• Report:  #1505656

Complaint Review: Alight/Aon - Lincolnshire Illinois

Reported By:
james - Cumberland Gap ,Tn., Tn., United States

4 Overlook Pt Lincolnshire, 60069 Illinois, United States
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ATT contracted Aon in 2015 to handle retiree claims for Health Reimbursement Account, from 2015 thru 2019, never had a claim denied or had to make a call. Aon got bought up 2 years ago by Alight ,a company controlled by ATT, In the year 2019 , 1st claim denied Dec.2019, then 2020, Jan, Feb, April,May,July,Aug,Sep,Dec,,all had either copay claims to doctor visit, pharmacy co/pay, or part B medicare claims denied. If you called a rep to get reason for denial, they would say, either dollar amount unreadable, date smudged, 5 pages faxed ,only recieved 4, or no fax at all.

You could call back ,get different rep, get a different reason for denial.I fax bills in on 1st of each month, usually 5 days later ,i get email saying being reviewed, then 5 days later if approved ,email says ,will receive check in 7 to 10 business days, so with no denial, thats about 3 weeks without denial, but if claim is denied, you start from scratch again.

In 2020, i stayed on hold or talked over 59 hours , showed them at least 4 of 8 months ,it was a mistake they made, on the other 4 i have two witnessess and paper work that show proper amount of pages sent and report shows 800 # is correct and fax ok. Yet they say they never received any fax. Now in 2021, i had Jan part b denied, called them, they had typed 2-21-2020 as date, but verified it was their error, In Feb 2021, part Bpage missing denied again, said receipt from Social security showing part B, finally got it paid. I just had a chest CT , my cost $225 ,BCBS pays rest, my cardiologist was copay $65,. Both denied, called to see why, 1st rep said, date of service not on form, when i advised it was on claim form and reciept that i paid hospital and doctor, then excuse was , no discription of what i had done, I ask to speak to supervisor, she was irate and kept saying .we need to know whay was done.

I 1st advised her of doctor/patient privacy, advised her that only people got that was the doctor,insurance company ,and myself. I ask her what a radiologist would explain other than a chest ct , and that was on the bill, i ask her what my doct was suppose to explain ,other than explain the ct scan and any restrictions about how much i should lift. Alight has access to the dollar amount i have in my HRA and how much the co/pay is for doctor $10, specialist $65, Radiology $225, and emergency room $350. With all this info at their finger tips, they still refuse to pay claims, even though there id nothing other than a CT scan and a cardiologist visit, what else is there to explain?

They are not my insurance company, just a contractor taking care of my out of pocket health care cost.Any company that ATT touches goes crazy, Directv is 1 example, Warner Media is another, and don't forget about 24 mg U-Verse service that they tried to run on 40 year old lightning and rat damaged cable.

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