James H.
I have filed a fraud complaint with…
I have filed a fraud complaint with Medicare re this company. My Dr prescribed Ebglyss injections and this company was to provide the injectables for administration at home. I'm well insured with a Medicare advantage plan and as a federal retirees, a private insurance company as secondary. Months ago, this company received a payment from Medicare for 5600.00, but has incompetently refused to correctly bill the secondary insurance for the 1050.00 balance, insisting on billing the secondary insurance as primary, causing denial of the claim. I have spent over 8 hours of my time attempting to resolve this over a dozen or so calls, including several 3 way conversations with myself, this company and the secondary insurance, where it was clearly understood that this company had miscoded the claim as primary. This issue has supposedly been "escalated" 5 times with no contact or resolution, except to dun me for the balance. All they had to do was send the claim to secondary as SECONDARY. To date, nearly 4 months after being prescribed this med, I still don't have it and customer service still says I owe. I'ts fraudulent to take money for meds and then not deliver them. I've done without this home therapy for nearly 4 months, having instead to rely on samples at the Drs office. Everyone knows Medicare is always primary and billed first, then secondary insurance is billed for the remainder. Gross incompetence at best, fraud at worst. I'll let Medicare decide Update I just spent 2 hours again with a bioplus supervisor, who was arrogant, and blamed everyone but the pope for the problem. Towords the end of the call, he admitted, passively, that the problem was their systems and attempted to correct the errors. During the call, he insisted That his billing dept had called my secondary insurance and supposedly was told my insurance was inactive. When I told him I had just received a EOB dated several days ago which proved him wrong, he wouldn't give me his email address to send a copy to and he refused to participate in a 3 way call with the secondary insurance, which I had done twice prior that concluded that bio plus had simply miscoded the secondary insurance as primary, causing a denial. After two hours of his arrogance, I cancelled the order and demanded a refund. Deal with this company at your own risk. My response to owners response on official site, where he wanted to communicate with me to straighten this out reject the response as too little too late. I cancelled the order as per my comments above. Next day, Caremark Rx Specialty pharmacy filled the order after receiving it from the Dr. SAME DAY, using the same secondary insurance I provided to your company. I filed a complaint with my Dr who is part of a nationwide group, and was informed they had stopped using your company due to many complaints. Our relationship is concluded and I do not intend to communicate with your company further. I'll let the Medicare OIG speak for me and all the other consumers your company rear ended.