Insurance Claims Processing
Allied Benefit Systems, LLCComplaints
This profile includes complaints for Allied Benefit Systems, LLC's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 34 total complaints in the last 3 years.
- 18 complaints closed in the last 12 months.
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Initial Complaint
Date:02/26/2024
Type:Customer Service IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
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 ServicesInitial Complaint
Date:02/01/2024
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
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 ServicesCustomer 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 IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
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 ******* ServicesCustomer 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,
*********************************Initial Complaint
Date:11/20/2023
Type:Order IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Wife broken arm in *******. We called allied her insurance company and did exactly what they told us to do. We paid for the medical work there, under the idea they were going to reimburse us like they claimed when we returned. Now there trying to only pay $6,000 of the $15,000 plus paid. I want whats owed to me, minute her deductible which should be around $12,000. Please help.
Business Response
Date: 11/29/2023
Dear ****************,
Please find the attached letter in response to your complaint.
Thank you,
Allied Support Services
Initial Complaint
Date:11/02/2023
Type:Customer Service IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I am doing billing and A/Rs for **** in ******** and need to contact Allied Benefit group in regards to one of our claims. However I have been unable to reach any kind of resolution despite literal hours on the phone and dozens of phone calls to their customer service line *************).Their automated phone system is deliberately labyrinthine and will disconnect you if you do not respond correctly within 3 seconds of a prompt, or make 3 'invalid' responses consecutively. It also provides invalid options at several points, will arbitrarily send you back to certain menu options if it is unable to validate details and so on. The one single time I was able to reach a human customer care representative I was firstly, asked top repeat all the information I had entered in the automated system, totally negating the purpose of having an automated system and secondly; put on hold for 25 minutes, then unceremoniously disconnected from the call.The only thing I am trying to accomplish is to contact their provider services so I can get clarification on an issue with the claim from August.
Business Response
Date: 11/13/2023
Dear *******************,
We sincerely apologize for any inconvenience you experienced while trying to contact Allied. We strive to provide our customers with timely and efficient support.
Our service team is reviewing your inquiry and will contact you directly within the next two days.
Sincerely,
Allied Support Services
Initial Complaint
Date:10/19/2023
Type:Order IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
This occurred beginning 06/08/23 to current. I am a mental health care provider. The client has Allstate/Allied Benefits as their health insurance provider for the 2023 year. I have submitted several claims to this health care network, and this network has not paid these claims. The client has met their deductible for the year, so these claims are required now to be paid out by this insurance company. I have tried to call this network on three different occasions in order to begin to receive payment for clams submitted, speaking to a supervisor directly on one of the occasions, and having to leave a message with a supervisor on one of the occasions that did not receive a call back. I have all reference numbers for my calls to this insurance provider. I believe this insurance company is violating their obligations to providers by not paying out claims, and also by not being able to resolve my issue of payment even after taking the time to contact them directly on three separate occasions (Sept 1/23, Sept 13/23, and Oct 19/23.
Business Response
Date: 10/20/2023
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: 10/26/2023
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:10/19/2023
Type:Billing IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
My cobra insurance was terminated without any other notice besides this letter attached that I received yesterday in the mail. I have not been given the opportunity to pay. No other notice was given to me. When I called the insurance carrier, yesterday, I was given a portal to sign in with a registration code haxSH3Ej to go online to pay. They were going to email payment coupons yesterday, which I never received as back up to mail in with my payment. I called back today twice and left two messages for a supervisor because I never got the email and I was not able to get into the portal online. Company just told me today that I was blocked and they told me they will not continue insurance and thats why I wasnt able to pay online or why they did not email me my payment coupons as stated yesterday over the phone. My reference is CC6843306 with the ****************** This has to be legal against cobra insurance laws.
Business Response
Date: 10/20/2023
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: 10/20/2023
Complaint: 20754036
I am rejecting this response because:I was again called today by ***** the supervisor from Alied Benefits, who told me the same thing, that they are not reinstating my cobra insurance. My husband applied for ******** 6-1-23 and I am 59 years old and unemployed. I signed up for cobra insurance, spousal only, through my husbands employer group in June and signed paperwork and mailed in with payment. This is insurance we have had for decades through my husbands employer. That is all I heard till they terminated my Cobra spousal insurance without my consent or allowing me to continue my insurance. This is against my rights and against cobra laws to leave someone uninsured because of a life changing event, which was my husband retiring and taking ******** insurance effective 6-1-23.
Sincerely,***********************

Business Response
Date: 10/27/2023
*****,
We empathize with your situation, and are committed to helping you. Our team is still reviewing and have been in contact with the Plan to make a reasonable determination. A member of our service team will reach out to you with next steps in the coming week.
Sincerely,
Allied Support Services
Customer Answer
Date: 10/27/2023
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:10/11/2023
Type:Billing IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Had a colonoscopy done. Was told that everything would be covered due to family medical history. Now they are telling me that I owe for the whole procedure. They have been giving me the run around and I have wasted countless hours trying to resolve this issue. It has been on going for two months now and I feel like I am being bullied by a major corporation. It is a shame that this happens to so many people on a daily basis in *******. It is hard enough with all of the taxes. Something needs to be done about the ************* health care system. A stand needs to be made, and the people need to stand up against this tyranny.
Business Response
Date: 10/11/2023
Dear *****,
We received your complaint, which is currently under review. After review, a customer service representative may contact you directly for more information.
If you have any questions, please call us at the phone number listed on your subscriber ID card.
Thank you,
Allied Member Services
Initial Complaint
Date:07/31/2023
Type:Order IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
On Mar 25th of 2023 I had a Mammogram at Promedica, As of today July 31, 2023 Allied Benefit Systems has not paid the ***** ***** June 21st they have been "processing" my account to no avail...I have called Allied and Promedica several times trying to get this resolved, i was told by Promedica it was going to collections in August for non pmt..... Allied stated on July 24th they would approve a pmt of $244.00 out of the $602.00 that Promedica wants and will take 7 to 10 business days, i was told i would have no patient responsibility by both Promedica and Allied, Allied also stating the Mammogram was covered at 100% but then at a later date they denied that statement and stated they go according to ******** Scale, I was also told by them that i could go anywhere for tests and they would negotiate but did not fulfill their obligations of the 100% coverage for a Mammogram. I called Promedica July 31st to see if they received any pmt from Allied and did not, They told me that because they do not have a contract with Allied but all along they continued to accept my insurance card, As well i am filing a complaint against Promedica as well as they told me i had no pt responsibility for the remainder *** but today they said i do. I wanted to keep it out of collections, ****** from ********* said if i made a pmt today it would keep it from going into collections (when asked)... I made a pmt of $200.00 over the phone, they said they would be sending me a bill of $177.00. My complaint to Promedica was given that they should not accept my insurance card if they do not have a contract nor should they tell me i will have no pt responsibility then change their minds. My acct number is ****** guarantor number.
Business Response
Date: 08/14/2023
Dear *****************************,
We received your complaint, which is currently under review. After review, a customer service representative will contact you directly.
In the meantime, if you have any questions, please call us at the phone number listed on your subscriber ID card.
Thank you,
Allied Member Services
Initial Complaint
Date:05/16/2023
Type:Order IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
This occurred from 12/1/2021 to 12/31/2022. My employer *********** contracted Allstate as our health insurance provider for the 2022 year. This plan went through the third-party administrator Allied Benefits System. We were told in the benefits meeting that mental health benefits would be 100% covered and that we wouldn't have to switch doctors because they use reference-based pricing. Knowing that the plan was switching upon the new year, I was proactive and reached out to my therapist's office to get the ball rolling. I was never able to get a straight answer from Allied and neither was the ******. Repeatedly, we were told different information depending on who we spoke to. I was not alone in my complaints about Allied at ***********, to where KH negotiated the Cigna rate with Allied and noted that we would not be using them next year. Come November/December 2022, ***** informed us all that they would be using our new broker to help remedy the situation and that legal was involved because Allied said they would not be paying any claims after 1/1/2023 when the contract expired. Come 5/16/2023, I have learned that the therapist's office still has not received payment, and that Allied will not speak about any of the claims because the contract has expired. This means that there are 16 claims that have not been paid going back to 7/1/2022, that I paid a $35 copay for, and with the Cigna rate an amount owed of $1,136.00. Once again, we were supposed to receive mental health coverage for no more than $35. This entire experience has been exhausting, perpetuated for well over a year, and frankly predatory in the lack of clarity and explanation from Allied - every call was a different answer. I'm happy to provide emails, EOBs, and get the ****** in contact with the BBB. This issue has persisted across providers so I don't even really know how much I paid out of pocket that should have been covered. I've attached one email chain from another provider to show.
Business Response
Date: 05/19/2023
Dear *******************************,
We have received your complaint which is currently under review.
Thank you.
Customer Answer
Date: 05/25/2023
Complaint: 20065481
I am rejecting this response because: the business said they are actively reviewing the matter and I need to keep the complaint open.
Sincerely,
*******************************
Business Response
Date: 06/14/2023
Dear ****************,
We appreciate your patience while our team reviewed the details of your complaint. Our service team has made several attempts to reach you directly, but we have not heard back from you. If you have any other questions, please do not hesitate to call our ****** Services team at the phone number listed on your ID card.
Thank you.
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