Complaints

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.

• Initial Complaint

  Date:12/20/2024

  Type:Customer Service 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.

  ***** ****** <**********************************************************************>
  Attachments
  12:18 PM (54 minutes ago)
  to **********************************************************************************************
  
   
  
   
  
  ***** ******
  
  Assistant Vice President/Underwriter
  
  **************************************
  
  ***************, *******; 62864
  
  *************
  
  Fax **************

  Business Response

  Date: 12/19/2024

  Good afternoon Ms. ****************** have created case # ******* for Ms. ******** concerns. However, with the complaint information we received, I am unable to locate a policy associated with Ms. ******** daughter ********.  Please contact the complainant and verify if their concerns are associated with ********** or another carrier? In order to proceed, please have the complainant to provide the Nationwide/Allied policy number and the Nationwide/Allied policyholder's address on file.
  
  I will retain your file until the requested information is received or for 2 days, whichever occurs first. If you have any questions, please call ************** and refer to the case number above.
  
  Nationwide is On Your Side.

  Thank you!

   

  ******* ******

  Customer Answer

  Date: 12/19/2024

  Im not sure where nationwide came from it has always been allied insurance I have attached the card

  Business Response

  Date: 12/20/2024

  Better Business Bureau Of Columbus ****
  **************
  ******************-2540
  
  
  December 20, 2024
  
  
  Nationwide OCR Ref # *******
  
  
  Dear Better Business Bureau Of Columbus ****:
  
  We believe complaint ID # ******** for complainant ***** ****** was sent to Nationwide in error. This complaint is related to a health insurance claim with a different carrier. The other carrier is perhaps Allied Benefit Systems or Allied National, not Allied Insurance an affiliate of Nationwide Insurance. 
  
  Sincerely,
  
  ******* ******
  Nationwide Insurance
  Customer Relations Coordinator
  **************

  Customer Answer

  Date: 12/20/2024

  ****************

   

  *******************************************************************************************************

  Customer Answer

  Date: 12/20/2024

  ****************

   

  *******************************************************************************************************

  Customer Answer

  Date: 12/20/2024

  I have been fighting with them on my daughters behalf since late September early October. My daughter is over 18 and she has given permission for me to talk to her insurance. She has allied through her employer. I kept her on my family plan as secondary. Allied refused to pay because even though every person I have talked to admits allied should be primary they say they are secondary. Which is also what my insurance says. Allied wont return a call or reach out to the secondary insurance to coordinate benefits. ******** is being threatened my service providers that they are going yo turn her account over to collections if no payment is made. Allied has continued to accept her premium with no payments being paid out.

  Business Response

  Date: 01/07/2025

  Hi *****,
  
  We appreciate the opportunity to address your concerns and want to assure you that this matter has been escalated to our client service representatives for resolution. We are actively working to investigate and rectify the issue youve described.  
  
  Due to privacy regulations, we cannot share specific details through this platform, but please know that we are committed to ensuring your daughters account is handled appropriately. Our team will reach out to you both directly with updates and next steps.  
  
  Thank you for your patience as we work to resolve this matter. If you have any additional questions, we encourage you to contact our member services team directly for further assistance.  
  
  Sincerely,
  Allied **************** Team

  Customer Answer

  Date: 01/08/2025

   
  Complaint: 22701714
  
  I am rejecting this response because:
  ****** client service *** called me on 12/20/24 from ************ and was very rude.  She kept telling me she told me why they were not primary well I still dont know why.  I asked if allied could call my insurance to get this worked out and was told no allied was not changing their stance.  Ok, but someone needs to help me figure it out instead of just not paying.  When I told ****** I was assured she would call me on Monday but yet here it was a Friday and she just called.  Her response was I did not have an update.  Good company policy would have been to call me and let me know it was still being worked on.  I have correspondence since 9/30/24 with nothing being fixed yet.  This company has drug their feet and not paid any claims but still took my premiums.  Wont respond to phone calls or emails.  I do not accept anything they have said and they need to get some good customer skill training.  I have sent an email to them complimenting some of their call agents.  I would love for someone in upper management to listen to all my calls and me being told the exact opposite of Brendas response but apparently she is the final answer and I will not talk to her again with her attitude and poor customer service.   I am still waiting on over ***** of bills to be reviewed and paid.   
  Sincerely,
  
  ***** ******

  Business Response

  Date: 01/21/2025

  Dear *****,  
  
  Thank you for bringing your concerns to our attention and for your patience while we worked to resolve this matter. As of now, all affected claims have been sent back for reprocessing. We are committed to ensuring these claims are handled appropriately, and we hope this addresses your concerns.  
  
  Additionally, our ************** Representative Manager reached out to you last week to share this update personally. We sincerely hope that this resolution demonstrates our dedication to addressing your concerns and supporting our members.  
  
  If you have any further questions or need assistance, please do not hesitate to reach out to us. If you feel your concerns have been resolved, we would greatly appreciate it if you could update the status of your complaint with the BBB.  
  
  Thank you again for your patience and for allowing us the opportunity to make things right.  
  
  Sincerely,  
  Allied **************** Team

• Initial Complaint

  Date:10/24/2024

  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 have made numerous calls to receive my owed reimbursement money. I keep getting the run around and told many different solutions by many different reps. ** has been over a year to receive my owed money via check. I want to complain of the service I have received from Allied Benefit Systems. 

  Business Response

  Date: 10/31/2024

  Dear ****,
  
  Thank you for bringing your concerns to our attention. We understand how important this matter is to you and are committed to ensuring it is resolved as swiftly as possible. We apologize for any confusion or frustration you may have experienced in the process.
  
  Our internal teams are actively collaborating on your case. Please rest assured that we will continue to provide updates to you as they become available.
  
  Thank you for your patience as we work toward a resolution, and please know that we remain dedicated to assisting you.
  
  Sincerely,  
  Allied Benefit Systems

  Customer Answer

  Date: 11/04/2024

   
  Complaint: 22470426
  
  I am rejecting this response because: I have a reference #: CC6915230. I have attempted multiple times to resolve and I keep getting told per the supervisors there is "NO UPDATES"
  
  Sincerely,
  
  **** ******

  Business Response

  Date: 11/15/2024

  We understand the urgency of this matter and sincerely apologize for the experience youve had. Your concern has been escalated to the appropriate team, who will work directly with you to ensure a resolution. If you have any further questions or need additional assistance, please let us know.
  
  

• Initial Complaint

  Date:10/04/2024

  Type:Order 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.

  Allied is refusing to pay for a legally prescribed medication from my same doctor for the same prescription for the same quantity for the last 2 months now after successfully providing the medication for years.

  Business Response

  Date: 10/09/2024

  Dear Jason,
  
  Thank you for bringing this issue to our attention. We apologize for the confusion and delay you’ve experienced. Please know that this situation is highly unusual, and we are aligning with multiple departments to ensure a swift resolution.
  
  Currently, our team is working closely with CVS Pharmacy to address the issue. Additionally, a member of our Enhanced Case Management Team will be reaching out to you directly to provide further assistance.
  
  In the meantime, if you have any questions or need immediate support, please feel free to contact us using the number on the back of your ID card and ask to be transferred to our Enhanced Case Management Team. We are here to help and appreciate your patience as we work to resolve this matter.
  
  Sincerely,  
  Allied Customer Service Team

• Initial Complaint

  Date:08/01/2024

  Type:Order 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.

  Allied Benefits is handling my Cobra. I was mailing checks each month by the 10th of the month for the 1st of the following month. They lost 3 of my checks so I asked them what I could do to prevent this. They said to sign in on their system to have the payment drafted each month. The payment drafts on the 30th for due date of the 1st which causes a delay of 4-5 days for processing. I can't get prescriptions filled, etc. I have to call each month because of the gap in coverage. They won't allow the date to be changed from the 30th (due to government policy). There are no other options. This is unacceptable and very unprofessional. They need to fix their system in house to prevent losing clients checks and they need to improve their online payment system so there is not a gap in coverage.

  Business Response

  Date: 08/02/2024

  Thank you for bringing this to our attention. We take your concerns seriously and are currently reviewing the situation with our internal team. Someone will be reaching out to you shortly to discuss this further and work towards a resolution. 

• Initial Complaint

  Date:07/23/2024

  Type:Billing 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 want to know how a health insurance option be can be offered to someone who isn't ******** age, or receiving ******** stating it reimburses ******** and all other costs are the patient's responsibility. This costs ***** a month. It pays nothing if you are diagnosed with anything that requires a hospital stay or surgery. Unfortunately this was sold to my son as a health insurance option who was just diagnosed with end stage renal failure.

  Business Response

  Date: 08/02/2024

  Dear *******,

  We appreciate you reaching out regarding concerns related to your son's healthcare plan. Unfortunately, we are unable to disclose details of this complaint or complete a proper investigation without direct authorization from your son, who is the plan subscriber. If your son has already provided a HIPAA Authorization Form, please let us know his name and employer name so we can locate it. If he has not, please have him call our customer service team at the phone number listed on the plan subscriber's ID card to put one place.

   Thank you for your understanding,

   Allied Support Services

  Customer Answer

  Date: 08/03/2024

   
  Complaint: 22028218
  
  I am rejecting this response because: It did not answer the question as to how a policy can be sold stating it reimburses ******** first, and then patient is responsible for additional costs when the the patient is not Meducare age. I'm asking as a consumer. I would not have even been aware this type of insurance is even an option for people, if it had not happened to my son. This worries me that other young adults are paying monthly for coverage that will not cover any major medical expenses if they were to arise. 
  
  Sincerely,
  
  ***************************

• Initial Complaint

  Date:06/25/2024

  Type:Order 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.

  Allied Benefit Systems website says certain doctors and dentists accept our coverage. Even their member portal shows these providers as in network. When I call to make appointments with said providers, they have never heard of this provider, and don't accept the insurance. I have had several appointments cancelled by the provider, saying they are not in network, even though the Allied's member portal shows them as being in network. When I call Allied's member services number, it's an automated system saying that they do not have provider information, and then it hangs up on you. There is no way to talk to an actual person about the problems I'm experiencing. We're paying over $600 per month for family coverage, plus deductibles, and receiving nothing. This feels like a very fraudulent business.

  Business Response

  Date: 07/01/2024

  Dear ******,

  We received your complaint, which is currently under review. An Allied representative may contact you directly if more information is needed.

   Thank you,

   Allied Support Services

• Initial Complaint

  Date:06/13/2024

  Type:Billing 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 daughter had an Ultrasound done at a hospital on 7/14/23. On 12/13/23 I received a bill from the hospital in the amount of $614.00. This was due to Allied Benefit Systems, my daughter's insurance company at the time had changed their claims mailing address and failed to let their customers know via letter with new cards. ******************** just sent new cards, I assume they expected their customers to figure the address change out for themselves. This resulted in the claim being rejected as it was sent to the wrong address by the hospital, prompting the hospital to send me the bill for the full amount. It was at this time that I discovered that Allied had made this claims mailing address change. So I provided it to the billing department at the hospital so they could resubmit the claim. They did as per statement dated 12/31/23. I then received another statement from the hospital with a breakdown that you will see the initial charge of $614.00, payment adjustment of $191.47 and remaing balance of $422.53, this amount is toward the bottom of the page where it says "Insurance Balance". Leading me to believe that that amount was to be paid out of the *** account that the plan had. An *** from Allied reflects that same information, says patient 0.00. Upon speaking with a customer service rep from ******************** who first told me that he could not locate this ***, he looked it over and said that I would owe the $422.53 as part of the *** deductible. On a second *** from Allied, there is a claim for the *************** having read the ultrasound in the amount of $35.48. The information on this *** was supplied using the very same verbiage as the *** where they claim I owe the $422.53, as well as I never have received a bill from radiology for the amount of $35.48, I should have received a bill from radiology if that "deductible" wasn't met. Allied has been nothing but erroneous from the beginning. This paperwork has been misleading, Allied should pay when it is their mishap

  Business Response

  Date: 06/14/2024

  Dear *******,

  We received your complaint, which is currently under review. After review, an Allied representative may contact you directly for more information.

  Thank you,
  Allied Support Services

  Customer Answer

  Date: 06/17/2024

   
  Complaint: 21843403
  
  I am rejecting this response because:  Allied needs to reply through the BBB with their second response after reviewing the complaint.  They also need to ask any questions they may have for me using the BBB portal.
  
  Sincerely,
  
  ***************************

• Initial Complaint

  Date:02/26/2024

  Type:Customer Service 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 business provides false and potentially fraudulent information to Providers, then prevent them from filing claims on behalf of services provided to their members. They are taking advantage of providers and revitalizing members in treatment to have to be discharged and referred to another provider to avoid additional financial problems. Ive been seeing their member since August 2023 and have yet to be paid. I know you cannot help with payment, but I want other providers to be warned of their practices.

  Business Response

  Date: 02/27/2024

  Dear *****************************,

  We received your complaint, which is currently under review. After review, an Allied representative may contact you directly for more information.

  Thank you,
  Allied Support Services

• Initial Complaint

  Date:02/01/2024

  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.

  Web site has no security. Go to the sign in page their SSL is non-existent. Continue and they ask for personal information without an SSL cert. Their phone system does not understand membership numbers and no way to correctly type or enter in letters.

  Business Response

  Date: 02/06/2024

  Dear *********************, 

  Thank you for contacting us and bringing your concerns to our attention. Please know that we take website security and customer experience very seriously. 

  In regards to your claim regarding SSL certificate security: Allied Benefit System's website has an A rating from Bitsight that has been tracked since the certificates update since March of 2023. Bitsight is a company that publicly monitors company security postures, and currently monitors of 40 million organizations. When happening in such isolation, these issues are usually due to the state of the individuals connection, configuration, computer, or internet service provider.

  Our support team will review your complaint further and may contact you directly with questions. 

  Sincerely, 
  Allied Support Services

  Customer Answer

  Date: 02/06/2024

   
  Complaint: 21235328
  
  I am rejecting this response because:
  
  Nope it happened I am a software engineer so I know the technology and I know what was occurring. There was a period of at least 4 hours where your site was not SSL protected plain and simple.

  
  Sincerely,
  
  *********************

  Business Response

  Date: 02/14/2024

  ****, 

  We have submitted your concerns to the appropriate teams at Allied. 

  If you have any other concerns or questions, please call us at the number listed on your ID card. 

  Thank you, 

  Allied Support Services

• Initial Complaint

  Date:01/10/2024

  Type:Order 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.

  Jan 5, I tried to get a prescribed insulin pump at ******* and was told my insurance was no longer valid. I called Allied Benefits and was told my insurance terminated Jan 1. I called multiple times and spoke to 3 people, all saying the same. I called my employer, who said my insurance is valid but he'd call our insurance agent. Our agent, ********, said he checked and everything is valid, and that he'd contact a specialist to review my account. In the mean time, I called Allied Benefits back and spoke to Rai, ID ******, and spoke for over 30 mins while he looked at my account as well. He first said it was valid. I asked him what I could give to ******* that proved this. He could not offer any info that would allow me to get the pump. He ended up saying it appeared the Group Number had changed, although every number on my insurance card (RXBIN, RXPCN, RXGRP, Group #, ID) was the same as day 1 of having it, as guaranteed by him earlier. I asked for a Supervisor and he said that would be ****, who would call me within 20 mins. He refused to give me a last name, extension, or ID. **** never called.Our Agent said there were no changes to our insurance. I've had it for over 2 years. He reported there's a "glitch" in my account, on ******************************************* end, that they needed to fix, and he was guaranteed by whoever he spoke to, that it would be fixed by the next morning.****It was not****For 3 days, I've waited for a call. They need to fix whatever problem there is because I've been paying them, and need my medical device asap. Ridiculous to have to wait on them for this long, when it is imperative that I need my medical device.

  Business Response

  Date: 01/16/2024

  Dear *******, 
  
  Thank you, 
  Allied ******* Services

  Customer Answer

  Date: 01/16/2024

   
  Complaint: 21115465
  
  I am rejecting this response because:

   

  in the app, there is a different group number than in my card. Also, the app says my deductible and out of pocket is 3500/8550, when my card has 2500/6000. The plan im paying for is what is on my card, so WHY ARE THEY HIGHER IN APP?? It appears you changed my group number then added to my deductible and out of pocket amounts without telling me, and WITHOUT MY CONSENT! Even my employer is confused!!! Fix this!!!
  
  Sincerely,
  
  *********************************