Complaints

This profile includes complaints for Administrative Concepts, Incorporated's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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• 

  Administrative Concepts, Incorporated

  400 Campus Dr Ste 300 Suite 300 Trappe, PA 19426-4948

  
• 

  Administrative Concepts, Incorporated

  PO Box 4000 Trappe, PA 19426-9000

  

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:02/05/2025

  Type:Billing 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 filed a hospital indemnity claim on 12/28. Ive yet to hear anything other than were working on it. I was initially told it would be 7 to 10 days. Then was told it was being escalated. Ive also asked twice for my member ID in order to create an account and both times was told I dont have one yet. Ive paid for this policy through my employer and now I need to use it and cannot get an answer to my question on why the delay or why cant someone provide my member id. I need my claim processed and payment made. It should be a very simple process.

  

  Business Response

  Date: 02/10/2025

   

  We initially had difficulty identifying Ms. ***** as an insured. We received the necessary documentation and processed a payment on 2/4 and sent a check for $800 to her address on 2/6. She should receive it any day now.

   

  If not, please let me know and we will reissue.

   

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

  Customer Answer

  Date: 02/10/2025

  Ridiculous people have to file complaints to get a response. There is no reason my identity was difficult to verify. My name hasnt changed. And, the fact you dont provide members with an ID to self serve is ridiculous. Thank you for processing my claim after I filed the BBB complaint. 

  Customer Answer

  Date: 02/20/2025

  I have not received the check as of today 2/20. 

  

  Business Response

  Date: 03/07/2025

  Our office mailed the initial check to the address on file. On 02/24/25, our office obtained updated address information from the insured. At that time, our office promptly issued a trace and stop on the initial check, and a new check was mailed to the new address on 03/03/25.

• Initial Complaint

  Date:01/02/2025

  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.

  I bought health insurance from gold star tower one first health on Nov. 19th 2024 for ****** and canceled the insurance on Nov 20th because i found a cheaper insurance. And I'm not getting my refund. I called this number. ************. And get nowhere with the telemarketers. They just document that I called. Please help me get a full refund.

  

  Business Response

  Date: 01/14/2025

  Administrative Concepts, **** (ACI) is a Third-Party Administrator that processes claims on behalf of Insurance Carriers, so our address is on a variety of materials distributed by Insurance Brokers as the address to which to file a claim. ACI provides its address on the back of members cards so members and their providers can file claims with ACI. However, ACI is not gold star tower one first health. Please forward this complaint to the proper entity.

• Initial Complaint

  Date:12/28/2024

  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.

  I purchased travel insurance for a trip in June. The flight was canceled on the return trip from ******* to ***********. I submitted a claim per the requirements. The claim has been dragging out for six months and the travel insurance co. keeps telling me they need more information from the airline. It seems they are just dragging their feet to avoid paying the claim. The information that the airline provided to me regarding the cancellation was provided to the travel insurance company. The travel insurance company is simply looking for a loophole to not pay it. I would either like the claim to be paid or to be reimbursed what I paid for the insurance.

  

  Business Response

  Date: 12/30/2024

   

  I have reviewed the claim and it has been handled correctly based on the information provided. ********** initially said it was due to a "disruption to our schedule". Later sent a notice it was for "Operational Reasons".
  Ms. ******* sent an e-mail stating "operational issue" is equivalent to a "mechanical breakdown", however Air Lingus states in another communication that schedules are changed or cancelled for reasons like "weather, operational issues, air traffic restrictions,or technical difficulties".   Attached is a letter we sent her listing the covered reasons, and Operational issues or schedule changes are not covered unforeseen events. Technical difficulties might equate to a mechanical breakdown due to language differences, but they have not stated that was a reason for her change.
  I see she has attached several e-mails where we have tried to obtain more info from the carrier, but have had no success as of today.Unless they come back with a covered reason, the claim decision must stand.
  ***** ********
  Travel Claims Manager

  Customer Answer

  Date: 01/02/2025

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: 22740055
  
  I am rejecting this response because I would like to see the airlines response to ACI. 
  
  
  Regards,
  
  ****** *******
  
  
  
  
  
  
  
  
  

  

  Business Response

  Date: 01/06/2025

  In my earlier response, I attempted to attach the prior airline responses, but the attachments were too large, so I paraphrased them.

  To avoid the same issue, I will send a separate e-mail to ****************** with the e-mails I referenced.

   

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

  1/6/2025

   

• Initial Complaint

  Date:11/20/2024

  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.

  Claim for reimbursement from travel insurance ( purchased under **********************) sent on September12, 2024 to Administrative Conceptstheir third party administrator,inclusive of all documentation such as: medical proof of illness: real estate contract, statement of supporting letter from landlord, and copy of cancelled check proving payment to the landlord for the vacation rental. On October 28, an inquiry was made to customer service on status of claim. They asked for a copy of the claim which was sent via email, and confirmed on October 29. Since then , we have received no word on status of claim, nor were attempts to reach Administrative Concepts again successful. Therefore, we would appreciate any intervention possible so that we may be reimbursed in the amount of $5000.25.

  

  Business Response

  Date: 11/21/2024

  I spoke to Mr. ****** today and discussed his initial claim was processed 8/21/2024. There was another part of his claim that I had to look up and I left him a voice mail to let him know the second portion of the claim was processed on 11/15, but because of the weekend it most likely was mailed 11/18.   If he does not get it in a couple of days, let me know and I left him my direct line.

  I also apologized for lack of communication regarding the claim process.

   

  *****

  Customer Answer

  Date: 11/21/2024

  While we acknowledge that the business has processed our claim, we do not wish to close the file until payment is received. 

  Customer Answer

  Date: 11/26/2024

  We have received payment from Administrative Concepts. 
  Therefore, we consider this matter to be successfully closed with the assistance of BBB. 
  Thank you for your intervention. 

  Customer Answer

  Date: 12/02/2024

  [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
  
  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. 
  
  Regards,
  
  ****** ******
  
  

• Initial Complaint

  Date:09/10/2024

  Type:Order 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.

  On Feb. 2, 2024, I applied on-line for travel insurance on the website ****************. I received coverage for my planned trip beginning June 1 through June 16. My destination was the ********************* in ****** hiking from ****** to *******************************On May 10, 2024, I went to my podiatrist with blisters on both sides of the feet and on the soles.That day, my physician ordered patient is not to walk or stand for extended time.Since I was just days from leaving on my trip, I canceled everythingthe tour, lodging, airlines. On May 12, I contacted Administrative Concepts, **** (ACI), the third party claims processor for ********. ACI emailed me the Trip Cancellation/Interruption/DelayMedical Claim Form.On May 29, 2024, I retuned the completed claim forms which included a Physicians Statement attesting to the dates, condition, and medical orders, plus copies of emails, two for each transaction, one being the invoice the other being the paid receipt.I was finally contacted by ACI on July 23, 2024, notifying me that they needed more information to complete my claim:1) Proof of trip payment via bank statement(s), and 2) A letter has also been sent to your physician, Dr. ****** to confirm if you were well enough to travel when the policy was purchased on 2/4/24.I argued that neither was needed to process the claim. First, they had all the information they needed already. But ACI insisted. So I sent ACI copies of my credit card statements showing the charges and credits associated with the trip. Today, I followed up with ACI on the status of my claim. I was told that ACI is still waiting for a letter from Dr. *********** its already September 9, 2024, I asked ACI how long they were going to wait before doing something? I suggested that ACI send me a copy of the letter they sent to Dr. ***** and I would hand carry it to Dr. ****** and send thy registered mail back to ACI.I received an email comply ignoring my request.

  

  Business Response

  Date: 09/12/2024

  Good morning,

  **** ***** was covered under the ********-Heymondo Top plan, policy number ********. ACI was investigating the medical reason for the trip cancellation to determine if the loss was caused by or resulting from a Pre-Existing Condition per the policy language. Since the complaint was filed, Ms. ***** provided the details needed for the determination on 9/11/24. The claim for trip cancellation has been approved in the amount of $1,514.94 for non-refundable trip costs. The check will be issued tomorrow 9/13/24. Please let me know if any additional information is needed. 

   

  Thank you,
  
  ******* ******,  Claims Manager 
  ACI Administrative Concepts, Inc. 
  PO Box 4000
  **********************
  Office: ***********************
  *********************************
  

• Initial Complaint

  Date:08/12/2024

  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.

  I ******* was looking for health insurance for my husband only after not being able to obtain market place insurance. So I once again called market place and was routed to this company called administrative concepts. They sold me on this plan with all these benefits at $254 a month and the coverage was all a lie after one year of having this insurance my husband finally had to use it for his yearly check up and they covered minimal we now have bills from a lab that was on their website stating this insurance was covered there and a pcp also on their website. We now owe close to $1500. When called they stated the plan wont cover and there is nothing they can do because we bought the cheapest plan but at the time of purchase different benefits where given.

  

  Business Response

  Date: 08/12/2024

  ******************* I received your BBB complaint but am unable to pull up you policy records using just your name. Can you send me your policy number and any other identifying information off of your policy so that I can research?
  
  I can tell you that Administrative Concepts does not sell insurance, we are a claims administrator for various insurance companies only.Likely I will need to refer you back to where you bought the policy but if I can get more information, I can pass your complaint to the proper party to address your concerns.

  Thank you

  
  

  Customer Answer

  Date: 08/13/2024

  
  This is the phot for the health insurance card for my husband *************************. And we where told back in march or feb of 2022 that this is insurance  plan but when used after more than a year almost nothing was covered now we have a very large bill of close to ***** dollars 

  Customer Answer

  Date: 08/19/2024

  
  
   Complaint: 22128952
  
  I am rejecting this response because:This is the photo for the health insurance card for my husband *************************. And we where told back in march or feb of 2022 that this is insurance  plan but when used after more than a year almost nothing was covered now we have a very large bill of close to ***** dollars 
  
  
  Regards,
  
  ******* *************************
  
  
  
  
  
  
  
  
  

  

  Business Response

  Date: 08/20/2024

   

   

  As per my previous reply, Administrative Concepts is the claims payor for the policy sold to the insured. We have nothing to do with the sale, or collection of premiums.

  To get information on the sale and any premium adjustments, please contact Adroit Health Group aka Strata Health Group with questions about the resolution with the sale of your policy. 

  
  Adroit Health Group fka: Strata Health ******************** email address: mailto:********************* ************** phone number: **************.

   

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

  8/20/2024

  Customer Answer

  Date: 08/21/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: 22128952
  
  I am rejecting this response because:
  
  
  Regards,
  
  Larissa *************************
  
  
  
  
  
  
  
  
  

• Initial Complaint

  Date:07/31/2024

  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.

  There are several dates involving this company. On February 7, I purchased travel insurance from Starr insurance for $188.32. My fiance and I planned an Alaskan cruise at the beginning of the year. At that time, he was well enough to travel. His health declined dramatically, so I tried to use the ACI portal to submit a claim on April 12. The portal didn't work. I called and they told me to email the information to ACI. I did, and I didn't receive any confirmation. I called ACI and they told me that I had to submit a claim, which was different information than the previous phone call. I was given a different email, so I sent the information again on May 16 and the documentation was accepted on May 17. I didn't hear from the company for almost three weeks, so I called June 22 to find out the status of the claim and was told they sent a letter on June 12 requesting an official cancellation from ***************. They told me what I needed to send, so I sent that cancellation notice on July 1. I finally received the letter on July 18 and resent all of the information along with ****** death certificate again. Only July 22, they requested a letter from ****** ************ Doctor stating he was healthy to travel on February 7. I have obtained that letter and will send it today. This has been going on for almost 4 months. I paid for the service and sent all they have requested. I don't understand why they didn't state all of the documentation they needed upfront, why their portal doesn't work, and why they are balking at helping. I have lost my fiance and this is added stress I don't need. I would like this resolved.

  

  Business Response

  Date: 08/08/2024

  A provision of the policy requires that the insured be well enough to travel when the policy was purchased. Along with gathering all of the necessary information we needed a letter from his doctor stating same. The letter was received 8/2 and we approved the claim on 8/2 in the amount claimed of $2,238.58. If she has not received the check yet, she should in a couple of days to allow for mailing.

  We believe this to be a satisfactory resolution and apologize for any delays or misunderstandings along the way.

  Customer Answer

  Date: 08/08/2024

  [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
  
  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. 
  
  Regards,
  
  *************************
  
  

• Initial Complaint

  Date:04/02/2024

  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.

  I am seeking promised reimbursement in the amount of $485.44 for an APPROVED medical claim pursuant to a travel insurance policy that ACI administers on behalf of Momondo Travel Insurance. As indicated in Attachment 1, the claim was APPROVED with payment (in the form of reimbursement to me) expected on December 29, 2023. Upon failure to receive this reimbursement, I contacted ACI and was subsequently informed by them that an "accounting error" had occurred and to expect reimbursement by no later than February 14, 2024 (approximately 1.5 months after the expected and documented reimbursement date). As indicated in Attachment 2, on February 14, 2024, still not having received this promised reimbursement for an approved claim, I proceeded to re-contact ACI, only to be told that they would "contact [me] shortly" about the status of the reimbursement. Since February 14, 2024 and as of today (April 2, 2024), multiple attempts by me to seek resolution to this approved claim (both by phone and in writing via email) have failed to yield any explanation whatsoever as to the delay of the reimbursement. Specifically, attempts to resolve this matter were made via email on the following dates in 2024: February 14, 16, 22, 28, and March 12, IN ADDITION TO at least two personal phone calls to ACI that likewise occurred within the above-described timeframe. Given the ongoing delay in providing reimbursement for an approved medical claim, I am seeking BBB's assistance in resolving this matter with ACI. In the interest of such resolution, I am furnishing the BBB with the following CONTACT INFORMATION for ACI and the associated claim number:ACI - Administrative Concepts, ********************************************** ************** Point of Contact: *************************** CASE ID Number: DD8D94B Specific Email: ********************************** Please note that I continue to accrue interest on this unreimbursed amount until such reimbursement is made to my bank by ACI.

  

  Business Response

  Date: 05/02/2024

   

  **************** - Let me apologize for the delay in payment. Your claim was processed  but was coded as a status that did not allow the check to be processed and it did not kick out as an error therefore, we did not notice the check did not go out..

  We discovered this as a result of this complaint and are re processing the payment correctly and a check for the $485.44 will be overnighted to your address tomorrow. You should have it by Saturday.

  Sorry for the delay.

   

  Regards,

  ***************************, Claims Director

   
  

• Initial Complaint

  Date:03/30/2024

  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'm a postdoc at the *********************, and ** requires me to buy an insurance plan for myself and my dependents (wife and daughter) to complete the check-in process. The whole thing is shown below:1. On March 15th, 2024, I bought an insurance plan from ACI that includes my wife and my daughter, taking me $1494.53 (Plan I), the transaction number is ******; 2. I searched on the ** website and found that I could buy the insurance plan for my dependents under the Patriot Plan which will save lots of money, so I bought the insurance plan from another company (company B) for my dependents on March 21st, 2024. 3. I repurchased an insurance plan only for me from ACI on March 21st, 2024, which took me about $91.67 (Plan II). The member ID card I got from ACI is the same as that purchased on March 15th (same member name, same member ID). The transaction number is ********. I sent the IDCard from ACI and insurance proof from company B to the international center of ** and completed the check-in process.Now, I want to cancel the insurance plan I bought on March 15th, 2024 (Plan I), and maintain the second one (Plan II). Because I have bought another one for my wife and daughter from company B and Plan II for me. But ACI doesn't want to cancel it for me. My name is ***************, my birthday is 12/08/1989 and my Member ID is ************.

  

  Business Response

  Date: 04/15/2024

   

  When this member reached out to the customer service team it was not clear that he had purchased 2 separate policies, an individual plan and an EE/dependent plan. When the initial request came in to terminate coverage that was brought to ********************* who advised that we could not terminate coverage as it was required, however they were not aware that he there were two policies purchased. We have terminated his EE/Dependent coverage and a refund in the amount of $1494.53 has been issued, the member and ********************* have been made aware.

   

  We believe this is a satisfactory conclusion to this complaint.

  *****

  Customer Answer

  Date: 04/16/2024

  [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
  
  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. 
  
  Regards,
  
  ***************
  
  

• Initial Complaint

  Date:03/22/2024

  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.

  On February 16, 2023, my wife delivered our first baby, and subsequently, we received a bill from **************************************** for $333.60. This amount was owed after primary insurance with United Healthcare covered its portion. We expected ACI, our secondary insurer, to cover the remaining balance. A claim was submitted to ACI in September 2023, and again on October 30, 2023, complete with all necessary documents including the **** I followed up on this claim and received repeated assurances from ACI via email and phonespecifically in November 2023stating that the claim was being processed. However, the issue remains unresolved as of March 2024, with ACI requesting the initial documents again. This cycle of unacknowledged communication and repeated requests for documentation has continued unabated for over a year and it is completely unacceptable. Despite my active engagement and numerous hours invested in attempting to clarify and expedite the claim, it has become evident that ACI's efforts to resolve this issue have been insubstantial and unproductive. The hardship and frustration I have experienced are undoubtedly shared by other customers who rely on ACI to act in good faith as an insurance provider. I am asking that ACI take responsibility for it's negligence, process and payout this claim, and apologize for the avoidable stress and hardship this incident has caused me for the last several months. I've never had to go to such lengths to get a company to do it's job. I've attached all the documents and emails relevant to this complaint and claim. Claim #: ********** Amount in Dispute: $333.60 Desired Resolution: Process the claim and cover the bill

  

  Business Response

  Date: 04/02/2024

   

  We have reviewed all of the supporting information and unfortunately need more than what was submitted. 

  The billing received from Brookwood Medical for $333.60 was a balance due bill and therefore does not contain the information needed to process the correct benefits. What is needed is an itemized billing for the entire amount of $7,749. The billing will contain codes for place of service, diagnosis and Procedure codes (CPT) as well as the provided Tax ID# and billing address.

  This is not an attempt to delay or not pay expenses due, but to obtain the information needed to properly process and apply the correct policy benefits. We are also attempting to obtain the billing, but sometimes providers will not supply it to us as they may not have our information on file.

  Once we receive the itemized nilling, we will promptly review and process any benefits due.

   

  Thank you

  ******************************, AIC,ALHC, FLMI, PAHM
  Director, Claims Department
  ACI Administrative Concepts, Inc.
  PO Box 4000 
  **********************
  Office: **********************
  www.acitpa.com

  Customer Answer

  Date: 04/02/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: 21470234
  
  I am rejecting this response because:
  

  While I can understand now that not all documents have been provided, I still expect ACI and Brookwood to communicate with one another to reconcile this claim. I have sent everything I have on this claim to both companies, yet both companies fail to communicate with one another to get what is needed, while sending final notices to me asking me to do something about it. If you are saying that you need itemized billing, CPT codes, etc, from *****************, then please contact **************************************** to get it. Why are you contacting me for it? You have *********'s contact information from the billing sheet I provided and you have all the evidence (EOB, email threads, contact info, etc.) that I am attempting to get things moving so why not contact *********, notify them that your customer has submitted a claim and ask for the documents needed? The burden of having to oversee and ensure that both companies communicate with one another has been involuntarily placed solely on my shoulders, while I am just a policy holder. This is ridiculous. For your convenience, I am providing the contact info below. Please contact them and get the information you need to process this claim. 
  
  The number for Brookwood (found on the billing statement I sent): 
  **************

  Here is the address where you can send any correspondence about the bill: 
  ****************************************
  PO Box 660873
  ****************-0873

  Info about the Billing Statement from *********: 
  Patient Name: *************************
  Patient Reference Number: 600227482
  Service Date: 2/16/2023 - 2/18/2023

  Regards,
  
  *******************
  
  
  
  
  
  
  
  

  
  

  

  Business Response

  Date: 04/24/2024

   

   

  This claim has been resolved with a payment to ************** for the Brookwood charges.  Attached is a copy of the Explanation of Benefits showing payment.

   

  If there are any additional concerns, please let us know.

  Customer Answer

  Date: 05/01/2024

  [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
  
  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. 
  
  Regards,
  
  *******************