HEALTHFIRST TPA, INC. — health Complaints in Texas

Detailed analysis of 45 health insurance complaints filed against HEALTHFIRST TPA, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 45
Total health Complaints (All States): 45
Texas Share: 100.0%
AI Risk Score: 37/100

Analysis: HEALTHFIRST TPA, INC. health in Texas

HEALTHFIRST TPA, INC. has accumulated 45 health insurance complaints from consumers in Texas. Across all states, HEALTHFIRST TPA, INC. has 45 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Delayed payment with 17 complaints. Other common issues include Claim denial (14), Unsatisfactory Settle/Offer | No Jurisdiction (4), Premium or billing dispute (3).

The most active year was 2025 with 1 complaint filed.

Consumers in Texas who have health disputes with HEALTHFIRST TPA, INC. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Delayed payment	17	37.8%
Claim denial	14	31.1%
Unsatisfactory Settle/Offer \| No Jurisdiction	4	8.9%
Premium or billing dispute	3	6.7%
Unsatisfactory Settle/Offer \| No Jurisdiction; Information Furnished	2	4.4%
Cust Service Claim Handling; Unsatisfactory Settle/Offer \| Information Furnished; Contract Language/Legal Issue	1	2.2%
Coordination of Benefits; Unsatisfactory Settle/Offer \| No Jurisdiction; Record Only; Referred To	1	2.2%
Coordination of Benefits; Pediatric Care \| No Jurisdiction	1	2.2%
PPACA-Out-Of-Ntwk Emerg Care; Unsatisfactory Settle/Offer \| No Jurisdiction	1	2.2%
Unsatisfactory Settle/Offer \| Other; Information Furnished; Record Only	1	2.2%

Complaints by Year

2025: 1 complaints
2023: 1 complaints
2022: 1 complaints
2018: 2 complaints
2016: 6 complaints
2015: 11 complaints
2014: 11 complaints
2013: 4 complaints
2012: 8 complaints

Recent health Complaints Against HEALTHFIRST TPA, INC. in Texas

health Complaint #TX-415589-de9704f2 (2025-02-07) — Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue
health Complaint #TX-356849-506c07c5 (2023-02-27) — Coordination of Benefits; Unsatisfactory Settle/Offer | No Jurisdiction; Record Only; Referred To
health Complaint #TX-331534-e4659de7 (2022-02-17) — Delayed payment
health Complaint #TX-239876-527df3b2 (2018-10-24) — Premium or billing dispute
health Complaint #TX-228915-8837d340 (2018-08-08) — Premium or billing dispute
health Complaint #TX-159714-cdb84941 (2016-12-28) — Premium or billing dispute
health Complaint #TX-159327-2b500706 (2016-12-28) — Delayed payment
health Complaint #TX-159412-1b8565ec (2016-12-07) — Claim denial
health Complaint #TX-151674-7abd5a15 (2016-10-20) — Delayed payment
health Complaint #TX-134018-8269a40a (2016-04-25) — Claim denial

Frequently Asked Questions

How many health complaints does HEALTHFIRST TPA, INC. have in Texas?

HEALTHFIRST TPA, INC. has 45 health insurance complaints on file from consumers in Texas, according to NAIC and state DOI data.

What are the most common health complaint issues with HEALTHFIRST TPA, INC. in Texas?

The most common issues are: Delayed payment (17), Claim denial (14), Unsatisfactory Settle/Offer | No Jurisdiction (4), Premium or billing dispute (3), Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished (2).

How does HEALTHFIRST TPA, INC.'s health record in Texas compare to other states?

HEALTHFIRST TPA, INC. has 45 health complaints in Texas out of 45 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against HEALTHFIRST TPA, INC. in Texas?

You can file a complaint with the Texas Department of Insurance. The NAIC Consumer Information Source at https://content.naic.org/cis_consumer.htm also accepts complaints.