PHYSICIANS HEALTH CHOICE OF TEXAS, LLC — health Complaints in Texas

Detailed analysis of 69 health insurance complaints filed against PHYSICIANS HEALTH CHOICE OF TEXAS, LLC by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 69
Total health Complaints (All States): 69
Texas Share: 100.0%
AI Risk Score: 37/100

Analysis: PHYSICIANS HEALTH CHOICE OF TEXAS, LLC health in Texas

PHYSICIANS HEALTH CHOICE OF TEXAS, LLC has accumulated 69 health insurance complaints from consumers in Texas. Across all states, PHYSICIANS HEALTH CHOICE OF TEXAS, LLC has 69 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 33 complaints. Other common issues include Delayed payment (17), Unsatisfactory Settle/Offer | No Jurisdiction (4), Policy cancellation (2).

The most active year was 2022 with 2 complaints filed.

Consumers in Texas who have health disputes with PHYSICIANS HEALTH CHOICE OF TEXAS, LLC can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Claim denial	33	47.8%
Delayed payment	17	24.6%
Unsatisfactory Settle/Offer \| No Jurisdiction	4	5.8%
Policy cancellation	2	2.9%
Provider or network dispute	1	1.4%
Recoupment Of Claims Payment \| No Jurisdiction; Referred To	1	1.4%
Coverage dispute	1	1.4%
Recoupment Of Claims Payment \| Referred To; No Jurisdiction	1	1.4%
Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer \| No Jurisdiction	1	1.4%
Not Within TDI Jurisdiction \| No Jurisdiction	1	1.4%
Enrllmt/Canc/Rnwl Of Enrollee \| No Jurisdiction	1	1.4%
Other; Primary Care Providr Selection \| No Jurisdiction	1	1.4%
Other	1	1.4%
Unsatisfactory Settle/Offer \| No Jurisdiction; Information Furnished	1	1.4%
Access to Care \| No Jurisdiction	1	1.4%
Claims Reimb/Bal Bill Problems \| No Jurisdiction; Information Furnished	1	1.4%
Agent Handling; Misrepresentation \| No Jurisdiction	1	1.4%

Complaints by Year

2022: 2 complaints
2021: 5 complaints
2020: 8 complaints
2019: 2 complaints
2018: 1 complaints
2015: 8 complaints
2014: 15 complaints
2013: 15 complaints
2012: 13 complaints

Recent health Complaints Against PHYSICIANS HEALTH CHOICE OF TEXAS, LLC in Texas

health Complaint #TX-345919-cab95aa8 (2022-09-19) — Provider or network dispute
health Complaint #TX-330300-e542e2ef (2022-02-01) — Claim denial
health Complaint #TX-322767-a8e0409f (2021-10-01) — Claim denial
health Complaint #TX-317112-b8e6ac43 (2021-07-21) — Recoupment Of Claims Payment | No Jurisdiction; Referred To
health Complaint #TX-311505-6d59c75e (2021-04-29) — Claim denial
health Complaint #TX-305272-77ea3d56 (2021-01-19) — Claim denial
health Complaint #TX-305271-77ea3d56 (2021-01-19) — Claim denial
health Complaint #TX-303799-b040deeb (2020-12-14) — Delayed payment
health Complaint #TX-301503-877ce219 (2020-11-04) — Coverage dispute
health Complaint #TX-301322-7af28df7 (2020-10-29) — Delayed payment

Frequently Asked Questions

How many health complaints does PHYSICIANS HEALTH CHOICE OF TEXAS, LLC have in Texas?

PHYSICIANS HEALTH CHOICE OF TEXAS, LLC has 69 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 PHYSICIANS HEALTH CHOICE OF TEXAS, LLC in Texas?

The most common issues are: Claim denial (33), Delayed payment (17), Unsatisfactory Settle/Offer | No Jurisdiction (4), Policy cancellation (2), Provider or network dispute (1).

How does PHYSICIANS HEALTH CHOICE OF TEXAS, LLC's health record in Texas compare to other states?

PHYSICIANS HEALTH CHOICE OF TEXAS, LLC has 69 health complaints in Texas out of 69 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against PHYSICIANS HEALTH CHOICE OF TEXAS, LLC 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.