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This profile includes reviews for C2C Innovative Solutions's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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  C2C Innovative Solutions

  301 W Bay St 11th Floor Jacksonville, FL 32202

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  C2C Innovative Solutions

  PO Box 45309 Jacksonville, FL 32232

Review Details

• Review fromJose A

  Date: 07/18/2025

  1 star
  Unprofessional, they never call back even after leaving a message. Make decisions on peoples livelihood and health coverage with no knowledge. How are they a contractor for ******** and insurance giants???

• Review fromSandra D

  Date: 06/30/2025

  1 star
  Terrible service terrible attitude takes forever to get a hold of anyone I don't feel they should be in charge of any ******** decision whatsoever. I felt there was a clear bias when I spoke with them. I do not think they do a very thorough investigation. I feel they spin out letters and that is it. The decision made in my case should have been made by a professional ******** person or a professional ******** qualified agency. The letters they said I they sent, I do not think I received them.

  C2C Innovative Solutions

  Date: 07/08/2025

  BBB We are in receipt of your inquiry regarding the above referenced complaint that was filed with your bureau. Unfortunately, we are not able to respond with any specific information regarding the complainant and/or the circumstances in the complainants letter since your inquiry was not accompanied by a signed authorization for release of Personally identifiable Information (PII) and Protected Health Information (PHI). We are prohibited from releasing any such information without signed authorization to do so. Accordingly, we will provide a general response to your bureau and a more specific response to the complainant directly.We are an Independent Review Entity (***) contracted with the ****************************************** (***) to adjudicate ******** ****** prescription drug benefit appeals and Late Enrollment Penalty (LEP) appeals on behalf of ***. Our jurisdiction is national. We work for the ****************************************** (***) and our charge is to provide independent on-the-record reviews and issue decisions for appeals filed with C2C Innovative Solutions, **** We adjudicate appeals in accordance with provisions set forth in the Social Security Act, CMS regulations, and CMS manuals. The *** regulations provide several levels of appeal that are available to ******** ****** beneficiaries who disagree with denials they may receive pertaining to ****** Late Enrollment Penalty (LEP). Level one is the ****** plan level. Level 2 is the *** (our company) level. ******** beneficiaries have the right to avail themselves of this step-by-step process and appeal denied services. When we issue a Level 2 denial for ****** services pertaining to LEP, we include detailed information in our letters.I hope that this letter provides some clarity on who we are and our responsibilities on behalf of the *******************ENROLLEE We are in receipt of your inquiry regarding the above referenced complaint that was filed with your bureau. We are an Independent Review Entity (***) contracted with the ****************************************** (CMS) to adjudicate ******** ****** prescription drug benefit appeals and Late Enrollment Penalty (***) appeals on behalf of ***. Our jurisdiction is national. We work for the ****************************************** (***) and our charge is to provide independent on-the-record reviews and issue decisions for appeals filed with C2C Innovative Solutions, **** We adjudicate appeals in accordance with provisions set forth in the Social Security Act, CMS regulations, and CMS manuals. The *** regulations provide several levels of appeal that are available to ******** ****** beneficiaries who disagree with denials they may receive pertaining to ****** Late Enrollment Penalty (LEP). Level one is the ****** plan level. Level 2 is the *** (our company) level. ******** beneficiaries have the right to avail themselves of this step-by-step process and appeal denied services. When we issue a Level 2 denial for ****** services pertaining to LEP, we include detailed information in our letters pertaining to the decision. Our quality team has reviewed your inquiry and determined that your case was not reopened because the request was received outside of the 180-day window. The original decision letter was sent in ********************************************** 2025. Per ******** rules, a case may be reopened within 180 days of the date of the Reconsideration decision letter. Our team is mailing out a separate copy of the original decision to your current address for your records.I hope that this letter provides some clarity on who we are and our responsibilities on behalf of the *******************

  Sandra D

  Date: 07/10/2025

  Part of that reasoning was I had been inquiring between Social Security and ******** and the insurance Humana and security health, after the penalty started., to find out who levied the penalty. I was also told that at 65 penalty goes to zero. The entire process is nothing but confusing. And no one tells you when you start ******** early that this will happen. It also believe at that time my son had blown off his fingers and my other one gets migraines so if I received the letter it may have slipped my mind as to what to do seeing as I was not on very heavy medications. Thank you for your time

  C2C Innovative Solutions

  Date: 07/15/2025

  ******** is the entity who charges the ***, even if an insurance company might be administering the charge. At the point someone has both ******** Part A and ******** Part B, they are required to also have ******** ******************** Drugs), either through ******** or creditable, comparable prescription drug coverage from someone else. So when someone has both ******** Part A and Part B is the point the penalty begins. If you need more details, such as the specific time period from which ******** is basing the *** amount, you can call ******** at **************. When they ask what the call is is regarding, say "Late Enrollment Penalty." They will ask for your ******** member number and you can proceed from there, asking them your queries re the ***, such as the exact time period of your *** and your other questions about the program.

  Sandra D

  Date: 07/16/2025

  My opinion of this business stands when I contacted them they acted exactly as I said in the complaint , rude failed to get in touch acted like I was a bother . And took a unreasonable amount of time to reach a decision . Very uninformative whether I had a penalty or not I would not recommend this business .

• Review fromNancy G

  Date: 04/14/2025

  1 star
  I'm in disbelief that my health lies in the hands of this company! The prescription I need is not on my AETNA-CVS plans formulary. Did an appeal because there is no substitute. Rejected by ***** both times. Then on to C2C "Innovative" Solutions. (I used quotes because innovative is not the right word for this group.) You would think this would be a fresh look at your request, but unfortunately it feels like dealing with a typical bureacracy. Calls go to dead lines, then sometimes calls go to voicemail, then you leave messages, but never any return calls, etc. etc. They did an immediate denial of my appeal and didn't even give a reason or any relevant information other than a multi-page single-spaced unclear instruction diatribe on what to do for further appeal. Why do I just know it won't be worth the effort? Seriously such a disappointment. Can't believe my health lies in the hands of someone just sitting at some desk, vs. my doctor's medical training and knowledge of my specific situation. I honestly can't believe I'm at this point. I can't even get the prescription I need without paying $890 per month. (And don't even get me started on the sham of a Part D policy that AETNA-CVS provides, and charges plenty for.)

  C2C Innovative Solutions

  Date: 04/15/2025

  We are in receipt of your inquiry regarding referenced complaint #****** that was filed with your bureau. Unfortunately, we are not able to respond with any specific information regarding the complainant and/or the circumstances in the complainants letter since your inquiry was not accompanied by a signed authorization for release of Personally identifiable Information (PII) and Protected Health Information (PHI). We are prohibited from releasing any such information without signed authorization to do so. Accordingly, we will provide a general response to your bureau and a more specific response to the complainant directly.We are an Independent Review Entity (***) contracted with the ****************************************** (***) to adjudicate ******** ****** prescription drug benefit appeals and Late Enrollment Penalty (LEP) appeals on behalf of ***. Our jurisdiction is national. We work for the ****************************************** (***) and our charge is to provide independent on-the-record reviews and issue decisions for appeals filed with us. We adjudicate appeals in accordance with provisions set forth in the Social Security Act, CMS regulations, and CMS manuals. The *** regulations provide several levels of appeal that are available to ******** ****** beneficiaries who disagree with denials they may receive pertaining to ****** prescription drug benefits. Level one is the ****** plan level. Level 2 is the *** (our company) level. Level 3 is the Administrative Law Judge (***) level. Level 4 is the ******** Appeals Council level. Level 5 is Federal court. ******** beneficiaries have the right to avail themselves of this step-by-step process and appeal denied services that they believe should be covered under the ******** rules. When we issue a Level 2 denial for ****** services pertaining to prescription drug benefits, we include detailed information in our letters on how to appeal to the next level, which is the *** level of appeal. I hope that this letter provides some clarity on who we are and our responsibilities on behalf of the *******************

• Review fromCheryl K

  Date: 03/29/2025

  1 star
  C2C gave me an unfavorable response to my LEP appeal with no further appeal allowed. *** dropped my health coverage for five months without any notice and now I am forced to pay a LEP penalty for the rest of my life. I suppose I should feel lucky that I caught UHCs mistake when I did or I could be paying a much higher penalty for life!!!

  C2C Innovative Solutions

  Date: 04/04/2025

  We are in receipt of your inquiry regarding the above referenced complaint that was filed with your bureau. Unfortunately, we are not able to respond with any specific information regarding the complainant and/or the circumstances in the complainants letter since your inquiry was not accompanied by a signed authorization for release of Personally identifiable Information (PII) and Protected Health Information (PHI). We are prohibited from releasing any such information without signed authorization to do so. Accordingly, we will provide a general response to your bureau and a more specific response to the complainant directly.We are an Independent Review Entity (***) contracted with the ****************************************** (***) to adjudicate ******** Part D prescription drug benefit appeals and Late Enrollment Penalty (LEP) appeals on behalf of ***. Our jurisdiction is national. We work for the ****************************************** (***) and our charge is to provide independent on-the-record reviews and issue decisions for appeals filed with us. We adjudicate appeals in accordance with provisions set forth in the Social Security Act, CMS regulations, and CMS manuals. The *** regulations provide several levels of appeal that are available to ******** Part D beneficiaries who disagree with denials they may receive pertaining to Part D prescription drug benefits. Level one is the Part D plan level. Level 2 is the *** (our company) level. ******** beneficiaries have the right to avail themselves of this step-by-step process and appeal denied services. I hope that this letter provides some clarity on who we are and our responsibilities on behalf of the *******************

• Review fromDONDA S

  Date: 03/21/2025

  1 star
  Apparently, it seems while waiting 4-6 months for life threatening medications for yourself isn't as important to C2C. The company doesn't return calls, etc. I swear, this is a nightmare and I feel like my mental state is leaving me while trying to get my medications for ******************* for my gastric pacemaker and other medical issues. This company is really helpful. I used to be really happy but now, I can't get out of bed!

  C2C Innovative Solutions

  Date: 03/25/2025

  We are in receipt of your inquiry regarding the above referenced complaint that was filed with your bureau. Unfortunately, we are not able to respond with any specific information regarding the complainant and/or the circumstances in the complainants letter since your inquiry was not accompanied by a signed authorization for release of Personally identifiable Information (PII) and Protected Health Information (PHI). We are prohibited from releasing any such information without signed authorization to do so. Accordingly, we will provide a general response to your bureau and a more specific response to the complainant directly.We are an Independent Review Entity (***) contracted with the ****************************************** (***) to adjudicate ******** ****** prescription drug benefit appeals and Late Enrollment Penalty (LEP) appeals on behalf of ***. Our jurisdiction is national. We work for the ****************************************** (***) and our charge is to provide independent on-the-record reviews and issue decisions for appeals filed with us. We adjudicate appeals in accordance with provisions set forth in the Social Security Act, CMS regulations, and CMS manuals. The *** regulations provide several levels of appeal that are available to ******** ****** beneficiaries who disagree with denials they may receive pertaining to ****** prescription drug benefits. Level one is the ****** plan level. Level 2 is the *** (our company) level. Level 3 is the Administrative Law Judge (***) level. Level 4 is the ******** Appeals Council level. Level 5 is Federal court. ******** beneficiaries have the right to avail themselves of this step-by-step process and appeal denied services that they believe should be covered under the ******** rules. When we issue a Level 2 denial for ****** services pertaining to prescription drug benefits, we include detailed information in our letters on how to appeal to the next level, which is the *** level of appeal. I hope that this letter provides some clarity on who we are and our responsibilities on behalf of the *******************

• Review fromStephen P

  Date: 10/31/2024

  1 star
  I echo ***** S's review of the corrupt frauds at C2C Innovative Solutions in her review exactly, with some additional info: I submitted my Part D LEP appeal via **** Certified Mail on 5/24/2024. *** picked it up from the ** in ************, **, on 5/30/2024. Today is 10/31/2024 (appropriate because its Halloween and C2C are the sole, monstrously incompetent, and pharmaceutical-industry owned-and-operated arbiters of Part D LEP appeals). So, it has been almost exactly 5 months, and I have not received any communications from *** at all: no adjudication, no assignment of a case # (so that I could try to get info from the website), no contact # for me to call them. As far as I know, C2C has simply discarded my appeal. And, Wellcare (WC), my Part D insurer, has been worse than no help at all: WC impeded my appeal by falsely claiming (to me AND TO A MEDICARE AGENT ON A CONFERENCE CALL) that they had sent me the paper appeal forms in the mail 3 TIMES over the course of 2 months! Today, WC said that they had declined to respond to *** regarding my appeal FOR THE VERY REASON I APPEALED! They refused to provide me with a means by which to speak with a human at ***, and stated that I could keep resubmitting my appeal to C2C and hope that *** might respond some day. A note on Part D (and probably ********** Advantage as well): ******** denies virtually any responsibility for enforcing any of the regulations that allegedly govern this private insurance. C2C is an arbiter selected by the Part D insurers and the pharmaceutical industry, as a cat's paw to deny Part D LEP and coverage claims. They are not responsible to ********* SSA, of the US **** of HHS, or ******** recipients. They are incentivized to deny (or simply ignore) LEP appeals, particularly because the *** IS NOT ASSESSED, COLLECTED, OR RETAINED by any government agency, but rather by the Part D insurer ALONE. Our Republican and Democratic representatives legislated and perpetuate this travesty.

  C2C Innovative Solutions

  Date: 11/05/2024

  We are in receipt of your inquiry regarding the above referenced complaint that was filed with your bureau. Unfortunately, we are not able to respond with any specific information regarding the complainant and/or the circumstances in the complainants letter since your inquiry was not accompanied by a signed authorization for release of Personally identifiable Information (PII) and Protected Health Information (PHI). We are prohibited from releasing any such information without signed authorization to do so. Accordingly, we will provide a general response to your bureau and a more specific response to the complainant directly.We are an Independent Review Entity (***) contracted with the ****************************************** (***) to adjudicate ******** ****** prescription drug benefit appeals and Late Enrollment Penalty (LEP) appeals on behalf of ***. Our jurisdiction is national. We work for the ****************************************** (***) and our charge is to provide independent on-the-record reviews and issue decisions for appeals filed with C2C Innovative Solutions, **** We adjudicate appeals in accordance with provisions set forth in the Social Security Act, CMS regulations, and CMS manuals. The *** regulations provide several levels of appeal that are available to ******** ****** beneficiaries who disagree with denials they may receive pertaining to ****** Late Enrollment Penalty (LEP). Level one is the ****** plan level. Level 2 is the *** (our company) level. ******** beneficiaries have the right to avail themselves of this step-by-step process and appeal denied services. When we issue a Level 2 denial for ****** services pertaining to LEP, we include detailed information in our letters pertaining to the decision and next steps if the beneficiary disagrees with the letter.I hope that this letter provides some clarity on who we are and our responsibilities on behalf of the *******************

• Review fromPatty S

  Date: 03/06/2024

  1 star
  They really shouldnt get any stars! What a crappy company! However, I did not choose to work with them, ****************** did. I have been receiving bills from Regence for 3 months now for a late enrollment fee for ******** Part D, which we should not be charged. Over a month ago I submitted a *********** Enrollment (LEP) Reconsideration Request Form to C2C as instructed by Regence. I still have not received confirmation that C2C has even received the request. In addition, when I call C2C it is impossible to get a human on the line. You can only leave your info and hope for a call back at some point. If you miss that call, youre screwed, and the process begins again. They publish no email address, but instead simply a web portal address, which has no way to contact them other than by mail to the street address. They do have a fax number. Welcome to the 1990s! I do not expect this to be resolved soon, and will continue fighting with C2C and Regence. I love the American medical system, dont you?

  C2C Innovative Solutions

  Date: 03/08/2024

  We are in receipt of your inquiry regarding the above referenced complaint that was filed with your bureau. Unfortunately, we are not able to respond with any specific information regarding the complainant and/or the circumstances in the complainants letter since your inquiry was not accompanied by a signed authorization for release of Personally identifiable Information (PII) and Protected Health Information (PHI). We are prohibited from releasing any such information without signed authorization to do so. Accordingly, we will provide a general response to your bureau and a more specific response to the complainant directly.We are an Independent Review Entity (***) contracted with the Centers for ******** and ******** Services (***) to adjudicate ******** Part D prescription drug benefit appeals and Late Enrollment Penalty (LEP) appeals on behalf of ***. Our jurisdiction is national. We work for the Centers for ******** and ******** Services (***) and our charge is to provide independent on-the-record reviews and issue decisions for appeals filed with C2C Innovative Solutions, **** We adjudicate appeals in accordance with provisions set forth in the Social Security Act, *** regulations, and *** manuals. The *** regulations provide several levels of appeal that are available to ******** Part D beneficiaries who disagree with denials they may receive pertaining to *********** Enrollment Penalty (LEP). Level one is the Part D plan level. Level 2 is the *** (our company) level. ******** beneficiaries have the right to avail themselves of this step-by-step process and appeal denied services. When we issue a Level 2 denial for Part D services pertaining to LEP, we include detailed information in our letters pertaining to the decision and next steps if the beneficiary disagrees with the letter.I hope that this letter provides some clarity on who we are and our responsibilities on behalf of the *******************

• Review fromDiana H

  Date: 03/05/2024

  1 star
  After my review I received a call from **** with C2C who offered to make my appeal that wasnt actually made by me go away or fix it. I faxed him at his request some 21 pages of information. He expressly requested information from 2006-2011. He said he had the rest all worked out. I got a letter from them yesterday saying my case had been reopened but then I got a call from my new insurance company saying C2C was waiting for information from me. Im very confused and again feel like no one is watching whats going on. They are contracted by ******** but ******** is not responsible for them. You cant file a grievance against them, only ********. And ******** says you have to call C2C and hope you get a call back.

  C2C Innovative Solutions

  Date: 03/08/2024

  We are in receipt of your inquiry regarding the above referenced complaint that was filed with your bureau. Unfortunately, we are not able to respond with any specific information regarding the complainant and/or the circumstances in the complainants letter since your inquiry was not accompanied by a signed authorization for release of Personally identifiable Information (PII) and Protected Health Information (PHI). We are prohibited from releasing any such information without signed authorization to do so. Accordingly, we will provide a general response to your bureau and a more specific response to the complainant directly.We are an Independent Review Entity (***) contracted with the Centers for ******** and ******** Services (***) to adjudicate ******** Part D prescription drug benefit appeals and Late Enrollment Penalty (LEP) appeals on behalf of ***. Our jurisdiction is national. We work for the Centers for ******** and ******** Services (***) and our charge is to provide independent on-the-record reviews and issue decisions for appeals filed with C2C Innovative Solutions, **** We adjudicate appeals in accordance with provisions set forth in the Social Security Act, *** regulations, and *** manuals. The *** regulations provide several levels of appeal that are available to ******** Part D beneficiaries who disagree with denials they may receive pertaining to *********** Enrollment Penalty (LEP). Level one is the Part D plan level. Level 2 is the *** (our company) level. ******** beneficiaries have the right to avail themselves of this step-by-step process and appeal denied services. When we issue a Level 2 denial for Part D services pertaining to LEP, we include detailed information in our letters pertaining to the decision and next steps if the beneficiary disagrees with the letter.I hope that this letter provides some clarity on who we are and our responsibilities on behalf of the *******************

• Review fromDiana H

  Date: 02/06/2024

  1 star
  I only have them a because I had to. I was sending my private information to my ******** drug company I had just enrolled in. They wanted my drug coverage prior to enrollment. I was given a number and told by ******** it was the fax for the enrollment department for my company. I sent it with a cover letter addressed to Amerivantage. If this is not the correct number please call me and added my number. It was not. It was C2C. I then called my company after finding out they had not received my fax and mailed that information and more I had received and found so they could determine if had to pay a penalty. I received a letter from C2C saying they had received my appeal. I called and informed I had not filed an appeal with them and that it was not for them while I was told it was all wrong. I explained it wasnt for them please disregard. I still had not received my initial determination from my drug company from my information which was late but still proved I had coverage. They went ahead and used my private personal information not addressed to them to file an appeal on my behalf. My drug company sent a letter determining I did not owe a penalty. Then after C2Cs appeal I now owe 54$ a month as a penalty despite having had drug coverage for all 18 yrs they claim I did not. Despite 2 more calls to C2C of which one person hung up on me when I repeatedly stated it was not addressed to you. I called back for a supervisor and never received a call back. I believe they used my private personal information illegally. Im still looking into how to even contact the company to file a complaint. They are not ******** which leaves no one to police them. But Im looking.

  C2C Innovative Solutions

  Date: 02/16/2024

  C2C Innovative Solutions, **** has reached out to ************************* and have agreed to reopen her case with new documentation she is going to provide (2/16/24).

• Review fromRhonda E

  Date: 11/03/2023

  1 star
  I'm a provider and this company does an independent review of ******** claim denials. ******** normally pays for collagen dressings for wound care patients. I have a ******** DME number. So, a patient has a wound that was billed and office visit with a collagen dressing her 1st visit. On her 3rd visit another collage dressing was dispensed. ******** denied the collagen dressings that are dispensed for her convenience to do her dressing changes at home. Of course, I know my private doctors office is cheaper for wound care than a ****************** So, I will not offer this convenience to my ******** patients due to the denial for these dressings. This company states there is invalid or missing documents. The office notes states the presence of a wound and the need for this dressing. Of course this company denied the dressings due to be billed the same day as an office visit. Usually they will not pay for the dressings when billed with a procedure but no other procedure was billed, only an office visit. So I called this company to see what was the invalid documentation and no return calls. Very poor company and ******** for denying this in the first place when the do cover these dressings.

  C2C Innovative Solutions

  Date: 12/20/2023

  A C2C staff member reached out to the complainant's patient: "I called the patient and she understands that they billed the service to the wrong MAC (Palmetto RR ******** B). I explained if they believe it was *** they should bill the service to the *** MAC and that *** MACs are not our jurisdiction and she understood and thanked me for the call. I gave her my name and number for her records and she said she understands the disconnect." A letter was mailed to the ****** on 10/26/2023 explaining the denial and we also spoke with the ****** on the phone.