HEALTHSMART BENEFIT SOLUTIONS, INC. — health Complaints in Texas

Detailed analysis of 101 health insurance complaints filed against HEALTHSMART BENEFIT SOLUTIONS, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 101
Total health Complaints (All States): 101
Texas Share: 100.0%
AI Risk Score: 41/100

Analysis: HEALTHSMART BENEFIT SOLUTIONS, INC. health in Texas

HEALTHSMART BENEFIT SOLUTIONS, INC. has accumulated 101 health insurance complaints from consumers in Texas. Across all states, HEALTHSMART BENEFIT SOLUTIONS, INC. has 101 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Delayed payment with 48 complaints. Other common issues include Claim denial (30), Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction (7), Unsatisfactory Settle/Offer | No Jurisdiction (7).

The most active year was 2021 with 1 complaint filed.

Consumers in Texas who have health disputes with HEALTHSMART BENEFIT SOLUTIONS, INC. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Delayed payment	48	47.5%
Claim denial	30	29.7%
Unsatisfactory Settle/Offer; Usual And Customary \| No Jurisdiction	7	6.9%
Unsatisfactory Settle/Offer \| No Jurisdiction	7	6.9%
Not Within TDI Jurisdiction \| No Jurisdiction	2	2.0%
Cust Service Claim Handling; Overcharges \| Insufficient Information; Consumer Withdraw	1	1.0%
Unsatisfactory Settle/Offer; Usual And Customary \| Record Only; No Jurisdiction	1	1.0%
Other \| Contract Language/Legal Issue	1	1.0%
SB418 Rule Violation \| Contract Language/Legal Issue	1	1.0%
Coverage dispute	1	1.0%
Premium or billing dispute	1	1.0%
Coordination of Benefits	1	1.0%

Complaints by Year

2021: 1 complaints
2019: 2 complaints
2018: 3 complaints
2017: 18 complaints
2016: 11 complaints
2015: 12 complaints
2014: 19 complaints
2013: 31 complaints
2012: 4 complaints

Recent health Complaints Against HEALTHSMART BENEFIT SOLUTIONS, INC. in Texas

health Complaint #TX-321481-7a28cb7d (2021-09-14) — Claim denial
health Complaint #TX-279704-326be92e (2019-12-04) — Not Within TDI Jurisdiction | No Jurisdiction
health Complaint #TX-248017-2f27a409 (2019-01-28) — Delayed payment
health Complaint #TX-220675-78395695 (2018-07-24) — Cust Service Claim Handling; Overcharges | Insufficient Information; Consumer Withdraw
health Complaint #TX-200699-7f6fd1a4 (2018-01-17) — Delayed payment
health Complaint #TX-200697-c03f4112 (2018-01-17) — Delayed payment
health Complaint #TX-196158-47bbbd8c (2017-10-09) — Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction
health Complaint #TX-195243-47bbbd8c (2017-10-02) — Unsatisfactory Settle/Offer; Usual And Customary | Record Only; No Jurisdiction
health Complaint #TX-191103-5c4084ab (2017-09-28) — Delayed payment
health Complaint #TX-193632-326be92e (2017-09-14) — Not Within TDI Jurisdiction | No Jurisdiction

Frequently Asked Questions

How many health complaints does HEALTHSMART BENEFIT SOLUTIONS, INC. have in Texas?

HEALTHSMART BENEFIT SOLUTIONS, INC. has 101 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 HEALTHSMART BENEFIT SOLUTIONS, INC. in Texas?

The most common issues are: Delayed payment (48), Claim denial (30), Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction (7), Unsatisfactory Settle/Offer | No Jurisdiction (7), Not Within TDI Jurisdiction | No Jurisdiction (2).

How does HEALTHSMART BENEFIT SOLUTIONS, INC.'s health record in Texas compare to other states?

HEALTHSMART BENEFIT SOLUTIONS, INC. has 101 health complaints in Texas out of 101 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against HEALTHSMART BENEFIT SOLUTIONS, 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.