another statement from the hospital with a breakdown that you will see the initial charge of $614.00, payment adjustment of $191.47 and remaing balance of $422.53, this amount is toward the bottom of the page where it says "Insurance Balance". Leading me to believe that that amount was to be paid out of the *** account that the plan had. An *** from Allied reflects that same information, says patient 0.00. Upon speaking with a customer service rep from ******************** who first told me that he could not locate this ***, he looked it over and said that I would owe the $422.53 as part of the *** deductible. On a second *** from Allied, there is a claim for the *************** having read the ultrasound in the amount of $35.48. The information on this *** was supplied using the very same verbiage as the *** where they claim I owe the $422.53, as well as I never have received a bill from radiology for the amount of $35.48, I should have received a bill from radiology if that "deductible" wasn't met. Allied has been nothing but erroneous from the beginning. This paperwork has been misleading, Allied should pay when it is their mishap
Business response
06/14/2024
Dear *******,
We received your complaint, which is currently under review. After review, an Allied representative may contact you directly for more information.
Thank you,
Allied Support Services
Customer response
06/17/2024

Complaint: 21843403

I am rejecting this response because: Allied needs to reply through the BBB with their second response after reviewing the complaint. They also need to ask any questions they may have for me using the BBB portal.

Sincerely,

***************************
Initial Complaint
02/26/2024
Complaint Type:
Customer Service Issues
Status:
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.
The business provides false and potentially fraudulent information to Providers, then prevent them from filing claims on behalf of services provided to their members. They are taking advantage of providers and revitalizing members in treatment to have to be discharged and referred to another provider to avoid additional financial problems. Ive been seeing their member since August 2023 and have yet to be paid. I know you cannot help with payment, but I want other providers to be warned of their practices.
Business response
02/27/2024
Dear *****************************,
We received your complaint, which is currently under review. After review, an Allied representative may contact you directly for more information.
Thank you,
Allied Support Services
Initial Complaint
02/01/2024
Complaint Type:
Service or Repair Issues
Status:
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.
Web site has no security. Go to the sign in page their SSL is non-existent. Continue and they ask for personal information without an SSL cert. Their phone system does not understand membership numbers and no way to correctly type or enter in letters.
Business response
02/06/2024
Dear *********************,
Thank you for contacting us and bringing your concerns to our attention. Please know that we take website security and customer experience very seriously.
In regards to your claim regarding SSL certificate security: Allied Benefit System's website has an A rating from Bitsight that has been tracked since the certificates update since March of 2023. Bitsight is a company that publicly monitors company security postures, and currently monitors of 40 million organizations. When happening in such isolation, these issues are usually due to the state of the individuals connection, configuration, computer, or internet service provider.
Our support team will review your complaint further and may contact you directly with questions.
Sincerely,
Allied Support Services
Customer response
02/06/2024

Complaint: 21235328

I am rejecting this response because:

Nope it happened I am a software engineer so I know the technology and I know what was occurring. There was a period of at least 4 hours where your site was not SSL protected plain and simple.

Sincerely,

*********************
Business response
02/14/2024
****,
We have submitted your concerns to the appropriate teams at Allied.
If you have any other concerns or questions, please call us at the number listed on your ID card.
Thank you,
Allied Support Services
Initial Complaint
01/10/2024
Complaint Type:
Order Issues
Status:
Resolved
The complainant verified the issue was resolved to their satisfaction.
Jan 5, I tried to get a prescribed insulin pump at ******* and was told my insurance was no longer valid. I called Allied Benefits and was told my insurance terminated Jan 1. I called multiple times and spoke to 3 people, all saying the same. I called my employer, who said my insurance is valid but he'd call our insurance agent. Our agent, ********, said he checked and everything is valid, and that he'd contact a specialist to review my account. In the mean time, I called Allied Benefits back and spoke to Rai, ID ******, and spoke for over 30 mins while he looked at my account as well. He first said it was valid. I asked him what I could give to ******* that proved this. He could not offer any info that would allow me to get the pump. He ended up saying it appeared the Group Number had changed, although every number on my insurance card (RXBIN, RXPCN, RXGRP, Group #, ID) was the same as day 1 of having it, as guaranteed by him earlier. I asked for a Supervisor and he said that would be ****, who would call me within 20 mins. He refused to give me a last name, extension, or ID. **** never called.Our Agent said there were no changes to our insurance. I've had it for over 2 years. He reported there's a "glitch" in my account, on ******************************************* end, that they needed to fix, and he was guaranteed by whoever he spoke to, that it would be fixed by the next morning.****It was not****For 3 days, I've waited for a call. They need to fix whatever problem there is because I've been paying them, and need my medical device asap. Ridiculous to have to wait on them for this long, when it is imperative that I need my medical device.
Business response
01/16/2024
Dear *******,

Thank you,
Allied ******* Services
Customer response
01/16/2024

Complaint: 21115465

I am rejecting this response because:

in the app, there is a different group number than in my card. Also, the app says my deductible and out of pocket is 3500/8550, when my card has 2500/6000. The plan im paying for is what is on my card, so WHY ARE THEY HIGHER IN APP?? It appears you changed my group number then added to my deductible and out of pocket amounts without telling me, and WITHOUT MY CONSENT! Even my employer is confused!!! Fix this!!!

Sincerely,

*********************************
Initial Complaint
11/20/2023
Complaint Type:
Order Issues
Status:
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.
Wife broken arm in *******. We called allied her insurance company and did exactly what they told us to do. We paid for the medical work there, under the idea they were going to reimburse us like they claimed when we returned. Now there trying to only pay $6,000 of the $15,000 plus paid. I want whats owed to me, minute her deductible which should be around $12,000. Please help.
Business response
11/29/2023
Dear ****************,
Please find the attached letter in response to your complaint.
Thank you,
Allied Support Services
Initial Complaint
11/02/2023
Complaint Type:
Customer Service Issues
Status:
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.
I am doing billing and A/Rs for **** in ******** and need to contact Allied Benefit group in regards to one of our claims. However I have been unable to reach any kind of resolution despite literal hours on the phone and dozens of phone calls to their customer service line *************).Their automated phone system is deliberately labyrinthine and will disconnect you if you do not respond correctly within 3 seconds of a prompt, or make 3 'invalid' responses consecutively. It also provides invalid options at several points, will arbitrarily send you back to certain menu options if it is unable to validate details and so on. The one single time I was able to reach a human customer care representative I was firstly, asked top repeat all the information I had entered in the automated system, totally negating the purpose of having an automated system and secondly; put on hold for 25 minutes, then unceremoniously disconnected from the call.The only thing I am trying to accomplish is to contact their provider services so I can get clarification on an issue with the claim from August.
Business response
11/13/2023
Dear *******************,
We sincerely apologize for any inconvenience you experienced while trying to contact Allied. We strive to provide our customers with timely and efficient support.
Our service team is reviewing your inquiry and will contact you directly within the next two days.
Sincerely,
Allied Support Services
Initial Complaint
10/19/2023
Complaint Type:
Order Issues
Status:
Resolved
The complainant verified the issue was resolved to their satisfaction.
This occurred beginning 06/08/23 to current. I am a mental health care provider. The client has Allstate/Allied Benefits as their health insurance provider for the 2023 year. I have submitted several claims to this health care network, and this network has not paid these claims. The client has met their deductible for the year, so these claims are required now to be paid out by this insurance company. I have tried to call this network on three different occasions in order to begin to receive payment for clams submitted, speaking to a supervisor directly on one of the occasions, and having to leave a message with a supervisor on one of the occasions that did not receive a call back. I have all reference numbers for my calls to this insurance provider. I believe this insurance company is violating their obligations to providers by not paying out claims, and also by not being able to resolve my issue of payment even after taking the time to contact them directly on three separate occasions (Sept 1/23, Sept 13/23, and Oct 19/23.
Business response
10/20/2023
Dear ********,
We received your complaint, which is currently under review. After review, an Allied representative may contact you directly for more information.
Thank you,
Allied Support Services
Customer response
10/26/2023

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.

Sincerely,

*************************
Initial Complaint
10/19/2023
Complaint Type:
Billing Issues
Status:
Resolved
The complainant verified the issue was resolved to their satisfaction.
My cobra insurance was terminated without any other notice besides this letter attached that I received yesterday in the mail. I have not been given the opportunity to pay. No other notice was given to me. When I called the insurance carrier, yesterday, I was given a portal to sign in with a registration code haxSH3Ej to go online to pay. They were going to email payment coupons yesterday, which I never received as back up to mail in with my payment. I called back today twice and left two messages for a supervisor because I never got the email and I was not able to get into the portal online. Company just told me today that I was blocked and they told me they will not continue insurance and thats why I wasnt able to pay online or why they did not email me my payment coupons as stated yesterday over the phone. My reference is CC6843306 with the ****************** This has to be legal against cobra insurance laws.
Business response
10/20/2023
Dear *****,
We received your complaint, which is currently under review. After review, an Allied representative may contact you directly for more information.
Thank you,
Allied Support Services
Customer response
10/20/2023

Complaint: 20754036

I am rejecting this response because:
I was again called today by ***** the supervisor from Alied Benefits, who told me the same thing, that they are not reinstating my cobra insurance. My husband applied for ******** 6-1-23 and I am 59 years old and unemployed. I signed up for cobra insurance, spousal only, through my husbands employer group in June and signed paperwork and mailed in with payment. This is insurance we have had for decades through my husbands employer. That is all I heard till they terminated my Cobra spousal insurance without my consent or allowing me to continue my insurance. This is against my rights and against cobra laws to leave someone uninsured because of a life changing event, which was my husband retiring and taking ******** insurance effective 6-1-23.

Sincerely,
***********************
Business response
10/27/2023
*****,
We empathize with your situation, and are committed to helping you. Our team is still reviewing and have been in contact with the Plan to make a reasonable determination. A member of our service team will reach out to you with next steps in the coming week.
Sincerely,
Allied Support Services

Customer response
10/27/2023

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.

Sincerely,

***********************
Initial Complaint
10/11/2023
Complaint Type:
Billing Issues
Status:
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.
Had a colonoscopy done. Was told that everything would be covered due to family medical history. Now they are telling me that I owe for the whole procedure. They have been giving me the run around and I have wasted countless hours trying to resolve this issue. It has been on going for two months now and I feel like I am being bullied by a major corporation. It is a shame that this happens to so many people on a daily basis in *******. It is hard enough with all of the taxes. Something needs to be done about the ************* health care system. A stand needs to be made, and the people need to stand up against this tyranny.
Business response
10/11/2023
Dear *****,
We received your complaint, which is currently under review. After review, a customer service representative may contact you directly for more information.
If you have any questions, please call us at the phone number listed on your subscriber ID card.
Thank you,
Allied Member Services

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