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:06/09/2025

  Type:Service or Repair 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 am writing to formally raise a complaint regarding the continued inaccessibility of your phone lines for behavioral health authorization inquiries and ************* a provider who works to ensure timely and appropriate care for members, I have encountered repeated and ongoing issues with reaching your authorization department. Despite numerous attempts to return calls or clarify authorization requirements, we are often met with long hold times, dropped calls, or an inability to reach a live representative. Additionally, calls frequently go unreturned, and voicemail messages do not result in follow-up, making coordination of care nearly impossible.This ongoing communication failure directly impacts patient care and creates multiple significant problems:Delays in treatment due to pending or incomplete authorizations Wasted administrative hours spent attempting to reach your team Increased risk of members being left uncovered or denied care due to avoidable processing gaps Provider network dissatisfaction and potential disengagement due to inefficient communication structures These barriers are not only frustrating but ultimately result in members being placed at unnecessary risk, particularly those requiring urgent behavioral health services. Mental health and substance use treatment require swift coordination, and the lack of reliable communication with your team undermines our ability to provide care in a timely manner.I urge Allied Benefit Systems to address these issues immediately by improving phone accessibility, streamlining authorization communications, and ensuring that providers have a clear and efficient way to reach the appropriate department. Please consider implementing a direct line for behavioral health providers or a dedicated provider portal that allows for secure, real-time communication on authorizations.We expect a response and a corrective action plan to resolve these issues promptly.

  Business Response

  Date: 06/10/2025

  Hi *******,
  
  Thank you for bringing this concern to our attention. 
  
  A member of our team is actively investigating the matter and will reach out to you by phone to assist with the authorization process and better understand the communication challenges described. Once additional information is obtained, we will evaluate next steps as needed.
  
  We appreciate the opportunity to resolve this issue and are committed to ensuring appropriate access to care and improving provider communication.
  
  Sincerely,
  
  Allied Benefit Systems, LLC

• Initial Complaint

  Date:05/21/2025

  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 have five medical claims from 11/5/24 - 12/20/24 that Allied Benefits ***************** Provider) is not handling as I would expect. They are related to two pre-approved surgeries at in-network facilities/doctors. I am being billed for what they are calling Ineligible Amount and Discount Amount. I have been billed more than my policy says an office visit co-pay is. Allied Benefits is not covering $7,132.33 that I believe they should. I am being billed for more than my out-of-pocket maximum for the year. I have called and wrote to Allied Benefits several times and get very little response.

  Business Response

  Date: 06/15/2025

  Hi ******,
  
  Thank you for reaching out and for your patience as we work to address your concerns.
  
  A member of our Allied Care team reached out to you via email on Tuesday, June 10th, and we hope to connect with you soon. In addition, a member of our leadership team is actively reaching out to the providers in question to help move this forward.
  
  To ensure a timely resolution, we kindly ask that you contact our Care team member by phone or email at your earliest convenience this coming week. Were fully committed to resolving this matter quickly and efficiently.
  
  Thank you again for bringing this to our attention.
  
  Sincerely,
  Allied **************** Team

  Customer Answer

  Date: 06/18/2025

   
  Complaint: 23360235
  
  I am rejecting this response because: I did receive a response from Allied on 6/10/2025 as their reponse indicated. However, it was basically to ask me to verify information I have provided them several times and to tell me it is being referred. There e-mail and my response to them is attached.

  I am very curious as to how they expect me to call them within a week. The have never given me a number to call my care team. Actually, I've never heard that term from them. Perhaps they should have included the number and a person they would like me to contact.

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

  Business Response

  Date: 06/19/2025

  Hi ******,
  
  Thank you for providing the email communication. After further review, wed like to confirm that you may use the phone number and email address of the Senior Director, ******************* as listed in the email signature. Unfortunately, we are unable to post this information directly in the portal, as it is a direct contact reserved for escalated situations such as this.
  
  Please let us know if this addresses your concerns regarding access to the appropriate contact information for our Allied Care team.
  
  Thank you,
  Allied ****************

  Customer Answer

  Date: 06/23/2025

   
  Complaint: 23360235
  
  I am rejecting this response because I don't want to miss a deadline for accepting or rejecting. I have received nothing that my issue is resolved. I do not understand what more information Allied is looking for from me. I have provided everything they have asked for several times.

  Allied's first response indicated I must contact the ************************* I indicated I didn't have information on how to do that. Their next response said I must contact the Sr. ******** of Medical Management. I spent much time trying to find a name, phone number, or e-mail address for the ******************************* for Allied. On an old message Allied had sent me, I found this information for ***** *********. I called that number and had to leave a message. I did that today, 6/23/2025.

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

  Business Response

  Date: 06/28/2025

  Hi ******,
  
  Wed like to confirm that you may use the phone number and email address of the individual you referenced in your last message. Unfortunately, we are unable to post this information directly in the portal, as it is a direct contact reserved for escalated situations such as this.
  
  Sincerely,
  Allied Benefit Systems, LLC

  Customer Answer

  Date: 07/04/2025

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution somewhat satisfactory to me.

  I am very confused with their last response sent through you. To start, my name is ****** not ****** as it is addressed to. It also doesn't make sense with the other correspondance that was occuring. I feel like it was just another of their delay tactics. However, my claims with ***************** have finally been resolved. I have no outstanding balance. I am very thankful to the Better business Bureau assisting in that. I feel that Allied Benefits would never have paid the claims if you weren't involved.

  I have outstanding questions with Allied Benefits regarding co-pay charges and my annual out of pocket maximum being exceeded. I am attaching Allied's last contact with me and the e-mail I sent them today.

  Thank you for your help.

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

• Initial Complaint

  Date:05/06/2025

  Type:Billing Issues
  Status:

  UnresolvedMore 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 met my out of pocket max in January 2025, which Allied Benefit Systems has acknowledged in at least 15 calls between February and today, May 6. Nevertheless, I have been charged copays by *** during the entire time. Allied claims its CVSs problem, and CVS claims its Allieds problem. The result is that I have been charged thousands of dollars in copays, which I have had no choice but to pay because I have a chronic lung condition, interstitial lung disease (ILD).I have had ILD for six years, and it has progressively worsened and will continue to do so. I am on very expensive medications, two of which are specialty medications that are several thousand dollars each. Allied and *** have billed thousands of dollars to these special copay assistance organizations, which should have only been billed for the first prescription in January. I have been told for more than three months that my case is under review, that both companies acknowledge that I shouldnt have been charged any ****** since January, and that I am due a refund for all of the fraudulent charges that both I and the copay assistance programs have been charged. On two occasions, *** has called the local store where I get my medication and provided overrides so I wouldnt have to pay the ******. The first time, I was charged all of the copays. The second time, I was charged for one of them. When I picked up medication two days ago, I had copays on all of my medication, and copay assistance was charged again this week for one of my specialty medications. The case number I have been given is CC7721857. I am unable to continue paying the ******, and I have zero belief that I will ever be reimbursed for the thousands of dollars these companies fraudulently billed both me and the copay assistance programs. It is my firm belief that both companies are essentially playing chicken with my life in hopes that I die so they are no longer liable for the refund that I am owed.

  Business Response

  Date: 06/30/2025

  Hi ******,
  
  Thank you for your continued patience regarding this matter.
  
  This week an additional follow-up call was completed, and updates were shared with you. We understand you have requested continued communication regarding timing of refunds and concerns related to benefit accumulators and third-party programs.
  
  To help address your questions, weve assigned engagement from a team familiar with your pharmacy benefit and related programs. 
  
  We remain committed to assisting you through resolution.
  
  Sincerely, 
  Allied **************** Team
  

  Customer Answer

  Date: 07/07/2025

   
  Complaint: 23292520
  
  I am rejecting this response because:

  1. A representative from Allied did call me on 6/26/2025. However, she provided nothing but inaccurate information and information I already have heard from them. The incorrect information was that Allied and CVS had aligned their systems to show that I have met all of my deductibles and out of pocket max for the year and, thus, I would no longer have ******. I asked what the date was when the two companies decided that I had met my deductibles for the year, and she could not tell me the date. This is extremely important because I should be receiving a refund of all copays that I was forced to pay after I had met all of my deductibles and maximum out of pocket for the year. When I explained that, she said she would have to get back to me. This is something I have been requesting for 4 months.

  2. I asked how much the refund would be and which company would be sending the check. She could not tell me the amount. Additionally, she stated that *** will have to refund my money. As stated before, I have heard from CVS that Allied will refund the money, and I hear from Allied that *** will pay it. Even when I have had both companies on the phone, they cannot agree on who will refund the money. She said she would also have to call me back on this issue. I also have been trying to get an answer on this for the past 4 months.

  3. She then reiterated that I would not have to pay another copay to *** at all for anything the rest of the year. When I went to pick up medication today, I was charged another $12 copay for just one of the 19 medications that I take monthly.

  4. She ended the call stating that she would get answers to my questions and that I would be getting a call back "within ***** hours and most likely today (6/26)." Today is July 7, and I still have not received a call back from anyone at Allied or CVS. This occurred despite Allied saying in its response to the BBB, "To help address your questions, weve assigned engagement from a team familiar with your pharmacy benefit and related programs." 

  5. The end of Allied's comments to the BBB stated, "We remain committed to assisting you through resolution." Nothing could be further from the truth. Neither Allied nor CVS (which I'm forced to use because of Allied and, thus, they essentially are one and the same) has any intention of bringing about a resolution. Their hope is that I either die or that I just give up, walk away and try to find some other insurance company. They have been extremely vocal about the fact that I qualify for ********* and we went through a month of calls in which my claims were being rejected because they were insisting that I had ******** and that I was trying to run my claims with primary and secondary insurance. However, I have never had ********, and my only insurance for 2024 and 2025 has been Allied, which I get through my husband's employer. If it sounds like I'm being melodramatic about them trying to pay as little as possible and continually throw up new, fake issues, please understand that I have a terminal illness for which there is no cure. I am on oxygen 24/365, and it's extremely taxing to be on call after call after call hearing the same lies and misinformation for months, spending money that I don't have and that I shouldn't have to spend, and taking the time to document all of it and try to get someone somewhere who will actually do what is right and stop this insanity. The very best outcome for Allied and CVS is for me to die. And if I didn't have these medications, that's exactly what would have happened by now. 

  6. In order for this complaint to be resolved, I need a call and an email or letter from one or both companies that tells me 1. Exactly when I met my deductibles and out of pocket max for the year. 2. How much of a refund I am getting and from where and when it's coming. 3. For their systems to show that I will not have to pay another cent in copays or deductibles or anything else through the end of 2025. 4. A letter from Allied on its letterhead and with a specific contact person and that person's phone number that states I do not owe any more copays for any reason through the end of the year so I could use it the next time I'm charged a copay. 4. For everything I am requesting to be done no later than Friday, July 11, 2025.

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

• Initial Complaint

  Date:03/07/2025

  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.

  I had COBRA coverage serviced through Allied Benefit Systems. ***** coverage end date was 7/31/2024. Allied made an error and ended coverage on 6/30/2024. My family took care of medical tests and procedures before our coverage ended with service dates from 7/1/2024-7/31/2024. These claims have all been denied by **** because Allied did not send the correct paperwork to BCBS. **** denies having anything from Allied that states the coverage dates were amended to end on 7/31/2024. I have been unable to speak with anyone at Allied for over a month, each time I am connected to the escalation team, I am put straight to voice mail. I now have over $50,000 in medical bills that are being sent to collections, because of this error that has not been addressed. I have been speaking with both BCBS and Allied since December 2024 regarding this issue.

  Business Response

  Date: 04/17/2025

  Hi ******,
  
  Thank you for your continued patience.
  
  Allied has provided both the group and the carrier with the corrected COBRA end date of 7/31/2024. At this point, any further action must come from the group, as they are responsible for finalizing benefit updates with the carrier. This was communicated to you on April 2, 2025.
  
  We recommend reaching out to your former employer as soon as possible to request that they complete the necessary follow-up with the carrier. Should the group or carrier require any additional documentation from Allied, we are prepared to assist promptly.
  
  Sincerely,
  Allied Benefit Systems, LLC
  

  Customer Answer

  Date: 04/17/2025

   
  Complaint: 23035112
  
  I am rejecting this response because it took over 25+ phone calls, messages and departments to correct this mistake. It also took 7 months. ABS also lost several of my payments over the course of 18 months. 
  I stared down the barrel of over $55,000 of overdue medical bills for months. I received repeated phone calls, letters and communications from medical offices and hospitals wanting payment. 
  No one in the entire range of people I spoke to ever had the answer. I was constantly transferred to different departments where I had to leave the same message over and over again! 
  This entire unnecessary ordeal was stressful during a time when I am recovering from major heart surgery. 
  

  At the very end of this ordeal, when speaking with yet another customer service representative I was told that ABS is basically a middle man. *** receives payments and then forwards them to my employer. Which is ridiculous and a waste of time. 
  I am relieved trust my business is concluded with ABS. Yet the business itself lacks any accountability or integrity. Their apology and thanking me for my patience has fallen on deaf ears. 
  
  Sincerely,
  
  ****** *******

• Initial Complaint

  Date:02/17/2025

  Type:Service or Repair Issues
  Status:

  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.

  Allied provided false benefits for claim # ********** according to them I was liable for $378.24 from entire bill amount of $ *******.PDF with explanation of benefits attached .This was for mammogram done at ********************** which send me bill in full and I paid it $ *******. When asked Allied months later to clarify this for me - they gave me some sort of discount code - which is not honored by Rush OP Hosp.Rush billing told me they do not have contract with them .I called back Allied and was told to call *********************** -they`ll take care of that ,CHS responded a week later saying that they have nothing to do with that. Back to Allied - it was a quite run around for weeks.Then they said to submit an appeal. Submitted 08/23/24. They said it would take up to 60 days . 60 days later -no response I called again-they said :`No one looked at the case need more time . They send a letter via **** end of November/Received beginning of December 2024 saying my appeal was denied since 180 days passed by. Instead of providing a legitimate clause - supplying me with some sort of agreement they have with Rush-that would back up their own statement of benefits- which does not hold me liable for $ ******* they just told me to back off.I paid entire bill to Rush-and never asked Allied for any money-only to give me something LEGAL/ Legitimate so I can go to ************* and clear it up. Apparently they do not have that . And clearly deceived insured.. Please investigate their unlawful practices. Their statements are deceitful and meant to cripple us financially .So if they do not have proper agreements with hospitals why are they lying and deceiving insured ? If they are so right then should not be a problem to do one simple task. That is what we pay them for. Otherwise they can send a reimbursement my way - ONLY $******* for them

• Initial Complaint

  Date:02/06/2025

  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.

  Family First ********** employee's were medically insured by Allied from April 2024 - June 2024. On July 2nd, 2024 $17,177.26 was drafted from our checking account by ******************** for July 2024 premiums. We were not insured by Allied in July 2024 and Allied refuses to issue refund.

  Business Response

  Date: 02/07/2025

  Dear Mr. **************************************** bringing this to our attention. We understand your concern and want to assure you that we are looking into this matter.
  
  Our account manager is currently researching this internally and will be reaching out to the contact we have on file to discuss the next steps in more detail.
  
  We appreciate your patience and understanding.
  
  Sincerely,
  Allied Benefit Systems, LLC

  Customer Answer

  Date: 02/07/2025

   
  Complaint: 22907882
  
  I am rejecting this response because: I am not accepting a resolution until I am contacted directly from Allied.
  
  Sincerely,
  
  **** ********

  Business Response

  Date: 02/19/2025

  Dear *** ********,
  
  Unfortunately, Allied does not handle client management for your plan; this is managed directly by ********. We understand that ******** has reached out multiple times via phone and email to explain the refund process and timeline, including providing documentation outlining these details.  
  
  For further assistance on this matter, we encourage you to continue working directly with your ******** representative, as they are best equipped to address your concerns.  
  
  Sincerely,
  Allied Benefit Systems, LLC

  Customer Answer

  Date: 02/19/2025

   
  Complaint: 22907882
  
  I am rejecting this response because:

  Allstates response was in regards to refunds for premiums. Were not asking for a refund for premiums, we asking for a refund of money taken from our bank account without authorization. We were not with Allstate/Allied in July 2024 but they took money for July 2024. THERE WERE NO JULY 2024 PREMIUMS! 
  
  Sincerely,
  
  **** ********

  Customer Answer

  Date: 02/20/2025

  Bank statement attached as well as the termination notice that was sent to them in June in which they acknowleged receiving and processed before 6/30/24.

  Business Response

  Date: 02/21/2025

  Thank you for forwarding this concern to our office. ******** has established a process for consumers to report issues or complaints by visiting ************ where you can chat or email with us. You may also call 1-800-Allstate for additional assistance. We are happy to address the concerns upon receipt of request directly from the consumer.

  Customer Answer

  Date: 02/21/2025

   
  Complaint: 22907882
  
  I am rejecting this response because: This complaint is with Allied Benefit System. Please send back to them. 
  
  Sincerely,
  
  **** ********

  Business Response

  Date: 06/30/2025

  Hi ****,
  Unfortunately, weve provided as much information as we can ethically share through this portal. If you need further assistance, we encourage you to contact our member services team directly and explain your concerns. Our front-line representatives are trained to help with claims, coverage, and benefits questions.
  Thank you for your understanding.
  
  Allied Benefit Systems, LLC

  Customer Answer

  Date: 06/30/2025

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
  
  Sincerely,
  
  **** ********

• Initial Complaint

  Date:01/29/2025

  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.

  August 22, 2024 I was billed for services as if it were a deductible plan but it was a copay plan. I checked the online tool before appt. to see if ** was in network and he was. Even at the ********* I paid the $35 copay. After receiving a bill I called Allied Benefit Systems and told them what happened. The lady on the called verified that my visit should have been charged as a copay. She said she would submit a request to have it changed. Now it is January and I am still being billed for this. I call back and another lady says oh this was an out of network provider. Well he was in network back in August and November and I tell her the lady I talked to in November told me something different. Then she tells me well if you feel he was in network when services were rendered then you need to submit an appeal. I was like but from my last conversation the lady was supposed to had already rectified the situation. I am no longer with Allied Benefit Systems as we switched insurance carriers because this wasnt the first incident. I need them to fix the issue as he was in network and was listed on network and I paid the copay.

  Business Response

  Date: 02/05/2025

  
  ******,
  
  Thank you for reaching out to us and for your patience regarding your network pricing dispute.
  
  Our *************** Team has made several attempts to contact you by phone, but unfortunately, we have not been successful. Voicemails were left for you on February 3, 2025, and again on February 5, 2025, to provide guidance on how to submit an appeal for your dispute.
  
  Please feel free to reach out to us at your earliest convenience so we can assist you further.
  
  Sincerely
  Allied Benefit Systems, LLC

• Initial Complaint

  Date:01/23/2025

  Type:Service or Repair 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 was prescribed ******** by my family doctor on 12/30/2024. To date I do not have my prescription. Allied-US-******* -Aetna said twice when I called they had not received any faxes from my doctor and then said they received a pre-auth but no treatment notes. I have spoken with my doctor several times and been told the pre-auth and treatment notes have been faxed to US ******* more than once. All this delay seems intentional. Perhaps if patients are frustrated and delayed they will just give up. I need my prescription! 

  Business Response

  Date: 01/24/2025

  *****,
  
  Thank you for bringing this to our attention. Weve reviewed the situation and confirmed that your medication approval is now in place. A member of our Care Team has reached out via phone to share this update and assist with any next steps to ensure you receive your prescription.
  
  We take these matters seriously and are committed to supporting you. If theres anything further you need, please dont hesitate to contact us. If youre satisfied with this resolution, wed appreciate it if you could update the status of your BBB complaint.
  
  Most sincerely,
  
  Allied **************** Team

  Customer Answer

  Date: 01/25/2025

   
  Complaint: ********
  
  I called Allied 1/24/2025 and was only then informed the 12/30/2024 prescription was approved 1/17.  There was no communication of this to me.

  It is a complete lack of customer service and or follow up or follow through.

  Hopefully the next prescription will be a more efficiently processed.
  
  Sincerely,
  
  ***** ********

  Business Response

  Date: 02/05/2025

  Dear Mr. ********************** you for bringing this matter to our attention. We sincerely apologize for the frustration and inconvenience caused by the delay in communication regarding your prescription approval.
  
  Allied strives to provide exceptional customer service. We are taking your feedback seriously and will review our communication protocols to prevent such issues in the future.
  
  We appreciate your patience and understanding. If you have any further concerns or need assistance, please do not hesitate to contact our member services team, using the phone number found on the back of your ID card.
  
  Sincerely,
  
  Allied **************** Team

  Customer Answer

  Date: 02/06/2025

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
  
  Sincerely,
  
  ***** ********

• Initial Complaint

  Date:01/20/2025

  Type:Service or Repair Issues
  Status:

  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.

  I have 4 instances from June 2023-present where the insurance is refusing or threatening to refuse coverage altogether for health services when they were my primary insurance. I have received explanation of benefits indicating high possible charges and medical bills for services that should be covered ( amounts including $7,000, $11,000, $1,000 so far). I had to file a formal complaint with Priority Health who was the secondary insurance on one date of service in order to get charges reprocessed by Allied as they wouldnt assist me directly. This was to avoid paying over $7,000 out of pocket simply because they were not processing claims appropriately and working with Priority Health. Each time I have attempted to call allied for support I am given a variety of excuses (out of filing time, not responsible for fees, rude employees, requiring me to request medical records be sent to them in order to determine if I will pay $11,000 out of pocket). They seem to not want to cover things that are in fact their responsibility and I have reached a point of desperately needing support. 

  Customer Answer

  Date: 02/17/2025

  Thank you. I have attached financial verification of three different scenarios in which Allied has created complications with explanations below. 

  
  

  1) Explanation of Benefits (EOB) from Allied 

  Please note the section specific to Edgepark, which is a durable medical equipment company that supplied by insulin pump. I am a type one diabetic in which Allied had been authorizing my diabetic supplies each month prior. They are now claiming they require medical records to be sent to them to determine my eligibility for coverage. I have asked my diabetic providers to send medical records to ******************** on 3 separate occasions since January 6, 2025, and each time I contact Allied they tell me records have not been received despite my providers telling me they have received confirmation of receipt. They have 60 days to process by their medical review team and if these records are not received they state I may be eligible for the full amount. 

  2) **** from ************* Anesthesia 

  Allied has refused to cover epidural fees for my c section June 28, 2023, and the point of contact I have from the anesthesia company has told me they are refusing to cover claiming its my responsibility and not giving reason as to why. It is close to being sent to collections and I cannot afford this when it should be covered.

  3) A screen shot from ***************, medical provider for my c section and delivery of my son. Allied was my insurance and Priority Health my husbands insurance in which we both carried on our son. My husband and I spent an incredibly long time contacting both insurances and they were both refusing to pay for my sons newborn charges. Come to find out, Allied was responsible for the first 72 hours of my sons life for medical expenses per Priority Health, but were refusing to cover the expenses. They allowed no option to file a complaint, stating it was past one year processing time for claims, and I was told I needed to contact the medical provider and ask for all fees to be written off, in which that would never be possible. I filed a complaint through my husbands insurance, Prority Health, and they coordinated getting all bills reprocessed by Allied and just recently paid for. 

  
  

  Over all, I have felt they have refused to pay for medically necessary services that they are responsible for and have not provided any support. 

  
  

  I thank you for time and consideration in this matter and helping me to navigate these complex issues.

  
  

• Initial Complaint

  Date:01/02/2025

  Type:Service or Repair 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 has been stalling on paying my medical bills from an emergency room visit that turned into a hospital stay and surgery on June 21/2024 and on an approved surgery on October 21/2024 at ******************************* in ************.

  Customer Answer

  Date: 01/04/2025

  I have more bills and emails if needed 

  Business Response

  Date: 01/25/2025

  Hi ****, 
  
  Thank you for bringing this matter to our attention. We apologize for any frustration or inconvenience youve experienced regarding the processing of your medical claims. 
  
  We want to assure you that we have thoroughly reviewed your concerns. The claims from your June and October 2024 procedures have been addressed, with payments issued. You were previously notified via email on December 17, 2024, about these payments, but a member of our team will follow up this coming week to ensure you have all the necessary details, provide further clarity and support, confirm the resolution and ensure you are satisfied. 
  
  We appreciate your patience as we worked to resolve this matter and remain committed to assisting you with any additional questions or concerns.
  
  Sincerely,
  Allied **************** Team