Healthcare Management
Conifer Health Solutions, LLCThis business is NOT BBB Accredited.
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Complaints
This profile includes complaints for Conifer Health Solutions, LLC's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 15 total complaints in the last 3 years.
- 4 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe 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:03/03/2025
Type:Product IssuesStatus: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'm requesting an overpayment refund.10/10/24 I paid $738.37 for a surgery scheduled for 11/15/24. After the insurance claim went through I found out I was only responsible for $401.62 meaning there was an overpayment of $336.75. I was never contacted that there was an overpayment, I found out via my insurance EOB.12/10/24 I contacted conifer requesting a refund for the overpayment. I was told it would be deposited back onto the card of the original payment within 30 days and I didn't need to do anything additional.1/16/25 I had not received the refund so I contacted conifer again and was told they needed additional information before issuing the refund. I was told they did not have proof of the original payment and I needed to provide the transaction ID and a screenshot of the transaction on my bank statement.1/22 /25 I send an email with the supporting information and a clear explanation. 2/4/25 I still did not have a refund and contacted conifer again. I was told that they received the supporting information, it was escalated to the account supervising team and I would have the refund within 30 days again.3/3/25 I contacted conifer again and was told the same thing as I was in February and it would be an additional 10 to 14 days.They also requested I did not continue to call back to follow ***** this point I am so tired of the runaround and just want the refund for my overpayment. I keep getting the runaround and I am convinced I never would have received a refund if I hadn't looked at my insurance and saw that they owed me the money. I can provide whatever information is necessary and have jumped through all of their hoops.Originally paid- $738.37 Only owed- $401.62 Requesting refund for overpayment of- $336.75Business Response
Date: 03/17/2025
To Whom It May Concern:
Thank you for bringing Ms. ********* ****** concerns to our attention. Attached please find our response to same.
We ask that the enclosed response not be posted to your website or any public media site as it may contain protected health information.
If you have any questions regarding the response to Ms. ****** please feel free to contact our office at **************.Customer Answer
Date: 03/18/2025
I have reviewed the business response and accept this resolution.
However I am beyond disappointed with how this was handled and it's ridiculous that I didn't get any resolution until reporting the company to the BBB.
Initial Complaint
Date:01/07/2025
Type:Order IssuesStatus: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 went to have outpatient 05/25/23 at Select Physicians in *****. They requested $1200.00 before surgery, which I paid. The *** is attached leaving a bill of $87.53. I went back and had another procedure on 07/06/23, they requested $1500.00 which I paid. The *** is attached leaving a balance of $216.70 for a total for the two dates of $304.23. The billing office is billing me $858.53. Where is the extra $554.30 coming from. As a participant of my insurance the rest is a right off. I have called numerous time to fix this issue and have gotten nowhere. I verified they are part of ********** but they refused to help and have sent the account to collections. I dont understand why this has happened. At first they said I paid nothing but then they said they moved money around on my account. I really dont care. When they fix the bill I will pay the balance but why run the risk they were going to send it anyway to the credit bureau . I dont know if they can not read and *** or what. If they dont like their payment then they shouldnt accept ********** patients. Im tired and just want it fixed and dont plan on paying anything until they fix it. I really dont appreciate the fact they are wrong and wont fix it and have reported it the credit bureau messing up my credit. My name is ****** ********* date of birth **************.Business Response
Date: 01/22/2025
see attachedInitial Complaint
Date:08/12/2024
Type:Product IssuesStatus: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 02/07/24 i went to ************************** to have a procedure to remove a kidney stone, i paid $1900 by credit card at the time of service. When my Explanation of benefits came out on 04/22/24 I reviewed it and it stated i was due a refund of approximately $579. I called the hospital billing line 3 times and got a response of "we have not yet received your ***". I then faxed a copy to the number provided on the fourth call to billing. again they said they did not receive it. I went to the hospital and spoke to a young lady who made a copy of the *** and assured me she would get back to me. She did not. at the end of July I called and spoke to ****** in the finance office at the hospital, she assured me the situation would be escalated and i would get a response. I did not. Spoke to ****** @ 10:36 am 08/12/24, she said she received an email on 08/06/24 that the refund was still in progress. i asked if there was anyone i could call, she gave me an 800 # that routed me right back to the original billing ****************** has agreed that I am due a refund, they have apologized after every call, but I have yet to see any refund. after seven different contacts I still have not received any response from East ******.Business Response
Date: 08/27/2024
To Whom It May Concern:
Thank you for bringing **************************** concerns to our attention. Attached please find our response to same.
We ask that the enclosed response not be posted to your website or any public media site as it may contain protected health information.
If you have any questions regarding the response to ********************, please feel free to contact our office at **************.Initial Complaint
Date:05/03/2024
Type:Product IssuesStatus: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 was originally billed $75.00 for an X-ray that I paid for by check. I then received an itemized bill that states my bill was $73.91. when I called the billing office they were unhelpful in resolving this issue. I would like a refund of $1.09 from this company.Business Response
Date: 05/09/2024
To Whom It May ********************* you for bringing *************************** concerns to our attention. Attached please find our response to same.
We ask that the enclosed response not be posted to your website or any public media site as it may contain protected health information.
If you have any questions regarding the response to ****************, please feel free to contact our office at **************.Customer Answer
Date: 05/10/2024
I am rejecting this response because: I feel it is bad business practice to send out an itemized bill to me and then tell me it was wrong and I owe more.Business Response
Date: 05/10/2024
To Whom It May ********************* you for bringing *************************** concerns to our attention. Attached please find our response to same.
We ask that the enclosed response not be posted to your website or any public media site as it may contain protected health information.
If you have any questions regarding the response to ****************, please feel free to contact our office at **************.Initial Complaint
Date:11/27/2023
Type:Product IssuesStatus: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.
Conifer Health Solutions is apparently contracted with CHI Memorial for their billing and refunds. I have been due a refund of $59.92 since July 2023 and can not get it. I have been told more than once the check was in the mail, but it never arrives. I was told on November 20th a check was issued on November 15th and I would be contacted that day with the tracking number for overnite mail. That never happened. I got a response from ******************************* with Conifer Health that a check was mailed and to allow mailing time. It is now Nov 27 and I still do not have my money. It doesnt take 12 days for a piece of mail to get to ******** ** from ****** **. This has been ongoing since July! I was first told it would take 30 days to get my refund. It has been 5 months and I still dont have it. This is totally unacceptable. I am asking for my money to be sent by overnite mail and provided a tracking number showing when it was mailed and where it was mailed to. I have provided my current address each time I spoke to a customer service rep. I have spoken to ***********************, Supervisor and to ***********************************, Manager who is over billing but they have not been helpful in getting my refund. Thank you for your assistance in this matter.Customer Answer
Date: 11/30/2023
I was told November 15 that check was issued November 20th. I was told November 27th the check has not been mailed. It is now November 30th and a check has not been received. I was told more than once when the check was issued it would be overnited to me, that has not happened.
This has been ongoing since July. I am told one lie after another. I paid my invoice within 7 days of receiving it but cant get my refund for overpayment 5 months later. This is beyond ridiculous.
I am not satisfied with the response given by *******************************. I expect my check to be overnited to me and given a tracking number.
Thank you for your assistance in this matter.
Customer Answer
Date: 12/05/2023
Please provide the status of my complaint against this business. This is December 5th and I still havent received my refund that was due in July.
Thank you.
Business Response
Date: 02/20/2024
To Whom It May ********************* you for bringing *********************** concerns to our attention. Attached please find our response to ********************** complaint.
We ask that the enclosed not be posted to your website or any public media site, as it may contain protected health information.Thank you,
*******************
Paralegal
Initial Complaint
Date:11/21/2023
Type:Billing IssuesStatus: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.
Tried to collect on death ******** *********** fails to follow up and return phone calls or respond to emails, you can't contact anyone. they have no intention of paying out the claim or contacting me about the claim I have emails that show that ******* was even dropped from the case and a new rep took over and they again asked me to send the same document I already sent. they are likely to do this for months.Business Response
Date: 01/03/2024
To Whom It May ********************* you for bringing ************************* concerns to our attention. Attached please find our response to the same.
We ask that the enclosed response not be posted to your website or any public media site as it may contain protected health information.Initial Complaint
Date:09/07/2023
Type:Billing IssuesStatus: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 visited the ** because I was told by ***************** that their system was down for lower back pain and needed to go to **************************************. Emergency room$4,346.00 - This is the timeline I arrive at ** ~11 am - Get my blood pressure taken, weight and asked by a RN about allergies who just scribbles on paper nothing legible has written - After gruesome wait of 100+ minutes At 12:40p doctor calls me in makes me stand in the corridor analyzes me under 7 minutes I am sent home with 2 tablets of vicodin and prescription and doctor recommendation to go visit a spine specialist. - The way RN handled the medicines without cleaning, sanitizing his hands and the cup of water with hands all over the rim.There was no X-RAY, no MRI scans, or NO CT Scans, no linens usage, no gauges, no injections or syringes, not even cotton needed, no food forget about that I do not even have an ** ROOM allocated to be cleaned after so what are the charges for **** ?Waiting in Reception and standing in the ** Corridor for 7 mins I was charged **** dollarsBusiness Response
Date: 09/18/2023
Dear ************,
Thank you for bringing your concerns to our attention. At this time your account is under review. Please allow additional time for our investigation to be completed.
Business Response
Date: 09/22/2023
To Whom It May ********************* you for bringing ******************** concerns to our attention. Attached please find additional information we would appreciate you forwarding to *************
We ask that the enclosed response not be posted to your website or any public media site as it
may contain protected health information.
If you have any questions regarding the response to ***********, please feel free to contact our
office at **************.
Sincerely,
JuMahni *******
JuMahni *******
Legal ClerkCustomer Answer
Date: 09/29/2023
I am rejecting this response because:
High Deductible plans I understand and have had it for long but I am not given any rooms what am I getting charged for standing in corridor and being sent home with vicodin/oxycontin drug which is nothing but a glorified coccaine.
Please do not give me standard response
Please fee free call me at ************ and explain me in detail please do not re iterate that everything is accurate because it does not justify the charge of ****+ on literally no examination of xray or any room. I would be open to meet in person.
To BBB the phone number they give is a toll free number which just goes from one agent saying the same thing to another and nothing else.
All I am asking is give me the break down charges of the **** dollars. Because 150 $ for tablets I understand which costs 40 cents for 10 tablets on my rx plan and ******************** corridor is not an explanation and is a irrelevant charge.
Kindly revaluate the charge of the corridor use.
Thank You,
*******************
Business Response
Date: 10/04/2023
To Whom It May ************************ you for bringing ******************** concerns to our attention. Attached please find our
response to same.We ask that the enclosed response not be posted to your website or any public media site as it
may contain protected health information.If you have any questions regarding the response to ************, please feel free to contact our
office at **************.Sincerely,JuMahni *******
JuMahni *******
Legal ClerkInitial Complaint
Date:07/04/2023
Type:Billing IssuesStatus: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.
Conifer Health agents have mislead and mishandled my paperwork resulting in damage to my credit, all while I'm being treated for breast cancer. 1. Requested financial aid packets at least 12 times. They were never sent until two days before two of my accounts were sent to collections. (Records with their company claim I never requested forms, but I have it in writing. Now at least 8 forms have been mailed out.2. After submitting financial aid, Conifer Health was supposed to forward my application to Fransciscan Health/*************************** to put my physician bills on hold. They informed me this had happened yet I learned from Fransciscan, it never did. Because of this, two more accounts were sent to collections. Prior to this, I had perfect credit. Not it's dropped at least 4 points twice.I have been given different information from every agent I've spoken to, Every single one of them has been incompetent and undertrained. I have had to spent at least 30 hours on the phone trying to straighten out my bills. They lie and tell me they live in my home town when clearly they are outsourced.Customer Answer
Date: 07/05/2023
I believe this has been resolved. Spoke with one of the company directors who is working with me. Please remove complaintInitial Complaint
Date:01/21/2023
Type:Order IssuesStatus: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.
Conifer has taken over as a provider for ******** in the California central valley. I have informed Conifer that they do not have contracted providers for a number of specialties (retinal, corneal, rheumatology to name a few) because they do not want to pay decent rates to providers. This has caused people to have to drive over two hours away to go to an out of network provider who will accept a LOA with them. In addition to this the LOA will take MONTHS because Conifer will not communicate with the hospitals to finalize a contract. Per ********s timely service rules this is unacceptable. I have written the CEO and many other contacts for a year with no effort to correct this lack of care.Initial Complaint
Date:12/02/2022
Type:Billing IssuesStatus: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.
Conifer Health is very difficult to work with. I am the POA for my 93 year old mother who lives in assisted living. She has had to go to the hospital multiple times within the past 1-2 years. I understand that they have to have the POA document on file in their system to be able to talk to me, but they can't seem to keep it in their system. I have sent the POA in to them 6 times and they still do t have it in their system. None of the people there speak English as a first language and there may be some issues with comprehension but that is no excuse for the way they do business. They will not let you speak to a supervisor to try to resolve the issue. This is unacceptable. These are the dates and places the POA was sent: 8/12/22 mailed to P.O. Box XXXXXX ****** ***** XXXXX per ******* at Conifer. It was also sent to P.O. Box XXXXXX ******* ******* XXXXX. On 9/2/22 I was told they didn't have it so I sent it again to P.O. Box XXXXXX ******* ******* XXXXX. On 9/23/22 ****** from Conifer told me they didn't have it so it was faxed to XXX-XXX-XXXX. On 9/26/22 ****** said they didn't have it. I called today 12/2/22 and they still don't have it. I was told to send it yet again to XXX-XXX-XXXX by ****** Then ****** told me to email it to ***************@ConiferHealth.com. I also hand-carried a copy of the POA to my local hospital and was told it would be in the system for all to see.Business Response
Date: 03/16/2023
Business Response /* (1000, 5, 2022/12/16) */ Dear Ms. *****: This letter is being sent in response to your communication to the Better Business Bureau, case# XXXXXXXX, regarding your mother's account. ************************ makes every effort to provide excellent customer service and to meet the needs of our patients. We take customer service seriously and strive to treat everyone with respect and kindness, which includes figuring out how to best assist our patients. Clearly, you believe we have fallen short in this area and that is not the experience we want you to have. Our records indicate you have made several attempts to send in your POA documents for your mother's accounts without success. We truly apologize for this inconvenience. We would like to assure you we will be looking into how this may have happened and make recommendations for the appropriate training adjustments to ensure it does not continue. Concerning your POA documents specifically, we would like to handle this matter directly if you would send the materials directly to us at the fax number (XXX) XXX-XXXX. This fax number comes directly to our legal department and we will make it my priority to enter the paperwork into all of your mother's accounts. Please be sure to include a list of your mother's accounts so we may enter it into all of them. We will also notate each account that a POA has been received and scanned to every account. We apologize for any inconvenience this may have caused. If you have any questions or additional concerns regarding the hospital bill, please feel free to contact our billing office at (XXX) XXX-XXXX.
Conifer Health Solutions, LLC is NOT a BBB Accredited Business.
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