ComplaintsforWipro Limited Health Plan Services

• Initial Complaint

  10/14/2024

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  I have been trying to contact this company for over a week. I have called no less than 35 times and left voicemail after voicemail. No one answers their phones, no one calls back. Half the time their phone system just hangs up. All I need to do is make a payment to them for our healthcare services.

• Initial Complaint

  04/16/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  I have been filling reimbursement claims through HealthPlan Services through my employer, ****** Foundation health plan and since February 2024, even though my claims have been approved, I have not received the checks for reimbursement. When I speak with their representative, they have told me that they are having issues with the company they work with, Change Healthcare, which issues the checks and that these checks are on hold for an undetermined amount of time. At this point, I am still waiting to be reimbursed for $2500 and will not be able to continue receiving necessary healthcare services unless I am reimbursed for the money that I have been owed. This will negatively impact my health and functioning. No one in their company has been able to provide me with any recourse or timeline as to when I will receive reimbursement.

  Business response

  05/14/2024

  HealthPlan Services, **** ("HPS") utilizes vendors for various printing services. An issue with a vendor affected the printing of checks for this member. The issue was remedied and member checks were mailed as of April 23, 2024. We have resolved this problem as part of our ongoing commitment to member satisfaction. We appreciate the patience of this member during this time.

• Initial Complaint

  09/23/2022

  Complaint Type:

  Order Issues

  Status:

  Unanswered

  More info

  In December 21 we had a member of the policy need to be terminated from the policy. A termination application was faxed to the company. The next bill arrives. I deducted the premium and wrote on the remittance stub to terminate the individual as of 12/2021 (as noted on the remittance to do). This continued for months with the individual not being removed from the bill. All other premiums for others on the policy were paid in full on time. In June a letter arrives stating the whole policy has been canceled. I have tried all the phone numbers that are on the letter and left voicemails were their is a mailbox. I resent the termination paperwork and located another fax number sending it to that number as well. On 7/25/22, a certified letter was sent to the remittance address. It was received but again no follow up nothing. This policy is over 40 years old. These are individuals with disabilities that they have terminated a policy on for no reason. The individuals have paid in far more than their policies are worth. I also attempted to reach the company via a ******** page. Its horrible that the others have lost the policy due to the company not having the correct information anywhere on their invoices or letters to be able to talk to a person. Honestly it is a very easy fix you terminate the individual as requested and the policy is good. If I could talk to a person it would be corrected. I have included the initial termination application, the June 22 letter from Healthplan, the new fax in July and its success report, the certified letter and the proof of delivery.

• Initial Complaint

  01/28/2022

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  I would like to file a complaint on HealthPlan Services (Payer ID #XXXXX) in handling my Kaiser Permanente Health Insurance claim. They have been doing a disservice to me because of the way they handled my health insurance claim. When we sent them email starting in October2021 with all these health services claims forms files, they complained to me saying they could not receive file size bigger than 5 mb. I just felt that they were trying different ways to make it difficult for us to submit the claims. After struggling with them for months, we submitted to them the insurance claim from October, 2021 via fax. However, when I called them, they told me it would take few weeks for them to upload it. (This is also ridiculous to take weeks to upload something to the system!) I just felt that they tried everything to delay or discourage the patient from filing the claim. In November, I followed up with them, they still did not receive it and I used the post office to mail all the documents to them. Lately, I got a check from them for $88 dollars only for the treatment date from September 18 to October 2, 2021. However, the claim for the treatment from August 28 to September 14, 2021 was denied and the reason is "inappropriate diagnosis". We called them, a lady called Liza said the codes were different. However, the doctors had been using the same diagnosis codes for the whole time. I have filed all the claims with the same diagnosis codes from the doctor as M5451, M 5430 and M21379 for the claims for August 28 to September 14 and from September 18 to October 2, 2021.Pls see the attached claim forms with all the same diagnosis codes. There is no reason for some claims accepted and some claims denied when the codes are the same!Pls kindly review it and I would like to file the complaint against this company due to their processing error and the way they handle customer's claims!Thanks,

  Business response

  03/11/2022

  Business Response /* (1000, 11, 2022/02/24) */ Please see attached.

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