Collective HealthReviews of collectivehealth.com

Difficult to reach reps for benefits or claims info. They recommend visiting Availity but that does not show all of the info that is needed, such as accumulators, patient responsibility, proper claim status or contact info for insurance. Call times are too long, if you're on hold for more than 1 hour and 2 mins, they hang up on you. Virtual assistance sucks and doesn't recognize numbers or names. Processed claims against wrong fee schedule causing more delays. Claims over 6 months old still not paid/processed.

Checked Collective Health’s directory before an appointment — provider showed as in-network, so I went ahead. Turns out that was wrong, and I got stuck with an out-of-network bill. Support couldn’t explain the mix-up, just excuses. If your benefits platform can’t give accurate network info, what’s the point? Call the provider directly to confirm coverage — don’t trust what’s listed here.

The worst company ever. And that is a short version. It would take the space of the Bible to type out how awful it is.

Everyone is really nice every time I talk to them, but there’s constant conflicting information and downright incorrect information. Some of them will go the extra mile and some of them will just push the responsibility back on a third party. My providers also mention it’s exceedingly difficult to get a hold of anyone. Currently, they are billing my in-network providers as out-of-network and so I don’t have a correct estimate to pay for an upcoming appointment. Very disappointing.

Extremely long wait times. Inaccurate billing. Inaccurate clearinghouse information provided by Collective. EOBs are sent manually??? Representative don't call back, even though I was told to expect a follow-up call ( more than one occasion). Single Case agreements are impossible. I just call and call...

Collective Health is incompetent. Their customer service people are pleasant, but give incorrect information. Constant delays and denials of benefits that are included in one's plan. They make an art of saying it is always the customer's fault and you need a new code, that wasn't ever required in prior years, or they tell you a provider is Out-of-Network when the provider is, and always has been In-Network They also require users to 'waive' all rights to a class action law suit in order to use their online portal. Check out Reddit for good information from other fellow Collective Health sufferers.

This company is trash. Ever since Providence partnered with Collective Health all of my insurance claims have been denied for no rhyme or reason. They SHOULD be in-network, but they LOVE stating it is out of network and trying to charge me $210 per therapy visit that was covered completely before this awful company came along. I've called them 3 times and they are always unhelpful and incredibly vague. They also contradict themselves as they kept telling me my claim was approved, when I could clearly see it was denied on their website. They obviously just care about charging patients the max out of pocket rate so they can make money. Truly a disgusting scam. 0/10

Processed in-network claims as out of network incorrectly in February. Said it was a one-time mistake being corrected. It took forever to correct, and then months later, it happened again here in April. Hold times for customer service have been 1-2 hrs for members like me, and even more hours for providers, causing them to nearly cancel my husband's surgery in January due to being unable to verify the billing expectations in time. They are basically a scam.