Find a Family Physician who accepts Ambetter from Peach State Health Plan near you in Acworth, GA. See all Family Physician office locations in Acworth that accept Ambetter from Peach State Health Plan and doctor ratings. Start a new comparison . Sincerely, [redacted] Compliance Specialist [redacted] Atlanta, GA 30339 Phone: [redacted] Toll-Free: [redacted] Fax: [redacted]@centene.com | PSHP.com, Complaint: [redacted] “ Enrollment is currently set to end on February 16, 2017. [redacted], January 3, 2017 Revdex.com, Inc. Attn: Dispute Resolution Department 211 N. Broadway, Suite 2060 St. Louis, MO 63102 RE: Case No. Ambetter was first mentioned on PissedConsumer on Jul 27, 2016 and since then this brand received 433 reviews.. Ambetter ranks 186 of 997 in Insurance category. I have also filed a complaint with the Insurance Commissioner of Georgia in hopes to find relief. A supervisor, who would not come to the phone, has to approve it or send it. I have contacted this company 6 times in the span of a month simply to get a letter stating that my insurance ended with them December 2019. So rather or not my address was correct wasn't the problem. So basically I am screwed and this company is the WORST. As with the other promises from [redacted] and others, this was never done. The other closest two are listed, but I don't have a car and public transportation doesn't go out that far. So bottom line, once I actually have the refund will I truly be satisfied. Product_Or_Service: health insurance I am at risk of having absolutely no insurance for the year, all because of this irresponsible company. I was absolutely clear on what I expect Ambetter to do for my complaint to be closed which is “I want Ambetter to correct the wrongly processed claims: Claim Number- [redacted], Claim- Number- [redacted], Claim Number- [redacted], Claim Number- [redacted], and Claim Number- [redacted](Service Details : [redacted]) (date of service 12/01/2016.) The member was unavailable, so a voicemail message was left containing his office hours and contact information. It has received a 1.4/5 star rating from reviews left on Best Company. The member confirmed that she received the refund on May 4, Sincerely, *** *** Compliance Specialist *** *** ** *** *** *** Atlanta, GA Phone: *** Toll-Free: 1-*** Fax: 1-*** ***@centene.com | PSHP.com, Revdex.com: I would like to also take a moment to say thank you all at Revdex.com for helping with resolving this drawn out issue. And the representative fail to mentioned that there were numerous of refund checks that was sent out supposedly and that was processed wrong or either they just didn't know where the check was. If a provider is not in-network, there is a minimum 15 day wait period. Get reviews, hours, directions, coupons and more for Ambetter of Peach State Health Plan at 1100 Circle 75 Pkwy SE Ste 1100, Atlanta, GA 30339. I am rejecting this response because: The response is not adequate, since I was not offered any resolution, just a promise to look into it within additional 2 month. BBB remains operational and focused on serving our business community and our consumers throughout this crisis. Member resources. 162 customer reviews of Peach State Health Plan Inc. One of the best Insurance business at 1100 Circle 75 Pkwy, Sandy Springs GA, 30339. At this point I am ok that they update my account. BBB Business Profiles may not be reproduced for sales or promotional purposes. BBB reports on known marketplace practices. [redacted] never followed up and [redacted] the supervisor, never called as promised. appointment with an MRI provider as all of the providers listed on the Find A Provider (FAP) website do not take Ambetter or are closed. [redacted] in Decatur informed me that they no longer accept Ambetter as an in-network provider as of June 2017, hence the 15 day wait period. Recent recommendations regarding this business are as follows: "DO NOT SET UP … Therefore, Mr. [redacted] reached out to Dr. [redacted]’s office regarding the request and a message was left on the voice mail of Christina Congol, the office manager to return the call. I can hope that my primary care physician can squeeze me in sometime next week but all I need is a throat swab with a possible culture and a scrip for antibiotics. Ambetter Peach State Health Plan Reviews (20) Add a review. I want to speak with a supervisor. The Ambetter from Peach State Health Plan login portal is where you manage your account. advised that the member purchased the Ambetter policy from Peach State Health Plan through the Federally Facilitated Marketplace (FFM).The member’s complaint states that she has not received her refund that she was advised would be coming to herThe member’s concerns were forwarded to the Ambetter Enrollment Department for review and the following information was providedThe member had an address change request on March 4, to be updated to: *** *** *** *** *** *** *** ** ***The address was not updated in back systemsThe original refund check has been voided and a new check was processed and resent in the amount of $Outreach to the member was conducted on June 20, by a Member AdvocateThe member was advised that a refund check in the amount of $has been processed and mailed to *** *** *** *** *** *** *** ** *** as of June 19, and to allow 5-business days to receive the check. I am rejecting this response because: I have called Ambetter several times, and was told that they the check was cashed on March 29th and that they are trying to reach their corporate office then they will update my account. Customer Reviews are not used in the calculation of BBB Rating, Location of This Business1100 Circle 75 Pkwy SE Ste 1100, Atlanta, GA 30339-3176Email this Business, Need to file a complaint? Please allow 48 hours for systems to update. The company's filing status is listed as Active/Compliance and its File Number is 15081857. Sincerely, And when you call in, you have to wait for the computer to list all the options before you make a selection, and if you press any button during the reading of options, your selection will be 'invalid', and you have to start the whole process over. The problem with that is it takes at least a week for it to get here, and I have already been given am extension to get information into my company for insurance and by the time the letter gets here, that deadline may be up. [redacted] also contacted [redacted] from National Imaging Associates, LLC (NIA) in reference to the MRI. The Registered Agent on file for this company is C T Corporation System and is located at 289 S Culver St, Lawrenceville, GA 30046-4805. Customer service. I have been thru this last year after they cashed my check I was receiving numerous letter stating my account will be cancelled, knowing that the check was cashed. [redacted], Address: PO Box 5010, Farmington, Missouri, United States, 63640-5010, Add contact information for Ambetter Peach State Health Plan, Sharing is caring! The member stated that he would remain with Emory to schedule the MRI since the appointment times for both providers were basically the same timeframe. BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. Ambetter policy from Peach State Health Plan through the Federally Facilitated Marketplace (FFM)The member’s complaint states that she went to the doctor and was advised that she could not be seen because Ambetter stated that a payment had not been madeThe member also stated that her bank verified that a payment was made and the check had been cashedHowever, the member states that her account has not been updated and she is unable to see a provider until this issue has been resolvedAccording to the member’s case records, the member had not contacted the plan related to the issues outlined in this complaintA member advocate reached out to Ms*** on April 21, in reference to her concernsThe member was advised that her account is current and paid through May 31, 2016. Dental and vision insurance plans are available, but policies can be hard to obtain since Ambetter is only offered in a limited number of areas. This business is in an industry that may require professional licensing, bonding or registration. I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. Ambetter is our suite of health insurance product offerings for the Health Insurance Marketplace. Well, lesson learned. Case records shows that a refund of $was processed on May 3, 2017. Again, the only provider who can see me "in-network" (without the waiting period) is [redacted], who has no available appointments. Dental and vision coverage. 1100 Circle 75 Pkwy SE Ste 1100. Read more. Find Reviews, Ratings, Directions, Business Hours, Contact Information and book online appointment. I need to speak to a live person who is in charge, not a representative, and not an unconcerned supervisor, at this company so they can process my request ASAP, hopefully by fax. ), April 22, Revdex.com, IncAttn: Dispute Resolution Department NBroadway, Suite StLouis, MO RE: Case No(***) Attn: Dispute Resolution Department: In response to the complaint received on April 19, 2016, please be advised that the member purchased the ([redacted]) Attn: Dispute Resolution Department: On July 14, 2017 at 5:30pm, [redacted], Customer Service Supervisor, reached out to the member to discuss the concerns expressed in this complaint.
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