We were unable to identify this member in our system to investigate. It is terrifying to me that this company is allowing unqualified doctors to hand out prescriptions and give medical advice. Allied Benefit Systems | Health Insurance Plans for Everyone Company Provider Networks Resources Careers Allied is a national healthcare solutions company that supports healthy workplace cultures. "Your Rights and Protections Against Surprise Medical Bills". On the member's dental ID card, the claims address. The representative told me my certified mail claims were received, but lost by them. Gain fast and secure online access toyour patient's benefit and accountstatus information using the Provider Self-Service Site. National General AccessHospital Expense ProtectionFixed-BenefitAcciMEDAccident Medical ExpenseHealthShieldSureCareTriomedVitalGuardVitalSecureIntellaPlanCritical Illness (with Term Life Rider)Term LifeDental PPO Network by CareingtonDental Indemnity Network by CareingtonAccident Fixed BenefitPlan Enhancer Accident Medical ExpensePlan Enhancer Accident Medical Expense w/RidersCancer Heart StrokeLimited Medical, For policies issued prior to 1/1/2021 under the National General Insurance brand. However, since coverage terminated on 2/28/23, the authorization determination was denied. I have submitted claims for coverage via both certified mail and fax between August 2022 and December 2022. Our system records every call through our contact center. We are here to help, whether you're already a network participant or just want to know more about us. L.A. Care Health Plan representatives are available 24 hours a day, 7 days a week, including holidays to help you. I have had four or five calls to service reps to make sure my claims are received and processed with no resolution except being told to send in the claims paperwork yet again. On these dates I spoke with representatives of Allied Benefit Systems after multiple denied claims through caremark for pharmacy benefits over a 2 week period. information for instate claims, Accessing member eligibility and benefits, claims information, or Clear Claim Connection (C3) claims prescreening simulation tool, Provider network inquiries and applications, Address, phone, fax, and practice changes, EDI set-up inquiries (270/271, 276/277, 278, 837, 835), Member benefit enrollment setup inquiries (820/834). 0C36861. KEEP A COPY FOR YOUR RECORDS. We look forward to talking with you! CLAIM.MD | Payer Information | Allied Benefit Systems 2023, International Association of Better Business Bureaus, Inc., separately incorporated Better Business Bureau organizations in the US, Canada and Mexico and BBB Institute for Marketplace Trust, Inc. All rights reserved.