ComplaintsforQuantum Health, Inc.

• Initial Complaint

  02/14/2024

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I went to a provider back in September and subsequently got a larger than expected bill from the Drs office. I spoke with Quantum health in December and they told me it was a mistake. They told me it would get corrected and I’d get a new bill from the Dr office. I then called them back over 50 days later and they then tell me the last person misspoke and the Dr was not in network. Very misleading and they never reached out to tell me.

  Business response

  03/04/2024

  I apologize that ***** was given incorrect information when he called in December.  However, this provider is out of network and therefore the claim had processed correctly.  There is no adjustment that can be made as it paid correctly.

• Initial Complaint

  06/12/2023

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  In late March while travelling abroad on vacation, my family had a couple of health issues that required medical attention.

  After seeking treatment, I reached out to Quantum Health, who provides customer service on behalf of my company's insurance (United), so seek guidance on submitting international insurance claims. The representative I spoke to advised that I needed to mail in the documentation to submit the claims, and provided me with a PO Box that everything should be routed to.

  I submitted the claim documents immediately upon returning to the US in early April, but the claims never showed up in Quantum or ******** online portals. I followed up with Quantum several times and every time was told I just needed to continue to wait, this went on for nearly a month.

  After filing a complaint against ****** with the BBB, a representative from ****** reached out to me directly, and advised that Quantum had provided me with incorrect submission instructions. I then re-submitted everything using the new instructions provided directly from United, and both claims were processed promptly.

  Realizing that I was given bad information, I asked Quantum to own their mistake and at the very least reimburse me for my shipping & printing costs, which were approx. $15.

  On May 8th the representative ****** *) from Quantum that I had been working with on these claims informed me she had escalated the matter, and would get back to me once she heard back from her manager.

  It has been over a month, and I have followed up with ******Quantum several times, but have yet to hear back on a decision or resolution. I am seeking assistance in being made whole for the out of pocket costs I incurred as a result of Quantum Health's error.

  Business response

  06/20/2023

  We apologize for the issues that Mr. ****** had in getting reimbursed for his self-submitted claims.  The information provided by Quantum Health was given to us by ***, who pays the claims.  We have been able to work with UMR and they have sent a check to Mr. ****** for $15 to reimburse him the expense.

  Customer response

  06/20/2023

  I accept the business's response to resolve this complaint.
  Regards,
  
  ****** ******

*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. ↩