MOLINA HEALTHCARE OF TEXAS, INC. — health Insurance Complaints
Analysis of 2,297 health insurance complaints filed against MOLINA HEALTHCARE OF TEXAS, INC., based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 2,297
- Total Complaints (All Types): 2,297
- health Share: 100.0%
- NAIC Complaint Ratio: 43.44
- AI Risk Score: 92/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 663 | 28.9% |
| Premium or billing dispute | 544 | 23.7% |
| Delayed payment | 541 | 23.6% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Contract Language/Legal Issue | 52 | 2.3% |
| Provider or network dispute | 51 | 2.2% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information Furnished | 42 | 1.8% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 20 | 0.9% |
| Policy cancellation | 19 | 0.8% |
| Usual And Customary | Contract Language/Legal Issue | 17 | 0.7% |
| Coverage dispute | 11 | 0.5% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 8 | 0.3% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue | 8 | 0.3% |
| Not Within TDI Jurisdiction | No Jurisdiction | 8 | 0.3% |
| Unsatisfactory Settle/Offer | No Jurisdiction | 8 | 0.3% |
| Prompt Pay; Unsatisfactory Settle/Offer | Information Furnished | 7 | 0.3% |
| Misleading sales | 6 | 0.3% |
| Unsatisfactory Settle/Offer | Additional Monies Received | 6 | 0.3% |
| Prompt Pay; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 5 | 0.2% |
| Unsatisfactory Settle/Offer | Claim Settled | 5 | 0.2% |
| Prompt Pay | Information Furnished | 4 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished | 4 | 0.2% |
| Access to Care | Information Furnished | 4 | 0.2% |
| Unfair settlement | 3 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 3 | 0.1% |
| Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Language/Legal Issue | 3 | 0.1% |
| Recoupment Of Claims Payment | Information Furnished; Claim Settled; Corrective Action Taken | 3 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 3 | 0.1% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 3 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Additional Monies Received; Stat Pen Pd-Over 90 Dys Late; Corrective Action Ta | 3 | 0.1% |
| Other | Corrective Action Taken | 3 | 0.1% |
| Recoupment Of Claims Payment | Contract Language/Legal Issue | 3 | 0.1% |
| Other | No Jurisdiction | 3 | 0.1% |
| Other | Information Furnished | 2 | 0.1% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company Position Upheld | 2 | 0.1% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Claim Settled; Information Fur | 2 | 0.1% |
| Prompt Pay; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished | 2 | 0.1% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue | 2 | 0.1% |
| Recoupment Of Claims Payment | Information Furnished; Corrective Action Taken; Additional Monies Received | 2 | 0.1% |
| Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 2 | 0.1% |
| Maximum Out of Pocket; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 2 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished | 2 | 0.1% |
| Access to Care | Corrective Action Taken; Information Furnished | 2 | 0.1% |
| Prompt Pay; Unsatisfactory Settle/Offer | Stat Pen Pd-Over 90 Dys Late; Corrective Action Taken; Additional Monies Recei | 2 | 0.1% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken | 2 | 0.1% |
| Unsatisfactory Settle/Offer | Mediation Not Eligible | 2 | 0.1% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Claim Settled | 2 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Failure to Timely Respond; Information Furnished | 2 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Insufficient Information | 2 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld | 2 | 0.1% |
| Unsatisfactory Settle/Offer; Usual And Customary | Claim Settled; Contract Language/Legal Issue | 2 | 0.1% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction | 2 | 0.1% |
| Recoupment Of Claims Payment | No Jurisdiction | 2 | 0.1% |
| Commissions | Contract Language/Legal Issue | 1 | 0.0% |
| Authorization Dispute; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Company Posit | 1 | 0.0% |
| Prompt Pay; Timely Filing Deficiency | Information Furnished; Company Position Upheld; Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Company Position Upheld | 1 | 0.0% |
| Authorization Dispute; Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Claim Settled | 1 | 0.0% |
| Recoupment Of Claims Payment | Additional Monies Received; Corrective Action Taken; Information Furnished | 1 | 0.0% |
| Prompt Pay | Stat Pen Pd-46 To 90 Dys Late | 1 | 0.0% |
| Recoupment Of Claims Payment | Contract Language/Legal Issue; Corrective Action Taken; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Corrective Action Taken; Claim | 1 | 0.0% |
| Cust Service Claim Handling | Company Position Upheld; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Record Only; Insufficient Information | 1 | 0.0% |
| Prompt Pay | Company Position Upheld | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Company Position Upheld; Contract Language/Leg | 1 | 0.0% |
| Other | Question of Fact; Information Furnished | 1 | 0.0% |
| Maximum Out of Pocket | Company Position Upheld; Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Other | Information Furnished; Contract Language/Legal Issue; Referred To | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Additional Monies Received; Information Furnished; Correctiv | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Informa | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken; Additional M | 1 | 0.0% |
| Recoupment Of Claims Payment | Additional Monies Received; Corrective Action Taken; Mediation Paid Amount | 1 | 0.0% |
| Cust Service Claim Handling; Recoupment Of Claims Payment | Corrective Action Taken; Additional Monies Received; Informa | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; Infor | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; Information Furnished | 1 | 0.0% |
| Other | Corrective Action Taken; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company | 1 | 0.0% |
| Health Privacy | Corrective Action Taken; Information Furnished | 1 | 0.0% |
| Coordination of Benefits; Recoupment Of Claims Payment | Contract Language/Legal Issue | 1 | 0.0% |
| Prompt Pay | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Prompt Pay | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Recoupment Of Claims Payment | Information Furnished; Contract Language/Legal Issue; Company Position Upheld | 1 | 0.0% |
| Access to Care | Contract Language/Legal Issue; Information Furnished; Question of Fact | 1 | 0.0% |
| Recoupment Of Claims Payment | Claim Settled; Stat Pen Pd-Over 90 Dys Late; Corrective Action Taken | 1 | 0.0% |
| Recoupment Of Claims Payment | Company Position Upheld; Information Furnished; Claim Not Clean | 1 | 0.0% |
| Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Claim Settled; Corrective Action Taken | 1 | 0.0% |
| Maximum Out of Pocket; Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Claim Settled; Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Recoupment Of Claims Payment | Corrective Action Taken; Information Furnished; Claim Settled | 1 | 0.0% |
| Prompt Pay; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Corrective Action Taken; Claim Settled | 1 | 0.0% |
| Timely Filing Deficiency; Unsatisfactory Settle/Offer | Claim Not Clean; Company Position Upheld | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Policy Not In Force | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Claim Settled; Corrective Action Taken | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Referred To; Company Position Upheld; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Referred To; Company Position Upheld | 1 | 0.0% |
| Hlth Care Svcs Covg/Copay/Lmts; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Cust Service Claim Handling; Prompt Pay; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Corrective Action T | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Claim Recoding/Bundling; Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Informati | 1 | 0.0% |
| Essential Health Benefit; Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken; Additional Payme | 1 | 0.0% |
| Cust Service Claim Handling; Prompt Pay; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Additional Payment | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional P | 1 | 0.0% |
| Claim Recoding/Bundling; Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Claim Settled | 1 | 0.0% |
| Coordination of Benefits; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Inf | 1 | 0.0% |
| Essential Health Benefit; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Claim Settled | 1 | 0.0% |
| Cust Service Claim Handling; Essential Health Benefit; Unsatisfactory Settle/Offer | Information Furnished | 1 | 0.0% |
| Unauthorized Acts | Information Furnished; Referred To; Contract Language/Legal Issue | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Cust Service Claim Handling; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Claim Settled; Corrective Actio | 1 | 0.0% |
| Fraud | Information Furnished | 1 | 0.0% |
| Essential Health Benefit; Maximum Out of Pocket; Pediatric Care; Unsatisfactory Settle/Offer | Information Furnished; Co | 1 | 0.0% |
| Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Corrective Action Taken; Information F | 1 | 0.0% |
| Essential Health Benefit; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Informatio | 1 | 0.0% |
| Maternity and Newborn Care; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Additional Monies Received | 1 | 0.0% |
| Cust Service Claim Handling; Essential Health Benefit; Prompt Pay; Unsatisfactory Settle/Offer | Contract Language/Legal | 1 | 0.0% |
| Access to Care; Essential Health Benefit; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal I | 1 | 0.0% |
| Maximum Out of Pocket | Information Furnished | 1 | 0.0% |
| Claim Recoding/Bundling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling; Maximum Out of Pocket | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Referred To; Information Furnished | 1 | 0.0% |
| Access to Care | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Recoupment Of Claims Payment | Additional Monies Received; Corrective Action Taken | 1 | 0.0% |
| Cust Service Claim Handling; Essential Health Benefit; Maternity and Newborn Care; Recoupment Of Claims Payment; Unsatis | 1 | 0.0% |
| Refusal to Insure | Contract Language/Legal Issue | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling; Identification Card Issue | Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling; Identification Card Issue | Contract Language/Legal Issue | 1 | 0.0% |
| Cust Service Claim Handling; Health Privacy; Prohibited PHI Disclosure | Contract Language/Legal Issue; Information Furn | 1 | 0.0% |
| Cust Service Claim Handling | Contract Language/Legal Issue | 1 | 0.0% |
| Maximum Out of Pocket; Other | Company Position Upheld; Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer | Claim Not Clean; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Corrective Action Taken | 1 | 0.0% |
| Maximum Out of Pocket | Additional Monies Received | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Complaint Withdrawn | 1 | 0.0% |
| Prompt Pay; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Corrective Action Taken; Contract Language/Legal | 1 | 0.0% |
| Den/N-Pymt MD Nec RX; Den/N-Pymt MD Nec Trmt N-Emrg | Company Position Upheld; Contract Language/Legal Issue; Question o | 1 | 0.0% |
| Misrepresentation | Contract Language/Legal Issue | 1 | 0.0% |
| Timely Filing Deficiency | Contract Language/Legal Issue | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Complaint Withdrawn | 1 | 0.0% |
| Prompt Pay; Timely Filing Deficiency; Unsatisfactory Settle/Offer | Complaint Withdrawn | 1 | 0.0% |
| PPACA-Preventive Health Svcs; Timely Filing Deficiency; Unsatisfactory Settle/Offer | Additional Monies Received; Correc | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Corrective Action Taken; Stat Pen Pd-46 T | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Stat Pen Pd-46 To 90 Dys Late; Contract Language/Legal Issue; Correct | 1 | 0.0% |
| Cust Service Claim Handling; Laboratory Services; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Corrective Action Taken; Contract Language/Legal Issue | 1 | 0.0% |
| Agent Handling | Information Furnished | 1 | 0.0% |
| Enrllmt/Canc/Rnwl Of Enrollee; Misrepresentation; Summary of Benefits | Contract Language/Legal Issue | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Stat Pen Pd-Over 90 Dys L | 1 | 0.0% |
| Prompt Pay; Unsatisfactory Settle/Offer | Insufficient Information | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Referre | 1 | 0.0% |
| Prompt Pay | Stat Pen Pd-46 To 90 Dys Late; Additional Monies Received; Corrective Action Taken | 1 | 0.0% |
| Prompt Pay | Contract Language/Legal Issue | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems; PPACA-Out-Of-Ntwk Emerg Care; Unsatisfactory Settle/Offer | Additional Monies Received; | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Consumer Withdraw | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Mediation Paid Amount; Mediation Billed Amount | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Payment Expected | 1 | 0.0% |
| SB418 Rule Violation; Unsatisfactory Settle/Offer | Additional Monies Received; Stat Pen Pd-Over 90 Dys Late | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Claim Settled; Additional Monies Received | 1 | 0.0% |
| Access to Care | Failure to Timely Respond; Company Position Upheld | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems; Unsatisfactory Settle/Offer | Mediation Not Eligible; Mediation Billed Amount | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Insufficient Information | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems; Unsatisfactory Settle/Offer | Additional Monies Received; Mediation Not Eligible; Mediat | 1 | 0.0% |
| Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Clean Claims Violation; Corrective Action Taken; Additio | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems; Hlth Care Svcs Covg/Copay/Lmts; Unsatisfactory Settle/Offer | Additional Monies Received | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; No Jurisdiction; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Mediation Not Eligible; Mediation Billed Amount | 1 | 0.0% |
| Disclosure Of Benefits; Material Change To Contract | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Cust Service Claim Handling | Additional Monies Received; Mediation Billed Amount | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems; Unsatisfactory Settle/Offer | Mediation Billed Amount; Mediation Not Eligible; Additiona | 1 | 0.0% |
| Timely Filing Deficiency; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Mediation Not Eligible; Mediation Billed Amount; Contract Language/Legal Issue | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems | Contract Language/Legal Issue; Additional Monies Received | 1 | 0.0% |
| Closed-Lack Of Info Cmplainant | Insufficient Information | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.0% |
| Agent Handling | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Access to Care | Company Position Upheld; Information Furnished | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems; Unsatisfactory Settle/Offer | Mediation Not Eligible; Out-of-Net/Mediation/Settl_Exp; Me | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer | Claim Settled | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems; Unsatisfactory Settle/Offer | Out-of-Net/Mediation/Settl_Exp; Mediation Not Eligible; Me | 1 | 0.0% |
| Access to Care; Continuity of Treatment; Den/N-Pymt MD Nec DME/Supplies; Den/N-Pymt MD Nec RX | No Jurisdiction | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems; Unsatisfactory Settle/Offer | Mediation Billed Amount; Additional Monies Received; Media | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems; Unsatisfactory Settle/Offer | Mediation Not Eligible; Mediation Billed Amount; Additiona | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Access to Care | Corrective Action Taken | 1 | 0.0% |
| Other | Contract Language/Legal Issue | 1 | 0.0% |
| Claims Reimb/Bal Bill Problems; Cust Service Claim Handling; Hlth Care Svcs Covg/Copay/Lmts; Unsatisfactory Settle/Offer | 1 | 0.0% |
| Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Additional Payment Expected; Correctiv | 1 | 0.0% |
| Maximum Out of Pocket; Unsatisfactory Settle/Offer | Claim Settled; Contract Language/Legal Issue | 1 | 0.0% |
| Cust Service Claim Handling; Recoupment Of Claims Payment | Policy Issued/Restored; Claim Settled | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Referred for Disciplinary Actn; Information Furnished; Contract Langu | 1 | 0.0% |
| Den/N-Pymt MD Nec DME/Supplies; Unsatisfactory Settle/Offer | Corrective Action Taken; Contract Language/Legal Issue; Ad | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken; Contract Language/Legal Issue; Additional Mo | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Policy Not In Force; Claim Not Clean | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional Monies Received | 1 | 0.0% |
| Usual And Customary | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Claim Not Clean; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Policy Not In Force; Information Furnished | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information Furnished; Failure to Time | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Failure to Timely Respond | 1 | 0.0% |
| Cust Service Claim Handling; Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Contract Language | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Failure to Timely Respond; Referred To; No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Claim Settled; Failure to Timely Respond | 1 | 0.0% |
| Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Claim Settled | 1 | 0.0% |
| Prompt Pay; Timely Filing Deficiency; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| PPACA-Out-Of-Ntwk Emerg Care; Unsatisfactory Settle/Offer; Usual And Customary | Claim Settled; Contract Language/Legal | 1 | 0.0% |
| PPACA-Out-Of-Ntwk Emerg Care; Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Lan | 1 | 0.0% |
| Timely Filing Deficiency; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; Informat | 1 | 0.0% |
| Maximum Out of Pocket; Overcharges; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld | 1 | 0.0% |
| Timely Filing Deficiency; Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Contract Language/ | 1 | 0.0% |
| Other | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling | Information Furnished; Contract Language/Legal Issue | 1 | 0.0% |
| Material Change To Contract; Primary Care Providr Selection | Information Furnished | 1 | 0.0% |
| Agent Handling; Disclosure Of Benefits; Material Change To Contract; Misrepresentation | Information Furnished | 1 | 0.0% |
| Coordination of Benefits; Laboratory Services | Contract Language/Legal Issue | 1 | 0.0% |
| Cust Service Claim Handling | Information Furnished | 1 | 0.0% |
| Access to Care; Primary Care Providr Selection | Information Furnished | 1 | 0.0% |
| Access to Care; Enrllmt/Canc/Rnwl Of Enrollee | Information Furnished; Policy Not In Force | 1 | 0.0% |
| Other | Information Furnished; Policy Not In Force | 1 | 0.0% |
| Access to Care; Enrllmt/Canc/Rnwl Of Enrollee; Hlth Care Svcs Covg/Copay/Lmts; Out Of Ntwk Referral; Primary Care Provid | 1 | 0.0% |
| Enrllmt/Canc/Rnwl Of Enrollee | Information Furnished; Policy Issued/Restored | 1 | 0.0% |
| Access to Care; Continuity of Treatment | Information Furnished; Corrective Action Taken | 1 | 0.0% |
| Disclosure Of Benefits; Summary of Benefits | Information Furnished; Company Position Upheld | 1 | 0.0% |
| Identification Card Issue | Information Furnished | 1 | 0.0% |
| Continuity Of Treatment | No Jurisdiction | 1 | 0.0% |
| Other | Information Furnished; Referred To | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction | 1 | 0.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; Claim Not Clean; No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken | 1 | 0.0% |
| Recoupment Of Claims Payment; SB418 Rule Violation | Information Furnished; No Jurisdiction | 1 | 0.0% |
| Unsatisfactory Settle/Offer | Failure to Timely Respond; No Jurisdiction; Information Furnished | 1 | 0.0% |
| Cust Service Claim Handling | No Jurisdiction; Information Furnished | 1 | 0.0% |
| Den/N-Pymt MD Nec Trmt N-Emrg | No Jurisdiction; Information Furnished | 1 | 0.0% |
| Den/N-Pymt MD Nec Trmt N-Emrg | Information Furnished; No Jurisdiction | 1 | 0.0% |
health Complaints by State
| State | Complaints |
|---|---|
| Texas | 2,297 |
Recent health Complaints Against MOLINA HEALTHCARE OF TEXAS, INC.
- health Complaint #TX-455932-73eb12bd — Texas (2026-05-06)
- health Complaint #TX-454944-606948ac — Texas (2026-04-28)
- health Complaint #TX-453410-606948ac — Texas (2026-04-13)
- health Complaint #TX-453409-2c1ff138 — Texas (2026-04-13)
- health Complaint #TX-453407-2c1ff138 — Texas (2026-04-13)
- health Complaint #TX-453111-2c1ff138 — Texas (2026-04-09)
- health Complaint #TX-452813-9a46d143 — Texas (2026-04-07)
- health Complaint #TX-452706-323f8666 — Texas (2026-04-06)
- health Complaint #TX-450100-e70d51dc — Texas (2026-03-12)
- health Complaint #TX-449948-1c7bae34 — Texas (2026-03-11)
Frequently Asked Questions
How many health complaints does MOLINA HEALTHCARE OF TEXAS, INC. have?
MOLINA HEALTHCARE OF TEXAS, INC. has 2297 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with MOLINA HEALTHCARE OF TEXAS, INC.?
The most common health complaint issues for MOLINA HEALTHCARE OF TEXAS, INC. are: Claim denial (663), Premium or billing dispute (544), Delayed payment (541), Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Contract Language/Legal Issue (52), Provider or network dispute (51).
Which states have the most health complaints against MOLINA HEALTHCARE OF TEXAS, INC.?
The states with the most health complaints against MOLINA HEALTHCARE OF TEXAS, INC. are: Texas (2297).
health Complaints by State
MOLINA HEALTHCARE OF TEXAS, INC. Complaints by State
- MOLINA HEALTHCARE OF TEXAS, INC. Complaints in California
- MOLINA HEALTHCARE OF TEXAS, INC. Complaints in Texas
- MOLINA HEALTHCARE OF TEXAS, INC. Complaints in New York
- MOLINA HEALTHCARE OF TEXAS, INC. Complaints in Florida
- MOLINA HEALTHCARE OF TEXAS, INC. Complaints in Illinois
- MOLINA HEALTHCARE OF TEXAS, INC. Complaints in Pennsylvania
- MOLINA HEALTHCARE OF TEXAS, INC. Complaints in Ohio
- MOLINA HEALTHCARE OF TEXAS, INC. Complaints in Georgia
- MOLINA HEALTHCARE OF TEXAS, INC. Complaints in North Carolina
- MOLINA HEALTHCARE OF TEXAS, INC. Complaints in New Jersey