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Business Profile

Health Insurance

Devoted Health, Inc.

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Health Insurance.

Complaints

This profile includes complaints for Devoted Health, Inc.'s headquarters and its corporate-owned locations. To view all corporate locations, see

Find a Location

Devoted Health, Inc. has 5 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.

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    Customer Complaints Summary

    • 34 total complaints in the last 3 years.
    • 19 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    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.

    Sort by

    Complaint status

    Complaint type

    • Initial Complaint

      Date:05/05/2025

      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.
      Started plan in May, can't use food card. Scanned items, only processed food excepted, no health food. Card still doesn't work. Now no one answers phone.

      Business Response

      Date: 05/12/2025

      Dear *****,
      We understand how important it is for our members to be able to access and use their Food & Home card benefits without issue. After reviewing your account and recent contacts with our ************** Guide team, we see that you reached out several times between April 29 and May 12, 2025, for assistance activating and using your Food & Home card. Were sorry to hear that this process was challenging and that you werent able to successfully use the card as intended. We understand how disappointing and frustrating this must have been. Currently, your account shows you are successfully using your Food and Home Card Benefit without additional issues.

      Our goal at Devoted Health is to make accessing your benefits as simple and seamless as possible. We are continuously working to improve our systems and communication, and your feedback helps us do just that.

      We also acknowledge that, per your account, you will be disenrolling from Devoted effective June 1, 2025. While were sorry to see you go, we want to thank you for the time you spent with us and again apologize for the service you received not meeting your expectations. Please know we are committed to learning from situations like this to better serve our members in the future.


      Customer Answer

      Date: 05/12/2025

      [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]

      Better Business Bureau:

      I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint #********. I understand that by choosing to accept the business response that my complaint will be closed as resolved. Please go over what is allowed as "Healthy Food", what is said is allowed and what the store allows you are different. 

      Regards,

      ***** ******* **
    • Initial Complaint

      Date:04/29/2025

      Type:Billing 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 called Devoted about a co-pay that I had paid a doctor with an office near my home. This doctor wanted to do a procedure in a hospital at a greater distance from my home instead of doing the procedure at a local hospital near me. Had I known this I would never have scheduled the appointment with this doctor.I called Devoted and explained this and asked them to waive the $50 fee. They refused to do this. So, I have been forced to file a dispute with my credit card company. Devoted Health Insurance is evidentially NOT devoted to their members.

      Business Response

      Date: 05/12/2025

      Dear *********,
      Upon investigating your experience and claims history, I would like to apologize for your experience. First, thank you so much for taking the time to share your feedback with us. We take these matters seriously, and regret that weve fallen short of your expectations. 
      On 04/01/2025 you called us and filed a grievance regarding your poor experience at the providers office stating the order was written incorrectly and when you attempted to resolve it with them, they were unresponsive to your efforts. 

      As I looked into the grievance and its resolution letter sent to you, I found that you were not provided with ************ Instruction for you to appeal the $50 copay. This should have been included for you.  This process allows us to review the initial decision again and consider any additional information you may have and a chance for you to provide it for our review. We have provided coaching to the specialist to help any future experiences you or other members may have with us.

      I did find that during a conversation with one of our ************** Guides on 04/24/2025 regarding the same copay amount, you were provided these Appeal Rights and the forms were mailed on 04/28/2025.  Once we receive those, we will review and follow up with you regarding our determination and any applicable next steps. 

      If you need another copy of this request form, call us at 1-800-DEVOTED ***************) and we will be happy to send you another copy of these instructions. Please allow us to apologize again for your experience and for any stress this may have caused. We sincerely hope that we can serve you better in the future. 


    • Initial Complaint

      Date:03/11/2025

      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 have been trying to dis-enroll from their plan. I was told that they would do it as of 1/1/2025, then 2/1/25. As of today it still has not been done. I already have a an insurance plan with **************** Multiple calls were made to them and they all have been unsuccessful.

      Business Response

      Date: 03/21/2025

      Dear ****,
      Thank you for your patience while we work on your disenrollment request. We want to inform you that your original request submitted in December was  rejected by *** due to an invalid election type.
      We have since verified a valid election type and resubmitted your disenrollment request for 01/01/2025 to CMS for approval. Please allow up to 30 days for ******** records to reflect this change.
      We sincerely apologize for any inconvenience this may have caused. If you have any questions or need further assistance, please dont hesitate to reach out to us at 1-800-Devoted.
      Best regards,
      **** *.
      Senior Complaint Manager
      Devoted Health

      Customer Answer

      Date: 03/21/2025

      [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]

      Better Business Bureau:

      I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint #********. I understand that by choosing to accept the business response that my complaint will be closed as resolved. 

      Regards,

      **** ****
    • Initial Complaint

      Date:02/10/2025

      Type:Billing 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.
      The company talked me into signing up with them because of their incentives. In January, they never sent me the food incentive card. I called them and they told me they were not servicing consumers in **************, ** any more. They told me I needed to find another insurance agency. I paid $310 for the month of January. They are not willing to give my refund. I didn&#**;t cancel the services, they canceled it.

      Business Response

      Date: 02/19/2025

      Dear Mr. *************** you for reaching out to us regarding your recent concerns. We appreciate the opportunity to address your situation with Devoted Health. First and foremost, I would like to sincerely apologize for the inconvenience and frustration you have experienced.
      You initially enrolled with Devoted Health, effective January 1, 2025, and qualified for our Food & Home Card Benefit. On January 13, 2025, we sent you an SMS notification confirming that your card had been mailed. Since benefit cards cannot be issued before the plan's effective date, Devoted allows unused funds from the first month to roll over into the second month; however, benefits do not roll over beyond that timeframe.
      On January 21, 2025, you contacted our *************** team to update your address, notifying us of your move from *****************, **, to **************, **. ******** Advantage plans operate at the county level, and unfortunately, Devoted Health does not service **************. Because of this, you qualified for a Special Election Period ****** allowing you to select a new plan.
      Our records indicate that you enrolled in a plan with *****, effective February 1, 2025. As a result, Devoted Health was required to process your disenrollment, effective January 31, 2025. Once a member is disenrolled, any unused benefits are forfeited and cannot be refunded.
      I understand this situation was unexpected and that your move required you to change plans shortly after enrolling with us. We regret that we were unable to continue servicing your area and appreciate the time you spent with Devoted Health and hope to service more counties in ** in the future. 

    • Initial Complaint

      Date:02/02/2025

      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.
      Been with Devoted one month and not satisfied with service. I had a home medical visit in which a $50.00 reward is given, but the wait time for reimbursement is within 90 days. Food and home card was declined for utilities payment and use of groceries. Deception at its best. Change plans quickly.

      Business Response

      Date: 02/06/2025

      Dear *****,

      Thank you for reaching out to share your concerns. We appreciate the opportunity to clarify the issues youve experienced with your Reward Card and Food & Home Card.

      Regarding your $50 Reward Card for completing a home medical visit, our records show that you had your appointment with our clinical team on January 8, 2025. On January 23, 2025, we informed you that your reward card was being processed and that it would be delivered within 90 days of your completed visit. Were happy to confirm that your card was mailed on February 5, 2025, and should arrive soon. We sincerely apologize if you feel that the reimbursement process has taken longer than expected. We understand that waiting for reimbursement can be frustrating.

      For your Food & Home Card, we understand the frustration when a transaction is declined. Based on our program guidelines:

      Utility payments must be made directly to the utility company, either by the member or through an out-of-pocket (OOP) payment with the option to submit for reimbursement through CVS.

      Payments cannot be processed at retailers like ******* and CVS cannot pay the bill on your behalf. If you are still having issues, we encourage you to contact us at ************** so we can review the details of your declined transaction and confirm if your utility provider participates in our program or how we can make sure you are able to use your benefit. 

      We value your membership with Devoted Health and want to ensure you have the support you need. If you have any additional questions, please do not hesitate to reach out.

      Sincerely,
      ***** *.
      Member Grievance Manager
      Devoted Health 
    • Initial Complaint

      Date:01/24/2025

      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 just obtained this insurance last month and received a healthy benefits card for $50.00 a month. I tried to use the card at ******* today and it was declined.I called Devoted and they told me they no longer had this benefit. I received no notice in any form about the card being withdrawn. I believe the healthy benefits card was false advertising to get people to sign up.I would like to know why I wasn't informed that the healthy benefits card was no longer a benefit.

      Business Response

      Date: 02/06/2025

      February 6, 2025

      Dear ****,

      Thank you for reaching out regarding your concern about the Healthy Benefits Card. We appreciate the opportunity to address your concerns and provide clarification.
      I reviewed your account and our records show that you first enrolled in Devoted CORE ************ (HMO) effective December 1, 2024. In 2024, this plan included a $140 per quarter Food & Home Card benefit. However, as of January 1, 2025, the Food & Home Card is no longer included as a benefit in this plan.
      Each year, ******** Advantage plans may adjust their benefits, premiums, or coverage. To ensure members are informed of any changes, we send an Annual Notice of Change (****) letter. The **** is a required document that provides details on plan modifications for the upcoming year, including any additions or removals of benefits. Our records confirm that we mailed your **** letter on November 12, 2024, which included information about the removal of the Food & Home Card benefit effective January 1, 2025.

      We understand that benefit changes can be unexpected, especially taken into account your enrollment date being so close to the yearly benefit changes. We apologize for any confusion or inconvenience this may have caused as it was not our intention for you to feel misguided. 

      Sincerely,
      ***** *.
      Grievances, Manager
      Devoted Health

      Customer Answer

      Date: 02/10/2025

      [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]

      Better Business Bureau:

      I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint #********. I understand that by choosing to accept the business response that my complaint will be closed as resolved. 

      Regards,

      **** *****
    • Initial Complaint

      Date:12/20/2024

      Type:Product 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.
      For my ******** Advantage plan # H7147-004 with Devoted Health, I have $400 coverage for eyeglasses, lenses and frames combined. This $400 coverage is listed on page 121 of my EOC and page 9 of the plan's Summary of Benefits. On October 3rd, I purchased glasses from an in-network eyecare provider and the Devoted *** lists this as claim # AJX5EK6SZU. The total cost for the glasses (amount the plan has approved) is listed as $455.20 on page 6 of the **** On that same line, the *** incorrectly lists the Plan's share as $240. The correct Plan's share is $400 and the correct amount of My Share is $55.20 and NOT the $215.20 listed on the ****I was incorrectly overcharged $160.00. Please correct the *** and refund the $160.00 either to me or the eyecare provider.

      Business Response

      Date: 12/30/2024

      First, thank you for contacting us regarding your concern with the payment for your eyewear benefit. We sincerely apologize for the frustration you experienced, especially with the difficulty in reaching a resolution over the phone. 

      After reviewing your concern, we would like to provide the following explanation:
      You are correct, your plan provides up to $400 per year for eyeglasses, lenses, replacement frames, or contact lenses. On October 12, 2024, Devoted Health received a claim (AJX5EK6SZU) for your visit to *************** Health Center on October 3, 2024. The provider billed $669.00.
      On December 27, 2024, we received your member reimbursement request (AJXCA7876W) for $254.98 for the same eyewear benefit. The plan processed this request and approved an additional payment of $160.00, which will be mailed to you as a reimbursement check.

      We hope this resolves your concern and clarifies how your eyewear benefit has been applied. If you have further questions or require assistance, please do not hesitate to contact us at 1-800-DEVOTED ***************). TTY users can dial 711. 
      Once again, we apologize for any inconvenience. Thank you for being a valued member of the Devoted family. We appreciate the trust you place in us to support your health and wellness.
      Sincerely,


      ***** *.
      Appeals and Grievances
      Devoted Health


      Customer Answer

      Date: 01/10/2025

      Better Business Bureau:I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # ********. Please add your rejection comments below; if you do not provide any details, your complaint will be closed as Answered. 

      According to Devoted's response letter on 30 Dec:

      "The plan processed this request and approved an additional payment of $160.00,
      which will be mailed to you as a reimbursement check."

      As of today, Jan 10, I have not received a check.

      Please keep this complaint open for until I receive the promised reimbursement check.

      Thank you, ****** ****** 

      Business Response

      Date: 01/23/2025

      Good Morning ******,

      I wanted to follow up regarding your recent complaint. Our team spoke with you on January 16, 2024, and confirmed that you have received and cashed the check for $160.
      Thank you for your understanding and patience throughout this process.

      Best regards,
      **** *.
      Sr. Complaint Manager
      Devoted Health

    • Initial Complaint

      Date:12/04/2024

      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.
      On Nov. 15, 2024, I needed a list of in-network partial hospitalization facilities (psych), so I called Magellan, who is supposed to handle my inquiry, as they did last April. This time, however, the agent at ******** informed me that as of Nov. 2024, Devoted now handles all of their own member inquiries about who's in-network, so I was transferred to an agent with Devoted. I requested a list of partial hospitalization facilities. ***** appeared confused by the task of needing to find this information for me, as heard on the recorded call, but he said he emailed it to me. ***** emailed me a list of inpatient psychiatric hospitals, not partial hospitalization facilities. At the time, I didn't press the issue, I wanted the information just in case I needed it. On Dec 2nd, I really needed the services of a partial hospitalization program, so I called Devoted to ask for the list of in-network partial hospitalization facilities, and they refused to provide it to me. I spent 2 hours on the phone, spoke to a supervisor, and got nowhere. The supervisor said she'd forward my case to the new behavioral health team, and someone would reach out to me with the list. I told her this is urgent and I desperately need care. I've called Devoted back again on Dec. 3rd and Dec. 4th. I still have no idea as to where I can go for treatment. On Dec. 4th, I received a call from a Devoted agent, with what I thought was a list of facilities, but it WASN'T. She said she'd escalate my case to the social worker, who can then give me the list of covered facilities. Why all the games???My therapist is looking for places for me, but the places she calls are not in network. I called ******** and filed a complaint against Devoted for deliberately preventing me from seeking care at an in-network covered entity. This list is not accessible to me anywhere on their member portal or website. I am literally at their mercy. I want an explanation and an up-to-date, accurate list.

      Business Response

      Date: 12/11/2024

      Dear *******,


      Thank you for taking the time to share your experience with us. We want to begin by sincerely apologizing for the frustration and difficulty youve faced in trying to obtain a list of in-network partial hospitalization facilities. Your health and well-being are our highest priorities, and we are sorry for any delays or confusion that have added to your stress during this urgent time.


      We understand the urgency of your situation, and I am glad to see that one of our complaint specialists recently connected with you on December 11, 2024, to address this issue. Our specialist will be contacting ************** directly to discuss coverage and ensure they feel confident in working with Devoted. This step is meant to help make the process as seamless as possible for you.


      Additionally, we will proactively send you an additional list of other in-network partial hospitalization facilities in your area. This is to ensure you have alternatives available should ************** not meet your needs.


      We deeply regret any confusion or miscommunication during your previous calls, as well as the time and effort you have had to spend seeking care. 
      Please dont hesitate to reach out to us if you have any further questions or concerns. Thank you for giving us the opportunity to address this.Our team is always looking for ways to improve the member experience and will review this case further to figure out how we can prevent situations like this in the future.  
      If you have questions or need anything, you can call us at 1-800-DEVOTED ***************).


      Sincerely,
      ***** *.
      Complaints Manager
      Devoted Health


      Customer Answer

      Date: 12/11/2024

      Better Business Bureau:I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # ********. Please add your rejection comments below; if you do not provide any details, your complaint will be closed as Answered. 

      I have an evaluation scheduled at the ************** scheduled on Friday, Dec. 13th at 8:30am.  They are waiting to hear from Devoted Health about whether they will cover my care at the partial program if I miss a day due to a dental appointment.  The coordinator at the Horsham Partial Program wasn't confident that my insurance would pay if I missed a day, and she stated this in an email.  

      The ************** is the only one available to me.  The other 2 are NOT. The *************** in ************ has a waiting list for their partial program, and the Lenape Valley Partial Program in ********** is only open to those living in ***** and ******************************  I live in *************  

      I am respectfully asking for a prompt resolution of:

      1. Either Devoted covers my entire partial stay through end of 2024, even if I need to miss days, and/or

      2. Provide other in network partial program alternatives


      Businesses and Customers should be civil, courteous and polite in their responses to complaints. It is important to remain professional and productive when participating in the BBB complaint process.

      FAQ

      Regards,

      *******

       

       

      Business Response

      Date: 12/18/2024

      Weve reviewed the concerns raised in your rejection comments and would like to provide further clarity and reassurance regarding your coverage and the steps weve taken to resolve your case.


      Per ******** guidelines, PHPs require members to meet a minimum of 20 hours of participation per week to qualify for coverage. ************** has confirmed that their program operates 6 hours per day, 5 days per week, for a total of 30 hours. Therefore, if you need to miss a day due to an appointment or other reasons, you would still meet the required hours for coverage. Both our claims team and ******** have confirmed that missing a day in the program should not result in any issues with claim payments.
      ************** confirmed your evaluation appointment was scheduled for December 13, 2024, on December 14, 2024 ************** submitted Prior Authorization request # OP0140251782 which was approved by Devoted on that same day. 


      We have confirmed that your appointment with an out-of-network behavioral health provider at ****** Community on December 11, 2024, is covered under the 90-day Continuity of Care (COC) window, which applies until your disenrollment from Devoted Health effective December 31, 2024.


      We understand that ************** is currently your only available option, and we are doing everything possible to ensure there are no barriers to your participation in their program. We appreciate your understanding and patience as weve worked to resolve your issue.


      If you have questions or need anything, you can call us at 1-800-DEVOTED ***************).


      Sincerely,
      ***** *.
      Complaints Manager
      Devoted Health

    • Initial Complaint

      Date:11/13/2024

      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.
      My complaint has to do with customer service. ********************** gave me a Lifestation alert device last year. Now they are discontinuing the service and want the device back. I never used it and want to send it back. The problem is that I can't get anyone in customer service to help me obtain a return address label. Can you please help me resolve this issue. ***** *****

      Business Response

      Date: 11/14/2024

      Dear *****,
      Thank you for reaching out regarding the return of your Lifestation device. We appreciate how proactive you are in sending the device back.


      Weve confirmed with Lifestation that, due to the 2025 benefit changes, they will be mailing you a prepaid return label in December, which will include instructions for sending the device back. Youll only need to drop it off at your local post office.


      When I called Lifestation to confirm your address, I noticed that the address they had on file differed slightly from what we have here at Devoted. This may explain why you didnt receive the label you requested in October. I have since updated your address with them to reflect:


      ********************************>*************************


      With this updated address, you should receive the label without any issues.


      If you dont receive it by mid-December or need any further assistance, please dont hesitate to reach out to us  at 1-800-DEVOTED *************** or you can contact Lifestation directly at ************.


      Thank you for your patience, ****** and we apologize for any inconvenience this may have caused you. 


      Sincerely,


      ***** *.
      Appeals and Grievances
      Devoted Health


      Customer Answer

      Date: 11/19/2024

      [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]

      Better Business Bureau:

      I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint #********. I understand that by choosing to accept the business response that my complaint will be closed as resolved. 

      Regards,

      ***** *****
    • Initial Complaint

      Date:10/07/2024

      Type:Order 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 sent an appeal in on 08/30/2023 for a patient that had chemo and we had authorization from Devoted stating no auth was required and when it was time for the claim to be paid, It was denied for no referral and did not pay any of the claim. The referral is only good for administration which we are fine not getting paid for that however the treatment was at great cost and should be reimbursed based on us trying to get authorization for the drugs and it stating no authorization was required-I do have proof of this however has a person's name on it so can not upload.

      Business Response

      Date: 10/11/2024

      Dear *******, 

      Thank you for bringing this to our attention. We apologize for any confusion or inconvenience caused by the denied appeal. I have sent an email to ************************** for further follow-up. Kindly send the member information, claim details, and any supporting documentation to **************************************** and we will be happy to research the issue further and provide a detailed response.

      We appreciate your patience and look forward to assisting you.

      Best regards,

      **** **********
      Sr ******** Complaint Manager
      Devoted Health

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