AmeriBen/IEC Group

kris drost (11.10.2017 01:33)
I started the prosses of getting short term disability several weeks before my brain surgery. My doctor filled out the forms sent them in and as far as I had knew all was well.
I had surgery September 27, I called on October 3 to see why I was not receiving any payments. I was only then informedthat there was a missing form. NO ONE INFORMED ME!
I was told they had "just" sent out a letter. I did not receive one for a few more days.
I asked my surgery team to send a fax explaining and receive a call back confirming it was sent.
The following week I still did not get my short term payment. To be told that they still did not have the form that they needed. I asked why no one told me I was told, " we do not make out bound calls. We don't have the time"
I asked to speek with the individuals boss and was told that they do not have a number for them and they had to set up a conversation time. I asked for a number to leave a message and was told that could not happen. That there was no such number.
I had to have a family member come get me and drive me to my work all while Comunicating with OHSU on the phone so that we could redo the paperwork... again. Mind you I am now 1.5 weeks out of brain surgery and this is the last thing I should be doing! When I get to my work i find out that by some miracle the employee handling my case was somehow able to call out and talk to both my work and my surgery team and get this... I got a call back!
I am mortified that this company would consider this a job done well. People are in emergency situations and this company that is making money to handle our shorttermdisability can't and won't make a call to let us know we need more documents. They do not have time to help their customers. They do not have a phone number to contact their own boss?!

LEE Allison (05.08.2015 23:47)
As a physician's office this insurance company does not follow through with payment of claims. We have sent the claims to the clearing house (repricer Healthsmart) and they are telling us that they have forwarded these repriced claims to the insurance company twice. We are unable to speak to a customer representative to follow up with these claims as their system is automated.

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