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Business Profile

Health and Wellness

Jai Medical Systems Managed Care Organization, Inc

This business is NOT BBB Accredited.

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Complaints

This profile includes complaints for Jai Medical Systems Managed Care Organization, Inc's headquarters and its corporate-owned locations. To view all corporate locations, see

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Jai Medical Systems Managed Care Organization, Inc has 3 locations, listed below.

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    Customer Complaints Summary

    • 1 complaint in the last 3 years.
    • 0 complaints closed in the last 12 months.

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    Submit a Complaint

    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.

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    • Initial Complaint

      Date:03/08/2024

      Type:Service or Repair Issues
      Status:
      Resolved
      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.
      Jai Medical Managed Care Organization has to be the worst insurance company Ive ever had. I had them for years but this year really in December of last year I found out I had diabetes. Jai Medical has denied me all of my diabetes medication. Everything and anything my doctor was trying to get authorized they kept denying. Leaving me without any insulin or diabetes medication until I disenrolled from them. I had doctors appointment December 5th 2023 and January 9th 2024. I disenrolled from Jai Medical After these appointments. I didnt get accepted for another insurance until February 12th 2024. Jai Medical out of pure spite that Im no longer with them because THEY kept denying a diabetic medication. They have refused to pay my doctor office bills. The bill is $630.00 because they keep telling my doctors office theyre NOT paying the bill lying and saying its because I had primary insurance elsewhere. Ive called spoke to multiple individuals that has done nothing but tell me to send the bill in to an email, I did that it wasnt enough. Then I received a call they wanted proof I sent them a screenshot showing when my ************* activated which was on February 12th 2024. All of my appointments were before my new insurance was activated. Jai Medical was the ONLY insurance I had they were my primary. Yet Im now having my doctors office calling me sending in bills telling me Jai Medical has denied paying and I have to pay $630 out of pocket. How are they able to get away with Not paying bills all the way from December of last year. They have been no help when I have all the proof showing they were my only insurance and they still wont pay the bill. Im trying really hard not to get a lawyer involved but at this point it might be my only option for a resolution. The billing department they have is horrible and I believe they are purposely trying to make excuses because Im no longer enrolled. I just want my payments resolved so I can done with them for good.

      Business Response

      Date: 04/02/2024

      Good Afternoon, 

      Thank you for bringing this matter to our attention.  Please be advised that we have spoken directly to Ms. ******** regarding this matter and informed her of the following resolution.  We informed Ms. ******** that she should have never received a bill, and that for any bills that she has received, she may disregard them. We will be reprocessing and paying these claims.  We also have confirmed that Ms. ******** is now receiving the medications that she requires.  Ms. ******** was thankful to hear from us regarding this resolution. 

      Please let me know if you require any additional information regarding this matter.

      Customer Answer

      Date: 04/02/2024

       
      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,

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

    Jai Medical Systems Managed Care Organization, Inc is NOT a BBB Accredited Business.

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