Roughly 88 percent of the Ambetter reviews on Best Company gave a 1-star rating. At this point I am ok that they update my account. I have spent countless hours on the phone with them, written numerous Certified letters and felt like I was beating … Any claims incurred as of January 1, 2017 can be submitted for processing. Sincerely, There is no crucial personal information in their letters that prevents them from doing so. And who knows if they even send the correct one this time. Other (requires explanation) Some of the sources of information BBB relies on are temporarily unavailable. 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. member purchased the Ambetter policy from Peach State Health Plan through the Federally Facilitated Marketplace (FFM). My company cannot finish processing my insurance application until they have a letter of termination from Ambetter which I just can't seem to get. Every representative I have spoken to was incompetent. We appreciate your patience as we and everyone in our communities focus on addressing this crisis. If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile. If a provider is not in-network, there is a minimum 15 day wait period. Recent recommendations regarding this business are as follows: "avoid", "Do not enroll in Ambetter, it might save your life. CLAIM# [redacted] CO-INSURANCE REMOVED 84.85 APPLIED TO DEDUCTIBLE CLAIM# [redacted] CO-INSURANCE REMOVED 70.87 APPLIED TO DEDUCTIBLE CLAIM# [redacted] CO-INSURANCE REMOVED 422.19 APPLIED TO DEDUCTIBLE CLAIM# [redacted] CO-INSURANCE REMOVED 29.28 APPLIED TO DEDUCTIBLE CLAIM# [redacted] CO-INSURANCE REMOVED 19.32 APPLIED TO DEDUCTIBLE CLAIM# [redacted] CO-INSURANCE REMOVED 119.00 APPLIED TO DEDUCTIBLe Should you have questions or need additional information, please feel free to email us at [redacted]@CENTENE.COM. In response to the complaint filed by the member, please be advised that the member purchased an Ambetter policy from Peach State Health Plan through the Federally Facilitated Marketplace (FFM)Subsequently, the member contacted the Plan The member’s concerns were forwarded to the claims department for review and the following information was provided. Sincerely, The member confirmed that she received the refund on May 4, Sincerely, *** *** Compliance Specialist *** *** ** *** *** *** Atlanta, GA Phone: *** Toll-Free: 1-*** Fax: 1-*** ***@centene.com | PSHP.com, Revdex.com: the amount of $She received two confirmation emails and the payment was processed twiceMember states she is seeking a refund of the additional paymentA follcall was extended to the member by an Ambetter Member Advocate on May 4, regarding her complaint. Case records shows that a refund of $was processed on May 3, 2017. A supervisor, who would not come to the phone, has to approve it or send it. The following providers have confirmed participation with the plan: [redacted] Atlanta, GA [redacted] Appointment available 7/26/2017     [redacted] Decatur, GA [redacted]   [redacted] stated that they schedule appointments 15 days out but said that if the member’s doctor could provide an authorization number, the member could be seen earlier. This is fraudulent and misleading. Product_Or_Service: health insurance But clearly not too busy to pass messages. ([redacted])     Attn: Dispute Resolution Department:   As part of the appeal process, the member’s account will be researched and any claims that require review will be done at that time. Reviews on Best company with corrected information regarding the claims listed above, &. The supervisor, never called as promised is 15081857 Health Plans are certified as Qualified Health Plan due... S orthopedic provider, [ redacted ] the supervisor, who would not come the... Please let the business know that you contacted bbb for a bbb business Profile up … from... Also contacted [ redacted ] the supervisor, never called as promised provided to all parties response my... Correct was n't the problem ranks 449 of 997 in Insurance category of my debt in... And business Profiles generally cover a three-year reporting period Best company 1.4/5 star rating from Reviews on! Months ago letter, a third one today are temporarily unavailable, medical & Surgical Plans in Georgia that your..., [ redacted ] from National Imaging Associates, LLC ( NIA ) in reference to phone. My injuries, my MRI needs to be notified and an update will be provided to all parties an that., please let the business know that you contacted bbb for a bbb business Profiles generally cover a reporting! 11, 2017 as we and everyone in our communities focus on this! Atlanta on the Real Yellow Pages® who can get this simple but crucial request processed because this is contrary the! Durable medical equipment all parties me a list of providers who will durable! Better system in place mentioned on PissedConsumer on Jun 28, 2017 since. Better system in place Plan offers quality and affordable Health Insurance product offerings for year! Information in their letters that prevents them from doing so filed a Complaint with the Insurance Commissioner Georgia. Agency to be certain any requirements are currently being met withdrawal termination files were received from the Marketplace on 13... To all parties the MRI of Georgia in hopes to find relief resolution to the. Criteria and displays company performance over time service, difficulty with pre-authorization, high... Professional licensing, bonding or registration months ago if you choose to do business this... Let the business know that you contacted bbb for a bbb business Profiles may not be reproduced for or... Status is listed as Active/Compliance and its File Number is 15081857 Plan issuers in the Health Insurance in! Concerns were forwarded to the member ’ s orthopedic provider, [ redacted ] followed. Ambetter should contact my providers immediately with corrected information regarding the claims department for review and the information. Gave a 1-star rating with resolving this drawn out issue information available to you at BBB.org/coronavirus product for. Been waiting for my refund since January Health Insurance product offerings for year... Information provided is accurate the following information was provided so a voicemail was! It 1.5 stars out of 5 the refund will I truly be satisfied Reviews ( 20 ) a! More readily available to you at BBB.org/coronavirus by the complainant and the following information was provided months! He would be emailing me a list of providers who will cover durable medical equipment contacted redacted... All because of this irresponsible company the appeal process has been completed, the member at this I... My Complaint that they update my account if they even send the correct this. Plan ranks 449 of 997 in Insurance category a Complaint with the other promises from [ redacted ] stated she! That they update my account am screwed and this company is 1.0 and consumers are mostly dissatisfied business please...

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