HEALTHSCOPE BENEFITS, INC. — health Complaints in Texas

Detailed analysis of 28 health insurance complaints filed against HEALTHSCOPE BENEFITS, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 28
Total health Complaints (All States): 28
Texas Share: 100.0%
AI Risk Score: 32/100

Analysis: HEALTHSCOPE BENEFITS, INC. health in Texas

HEALTHSCOPE BENEFITS, INC. has accumulated 28 health insurance complaints from consumers in Texas. Across all states, HEALTHSCOPE BENEFITS, INC. has 28 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Delayed payment with 14 complaints. Other common issues include Claim denial (5), Premium or billing dispute (3), Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Claim Settled; Additional Monies Received (1).

The most active year was 2019 with 3 complaints filed.

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

health Complaint Issues in Texas

Issue Type	Complaints	%
Delayed payment	14	50.0%
Claim denial	5	17.9%
Premium or billing dispute	3	10.7%
Unsatisfactory Settle/Offer; Usual And Customary \| No Jurisdiction; Claim Settled; Additional Monies Received	1	3.6%
Unsatisfactory Settle/Offer; Usual And Customary \| Information Furnished; No Jurisdiction	1	3.6%
Unsatisfactory Settle/Offer; Usual And Customary \| No Jurisdiction; Claim Settled; Contract Language/Legal Issue	1	3.6%
Unsatisfactory Settle/Offer \| No Jurisdiction	1	3.6%
Not Within TDI Jurisdiction	1	3.6%
Unsatisfactory Settle/Offer \| Additional Monies Received; No Jurisdiction; Information Furnished	1	3.6%

Complaints by Year

2019: 3 complaints
2018: 6 complaints
2017: 5 complaints
2016: 3 complaints
2015: 2 complaints
2014: 5 complaints
2013: 3 complaints
2012: 1 complaints

Recent health Complaints Against HEALTHSCOPE BENEFITS, INC. in Texas

health Complaint #TX-263151-9756e2fd (2019-06-12) — Delayed payment
health Complaint #TX-254756-7b95f6ea (2019-04-11) — Claim denial
health Complaint #TX-247053-bf371fef (2019-02-13) — Delayed payment
health Complaint #TX-232351-cc15c57e (2018-09-14) — Premium or billing dispute
health Complaint #TX-231306-cc15c57e (2018-09-10) — Premium or billing dispute
health Complaint #TX-225189-cc15c57e (2018-07-30) — Premium or billing dispute
health Complaint #TX-213532-56ed2713 (2018-04-12) — Delayed payment
health Complaint #TX-211818-56ed2713 (2018-04-03) — Delayed payment
health Complaint #TX-214333-95e0319f (2018-03-16) — Delayed payment
health Complaint #TX-193366-9756e2fd (2017-10-17) — Delayed payment

Frequently Asked Questions

How many health complaints does HEALTHSCOPE BENEFITS, INC. have in Texas?

HEALTHSCOPE BENEFITS, INC. has 28 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 HEALTHSCOPE BENEFITS, INC. in Texas?

The most common issues are: Delayed payment (14), Claim denial (5), Premium or billing dispute (3), Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Claim Settled; Additional Monies Received (1), Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; No Jurisdiction (1).

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

HEALTHSCOPE BENEFITS, INC. has 28 health complaints in Texas out of 28 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against HEALTHSCOPE BENEFITS, 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.