Usacomplaints.com » Health & Medicine » Complaint / Review: American Progressive - Medical Insurance Fraud. #280283

Complaint / Review
American Progressive
Medical Insurance Fraud

National Modern

P.O. Container 742648

Houston, Tx 77274

Phone: 1-888-445-8699

Fax: 1-866-503-8428

Criticism against National Modern

Phone was created at 3:30PM by Patricia Preceding regarding clarification of advantages guide range 080063201200.

I'm likely to explain at length what only occurred using the health care insurance company National Modern.

Our mom received a phone from Dr. Shalom T. Kieval’s office. Their handle may be the following: 223 Excellent Oaks Boulevard; Albany, Ny 12203. The telephone number is 518-218-1234. They approached my mom at 3:20PM on January 22 at her house and informed her they attempted to publish a state on her last workplace visit plus they were informed that “Patricia Prior’s” insurance have been “terminated”. Our mom got really worried an named National Modern in the telephone number shown above. She was informed she'd “have a solution in 72 hours”. Then my mom named me at my house in Saugerties, Ny in the amount shown above. She told me the problem as previously mentioned. I had been really annoyed and chose to contact them myself that we did before. I named on July 23 at 11:10AM and talked to some “Linda” in regards to a statement which was delivered to my mother’s home concerning the same doctor’s workplace. The problem with that statement was they stated “the $1600.00 bill delivered to Patricia Prior wasn't A BILL.” They mentioned that “they obtained the recommendation late”. I thought nothing of it at that time because the problem was solved instantly.

I named (Keli Kane) with my mom likewise present about the telephone on three way calling to National Modern on January 22 after my mom called me. I named the organization at precisely 3:47PM. This is how the telephone phone went.

An individual called “Raymond” responded the telephone however it was ABSOLUTELY a lady. I first requested to talk to a boss and he or she refused me that chance. She was adament about getting in my experience first. I informed her this isn't the very first time we've named nowadays, which I've named previously in regards to a difficulty using their organization on 7/23/07. She questioned me to get a guide quantity for that telephone call. I informed her all of the info that I'd (that we mentioned within the notice currently above). I subsequently questioned her for that “reference number” for this telephone call. She offered me the next range: 080530009116. She questioned me my title, my telephone number, after which “pulled up records”. She requested going back four numbers of my mother’s social protection and my mom replied straight to that issue. Then she explained that she would move me to some boss and place us on-hold. Nevertheless, she got straight back about the telephone again. She questioned us when Patricia’s final office visit was. Our mom told us the final visit was on January 16. Then we're able to hear her writing all this info in to the computer. Then she returned about the telephone and mentioned the most obvious to people again that was “there isn't any particular cause it had been terminated”. Subsequently “Raymond” requested my mom to describe that which was precisely believed to her when Dr. Keival’s workplace named her today. Dr. Keival’s office informed my mom they attempted to publish a state plus they were educated that she no further had insurance since it was “terminated”. Subsequently “Raymond” presumably appeared up the telephone phone to “Linda” on 7/23/07 at 11:10AM. “Raymond” set us on-hold to get a second to “check the situation”. We were on-hold from 3:37PM to 3:58PM. She subsequently returned about the telephone and mentioned the scenario was “already delivered to the greatest priority”. This really is where I cut-in and turned acutely firm with “Raymond” and REQUIRED to talk to a “supervisor” instantly. The she mentioned “hold on, we’re double-checking on this”. She set the phone call on-hold again from 3:59PM to 4:05PM. Subsequently “Raymond” returned about the telephone again. She requested AGAIN the day of support last acquired from Dr. Keival’s workplace that was 1/16/08 which had an statement of $560. Raymond mentioned “$560 ACTUALLY? ” She asked if she obtained a “benefits explanation”. The she requested for that state quantity about the type that was reference range 080063201200. She subsequently set us on-hold AGAIN at 4:08PM until 4:12PM. She shortly returned onto request additional time after which we returned on-hold again till 4:13PM. At this time I'm ANGRY! You've to become kidding that the insurance provider may cash your look for providers, after which “terminate” your insurance for “NO PARTICULAR REASON” after which request US to hold back 72 HOURS for that solution. Therefore delay, it gets better

“Kayla” gets about the telephone behaving like a “supervisor” at4:18PM. She informs me that same info. “This phone was already delivered to the greatest priority”. I reduce her down and began shouting since at this time they're doing offers. This can be a scam that insurance providers do. It’s tactic since many people can give up and shed their cash. I’m not just one of these people. There’s nobody or organization on the planet that's likely to make the most of any member of the family of mine. I'll reveal the corporation to every organization that'll report grievances. “Kayla” declined to provide mean address to document a criticism. I actually needed to shout the demand at her FOUR-TIMES. About the sixth time I confronted to contact law enforcement since at this time anything is extremely “shady” with this particular organization. She subsequently offered me the next communication: P.O. Container 742648; Houston, Texas 77274. Then I required a fax number and he or she really mocked me in tone. Then I confronted her mocking tone and he or she rapidly ceased once she noticed who and what I had been performing with all this info. I'm likely to proceed as far as to obtain a lawyer and demand that telephone discussion and post-it using the information. I'm NOT KIDDING! I'm a Reading Expert who's really decided to not be studied benefit of by your organization. The fax number directed at me was: 1-866-503-8428. I'll be examining using the regulators to determine who the corporation is, and that has been cashing my mother’s inspections.

Should you react INSTANTLY using the info that people are searching for immediately I'll not document this criticism. I'm just waiting until 7PM after which striking the ship switch to any criticism panel that I will access, and rapidly backup and stick the criticism it.

How dare you attempt to make the most of seniors. Just how many others have you been achieving this to? Be VERY sure I'll discover, and observe who would like to join me about the combat your organization. I’ll be sitting here awaiting your reaction. Easily get nothing, anticipate more from bundles of others examining you.

Keli Kane

Also…Here is simply another criticism I came across you to date.

American Modern

Published: 01-16 by Kate Bielec [send mail]

Con and scam

Criticism Rating:

Organization info:

National Modern

PO Box 742648

Houston, Tx

Usa

Phone: 888 4458699

My dad moved in Sept. I named National Modern and Medicare together with his change of handle. He obtained a myriad of communication from National Modern. On December 3rd we obtained a page thanking him for maintain his insurance for another year and obtained fresh insurance card. Afterwards that month we purchase a number of his medical materials, the offer organization informed us he no further had insurance. I named National Modern and was informed from the customer care boss he was ended simply because they never obtained an application written down he had transferred which was an insurance policy of Medicare not theirs. They shipped the shape out November 8th (he was ended Nov 30th). We never obtained the shape and that I informed the boss and all she'd state is the fact that they never obtained it also it was Medicare Tip not theirs. After I called Medicare, the boss stated it had been ludigress and had never notice of something like this. My dad also registered for that strategy that will pay him $200.00 each day while he was within the clinic. He was within the Clinic for 11 times but still hasn't gotten a check. The Client Support Boss stated they did not obtain the info within the email, regardless of how often we've shipped it out. Appears unusual that people can't obtain anything they deliver and it's really okay to stop the plan, but itis okay when they do not obtained our characters so that they do not have to pay for.

Be cautious whenever you undergo this insurance provider, we've discovered that they're so poor with client grievances to medicare they mightnot market insurance in Ny State for just two years.


Offender: American Progressive

Country: USA   State: California   City: Oakland
Site:

Category: Health & Medicine

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