Complaints

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

• Initial Complaint

  Date:11/08/2023

  Type:Service or Repair Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  The business does not care to help anyone. I need a human because I need to unravel the mess they created and I cannot do that with a bot or some "Client Experience" portal. This is for a client who pays approx. $1,000 a month in service fees. At that rate, there should be NO MISTAKES. Please read their ****** reviews. I am one of many people who are having issues. This is criminal in my opinion. See also the attached emails.

• Initial Complaint

  Date:11/06/2023

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I contracted their payroll services, including filling quarterly and yearly tax reports with the IRS, they messed up their filling with the IRS in 2021 and now they refuse to fix the problem. I have been asking the tax department at Prime pay to fix the problem, for over a year, they said that there is nothing they can do, and if I want to get it fix, then I should contact the IRS to find out what they did wrong. I am no longer their customers, so it is even more difficult to request anything from them.

  Business Response

  Date: 11/10/2023

  Upon reviewing communication between PrimePay and ******* ****** ****** its been determined that additional review of the account can be completed by PrimePay.  The requested signed authorizations provided by ******* ****** ****** are in processing with the tax authority in question.  We will work diligently to help the customer in resolving this matter, and appreciate the continued cooperation that they have offered.  PrimePay is committed to the accuracy of all payroll tax filings, and the resolution of any discrepancies generated during our time of service. 

  Business Response

  Date: 11/10/2023

  Upon reviewing communication between PrimePay and ******* ****** ****** its been determined that additional review of the account can be completed by PrimePay.  The requested signed authorizations provided by ******* ****** ****** are in processing with the tax authority in question.  We will work diligently to help the customer in resolving this matter, and appreciate the continued cooperation that they have offered.  PrimePay is committed to the accuracy of all payroll tax filings, and the resolution of any discrepancies generated during our time of service. 

• Initial Complaint

  Date:10/02/2023

  Type:Service or Repair Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  ************, **** is a tent / party rental company. We started using PrimePay Payroll Service on March 05, 2020. We have had difficulties from day one with them. Their staff member made a complete mess of our on boarding. There have been numerous errors over the last couple of years. We gave them the benefit of a doubt, hoping that they were just experiencing growing pains as they changed ownership more than once in the last couple of years. The most recent issues we are having with them is as follows: On the First Quarter Payroll Return for 2023 there was a significant withdrawal of $3,522.09 from our bank account on 04/26/2023. We DID NOT receive any prior notification that this was going to take place. We questioned the withdrawal, what its legitimacy was. What the withdrawal was for??? We to this day have never gotten a clear answer. On the Second Quarter Payroll Return for 2023 there was an even more significant withdrawal of $11,222.84 from our bank account on 07/26/2023. We DID NOT receive any prior notification that this was going to take place. We questioned the withdrawal, what its legitimacy was. What the withdrawal was for??? We to this day have never gotten a clear answer.These two unauthorized withdrawals equal $14,744.93. We recently, the last four months, have been charged a higher amount for our payroll than we have in the past several months. We have not agreed to any fee increases. We have not been contacted by anyone from PrimePay regarding any increases. The increase are 40% between April and August of 2023.

  Customer Answer

  Date: 10/30/2023

  Hi,

  Thank you so much for following up on this matter. We have not heard anything from PrimePay, either. Unfortunately, their lack of response is what we have been dealing with for months. We have an appointment with our CPA do do further digging and to gather more information/evidence. We will follow up with state/local officials if needed.

  Thank you,

  *****************************;

  ************

  Customer Answer

  Date: 11/13/2023

  *******,
  
  I wanted to take a moment to respond to you. Our CPA has had the opportunity to come and review our payroll account. What he discovered was that the tax department for PrimePay did make an error. It  was a slightly different error than the one we were suspecting.
  
  To us it looked like they DOUBLE charged us for the MA State SUI tax on our Second Quarter return.
  
  What actually happened was that they did not apply our RATE INCREASE on a letter from the Commonwealth of MA, dated December 29, 2022, until August of this year 2023. So that when they did a recalculation of our taxes owed they pulled the entire amount of $11,222.84 out of our bank account without any forewarning. I find it grossly negligent and extremely unprofessional  business practice of PrimePay to behave in this manner.
  
  In addition they increased our payroll service fees with no discussion as to what level of service we wanted. I am asking for a refund equivalent to what we would "NORMALLY" would have paid had they not increased our fees without our knowledge or consent. That amount is $946.59. In addition We are not to be charged more than 500.00 for our December fees for the monthly payroll service.  
  
  
  Regards,
  ***** ** ******
  Accounting @ Mahaiwe Tent Inc.

• Initial Complaint

  Date:08/09/2023

  Type:Service or Repair Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Prime Pay has provided payroll services for me over the last several years. Last month I notified Prime Pay that I would be ending my business relationship with them at the end of the month of June (2nd quarter, 2023), It is a part of Prime Pay's job to provide ALL documents that pertain to payroll for my business through 2nd quarter 2023. However, Prime Pay did not complete the 2nd Quarter documents for my business. I have called them three times and spoken to a different person each time. My first call was taken by a woman named ****** who said that she would send a message to the proper department to get the 2nd quarter documents completed. This was during the last week of July. I spoke to another person on Thursday, August 3rd. That person said that she saw notes in their system from the initial person and that she would follow up on this for me. My 3rd contact was on Monday, August 7th. I spoke with another person who stated that she would attempt to expedite this matter for me. On each call I have been told that it will take several days to get the documents. I asked her who would be responsible for getting this done and she agreed to follow up on this and took my phone number, but as usual I have heard nothing about this since then. Because I do not have my payroll documents from the 2nd quarter I have been unable to get started with my new payroll service. This is a disgrace. It appears to me that they are not completing the work because that they are angry that I terminated service with them.

  Business Response

  Date: 09/06/2023

  Immediately upon receipt of the notification, we reached out to *************************** to address his concerns. Our team worked with ******* and were able to complete the requested amendment and provide ******* with updated documents. ******* has confirmed the issue was resolved and if further action were to be needed, he would follow up with our team directly.

  Customer Answer

  Date: 09/17/2023

  This complaint has been resoled. As a result of the complaint that I made through BBB the company contacted me. A manager took accountability for resolving the situation and it eventually was resolved. I sincerely thank the BBB for your assistance.

• Initial Complaint

  Date:04/12/2023

  Type:Service or Repair Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  We notified PrimePay that we were canceling service in January of this year. We also told them that we knew there would be fees for them to process W2s for 2022 and we were prepared to pay them. They have repeatedly sent us invoices for each month in 2023 that has ridiculous charges that we keep disputing. They have refunded us only once and they keep sending us an invoice. We created a ticket in March to resolve this and it wasn't resolved. We were just invoiced again in April and I notified them via email to stop invoicing us and to issue refunds from February through April. In the attachments, we need a full refund for February and March 2023. For the January 2023 invoice, we need a refund for the $75 minimum charge for each business.

  Business Response

  Date: 05/10/2023

  Good morning,

  We are in receipt of the notice of complaint ID ********. 
  
  Immediately upon receipt of the notification, we reached out to ******* to address his concerns with invoicing. A review of his account was completed to ensure that it was properly closed out moving forward, and credits were issued for the charges that occurred in error. ******* has been provided with the contact information for the manager of the service team should he have any further issues to address. This matter is considered resolved. 

  Thank you!

  Customer Answer

  Date: 05/24/2023

  Hi, yes. We received refunds. Thanks for helping with this matter. 

• Initial Complaint

  Date:02/09/2023

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I have a very small business, ********************* Evidently too small for Primepay to do what they have charged me for. I have received failure to file notices from ******* Department of Revenue for filings they were suppposed to do. I paid for payroll and shipping for 4th quarter of 2022 however never received it. They will not respond to my emails & now apparently have blocked my phone number. I get a recording *************) that states something to the effect that they are not accepting calls from this area. I have asked repeatedly as to when I will receive my payroll from last year. On 2/1/2023 I also asked what I need to do to terminate service with them, 2022 being the final year they will do services and filings for me. These questions have gone unanswered and unresponded.  I am going to stop payment for the invoice they will try to draft from my account 2/10/2023.

  Business Response

  Date: 02/15/2023

  Prior to the receipt of this notice, our team was already engaged and actively working with **************** to address his concerns. All tax returns requested were provided to ****************. The account has been terminated per his request and all outstanding issues are resolved. **************** has the proper phone number to contact us on moving forward, as the number stated was not our accurate number which lead to the issue of not being able to reach us.

  Customer Answer

  Date: 02/15/2023

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: ********
  
  I am rejecting this response because:
  

  My concerns were not addressed prior to the BBB complaint, I contacted ***************** listed as a new account contact, he was very responsive and escalated to ****************************

  *************************** was exceptional in sharp contrast to others.

  It is a shame that I had to go to this length to get someone who would help.

  Regards,

  *********************

• Initial Complaint

  Date:02/02/2023

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Primepay runs the FSA benefit from my employer. I have been using a particular provider for longer than I have had this benefit though they consistently demand extra receipt verification which requires the provider to have to provide the required verification because the payment receipt is not accepted. This has become a hinderance and frustration to myself and the provider. Primepay consistently states they will put this provider on a permanent approval list though I get another receipt request. Both my wife and I use this FSA and provider every other week resulting in a weekly receipt request. Primepay states this is their policy despite stating they will make it a permanent approval. I called 2x last week and got the same permanent approval while receiving another request this morning. When I called, 1st try: call center hung up the phone without speaking, 2nd try: ******* became combative and argumentative, 3rd try ***** put me on hold for an extended period of time only to return to say her Supervisor would call in 24-48 hours.

  Business Response

  Date: 03/08/2023

  March 8, 2023

  Dear *** *******:

  PrimePay services employers with payroll and related services.  Client service is of critical importance at PrimePay, and we appreciate the opportunity to respond to this complaint. 
  PrimePay administers a Flexible Spending Account (FSA) plan for ***** *******’s employer, and *** ******* has participated in the plan since at least 2020. FSA’s are pre-tax reimbursement accounts governed by the Internal Revenue Code.  IRS tax code requires all pre-tax reimbursement account claims be substantiated to ensure only legitimate claims are paid. If the substantiation requirement is not met, the IRS could disqualify the plan and treat all reimbursements as taxable.  As the third-party administrator, PrimePay must require proper documentation to substantiate any claim for reimbursement.  If proper documentation is not submitted, then PrimePay must deny the claim.

  Due to HIPAA restrictions, PrimePay cannot comment in our response to BBB Complaint ******** about *** *******’s specific claims and why ongoing substantiation has been required.  We will, however, have our Participant Success Team Lead reach out to *** ******* and determine if a recurring claim can be accommodated, and if this is not possible due to IRS regulations, explain this to him.

  Thank you for bringing this customer dissatisfaction to our attention and allowing us to reply to this complaint, as our focus is on continuous improvement in all areas.  Please let me know if you have additional questions.
  

  Kind Regards,
  
  Brooke L*****
  Vice President, Benefit Services
  

  Customer Answer

  Date: 03/09/2023

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
  
  Complaint: ********
  
  
  
  I am rejecting this response because:
  
  This is an ongoing issue. I have been advised this would be a recurring approval due to the nature of its consistency repeatedly over the years. I have been advised repeatedly someone would call though no one does as recently as on or about the date of this initial complaint and per their current response. They continue to use "broken record" claiming IRS requirements as a reason to not be trained or understand the mechanics of this process, though after a few complaints they suddenly figure out how to stop the receipt requests for a period of time. They are well aware that this service is an approved service and provider as they continue to approve it though needlessly require a new detailed receipt placing undue burden on the client and provider. I would like to be provided a copy of all policies and regulations, both internally and per IRS, that state that a receipt is required for every use and also the policies and regulations permitting an auto-acceptance as has been offered verbally via customer service and noted as potential here in their response. The company does not operate as they state they will and have become a nuisance. I am also requesting an explanation in writing as to why this has not been set as a permanent approval, as advised would occur, and why no one has contacted me as I was advised they would within 24-48 hours after my last call to customer service. 

  
  

  There is no reason to require a receipt for the same service by the same provider consistently. Kicking the can and avoiding appropriate communications shows an extreme lack of professionalism in the administration of a service that is supposed to provide benefits. Also, HIPAA is being used inappropriately. HIPAA is not professional secret keeping, It is designed to facilitate sharing of information appropriately. PrimePay is exposing their ignorance and exploiting the ignorance of those involved in this complaint in efforts to avoid responding appropriately. 
  
  
  
  Regards,
  
  
  
  ***** *******
  

• Initial Complaint

  Date:01/13/2023

  Type:Product Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Primepay filed the third quarter UC2 tax return with the state of Connecticut for my company, ***************** stating that the balance owed was 3752.82, they paid 2630.33. The amount deducted from my checking for this tax was 3752.82. In November ,2022 I received a penalty notice from St of CT and became aware of this error. I immediately notified primepay and send a copy of this delinquency notice. I have contacted them numerous time since and have received no response.

• Initial Complaint

  Date:01/13/2023

  Type:Service or Repair Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  On December 30, 2022, Primepay ran payroll for me, and due to a bank error, the payroll tax check went NSF. Not Primepay's problem. I fixed the problem at the bank, and contacted my payroll specialist at Primepay to run the tax check again. That person could not seem to understand what was needed, and kept answering with non sequiturs such as "do you want to run payroll now?" So I asked her for a supervisor. She said a supervisor would call me. But they did not. SO the next day i called and spoke to another person in customer support, and he said that he would forward me wire instructions to send the tax amount in to Primepay. I have no problem with that. But more days past and nothing, so I was going to try to pay the tax to the government directly, when I received an email with wiring instructions> I wired the money as instructed, and thought the matter was concluded.On 1-9-23, I cancelled Primepay service and went with another payroll company. That person (I and withholding the name to avoid embarrassment) said that everything was canceled as of the last payroll on December 30th. But on 1-12 I received an email from Primepay saying they ran payroll. I immediately called and spoke with a person (name withheld) that acknowledged the mistake, and said she would correct it as it had not yet been run, and if run, she would reverse it. Today I checked my account and found that not only did run it , they reversed the previously wired tax payment by mistake, and left the paycheck deposited, compounding the problem. To add insult to injury, I now had to pay a new wire fee to my bank for their mistake. So now I have paychecks from both payroll companies, and the 12-30-22 tax payment has not been paid to IRS. At this point, I am afraid to even call them to fix the problem, wondering what new and unusual error they will make in that attempt and make matters even worse. I feel like I am dealing with 10 year old's playing on the computer.

• Initial Complaint

  Date:12/05/2022

  Type:Service or Repair Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I am trying to be reimbursed for medical things that are supposed to be reimbursed and I get a new reason why they are denying it every couple days. They are welcome to verify it with the Dr if they need more information; I have offered to sign whatever waiver I can... but seeing it was a mistake on their end that I have to back date 3 months of Dr paperwork  I simply do not have the time to gather what they need. Their mistake, they should spend the time and verify what they need. These are valid medical payments I made that are supposed to be reimbursed and can be verified. I have 4 denied claims right now and sent them all of the EOB that I have being it was later than the apt ** I still have not received my card that I was supposed to get mailed over 3 months ago, etc.

  Business Response

  Date: 12/13/2022

  December 13, 2022

  Dear *** *******:

  PrimePay services employers with payroll and related services. Client service is of critical importance at PrimePay and we  appreciate the opportunity to respond to this complaint. 
  PrimePay administered a Health Reimbursement Account (HRA) plan for ***** ********’s employer, and *** ********  participated in the plan during 2022 and 2023. As the third-party administrator, PrimePay must require proper  documentation to substantiate any claim for reimbursement. If proper documentation is not submitted, then PrimePay must  deny the claim. 
  *** ******** was enrolled into Health Reimbursement Account plan during plan year effective date of 8/1/22-7/31/23. 
  In the Enrollment Confirmation notice sent to *** ******** on 11/22/22, there were clear instructions provided on what documentation is needed when a claim is submitted for reimbursement from her employer’s HRA plan. 
  As it stands today 7 claims are still needing Explanation of Benefits (EOBs) from the insurance carrier to be submitted to  PrimePay for substantiation purposes, and *** ******** may upload these to our portal. These details have been provided  to *** ******** via email and through the task notification located directly on the portal. 
  Thank you for allowing us to reply to this complaint. Please let me know if you have additional questions. Kind Regards, 
  Joshua L** 
  Client Success Manager, Benefit Services
  
  

  Customer Answer

  Date: 12/14/2022

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: ********
  
  I am rejecting this response because: I have sent all the info I have. If there is no EOB that they like then they need to contact the Dr office for it. It is all verifiable medical expenses. It is not my fault that I just received my cards yet I have been paying since August. Now if they want to refund me the $65 a week I have been paying since August for their mistake of just getting me a sign in online and just getting my cards then I am ok with that also otherwise my expenses need to be reimbursed. This company has been terrible to deal with. Even our broker said they do not like dealing with them. I don't care whose fault the mess up was but I want to be reimbursed for the service I am paying for weekly since August!! Telling me to send an EOB is not an acceptable response. 
  
  
  Regards,
  
  ***************************
  
  
  
  
  
  
  
  
  

  Customer Answer

  Date: 12/15/2022

  Please note that this is what I am getting from PrimePay. They are completely missing the point! Yes I was enrolled and starting paying out of my weekly paycheck, $65 per week for my medical plan in August of 2022. Unfortunately, whether it was Prime pay or the broker they dealt with, I never got a welcome email to register until November 2022 (therefore I do not know how I was enrolled from August to November but I had no access to the service I was paying for) and I just got my card in December 2022. I paid out of my pocket bc I did not have my insurance information at the time of the appointment even though I was having it deducted weekly. In September, I contacted my broker and let them know I still did not have my medical cards. Again in October and November and when I finally contacted the BBB I got my Prime Pay card. I have now spent hours, days trying to be reimbursed for LEGITIMATE medical expenses. I can not send an EOB bc I never had my ****** card to give to the dr at the time of the apt for them to bill through. Therefore I have my statement, which PP says is not acceptable, and the emails from the Drs confirming everything. I have told them they are welcome to contact them and get whatever information they are missing and that I would cooperate and sign a waiver so they can get the information they need. I do not feel it is my job to spend the time for someone else's mistake. Now had I had my cards and enrollment information in August when I started paying weekly out of my check, then I would be at fault for not following the process but I didn't even know the process then. I am ok if they want to credit me my weekly amount of $65 per paycheck that was taken out from August to the time I received my enrollment email on 11/21/22. Or they can verify and pay my claims that I submitted that I paid out of pocket due to lack of insurance information from August to November. The medical field takes advantage and it needs to stop! I appreciate your help with this. Feel free to email me if you need any other information. Thank you!
  
  
  *************************** | 
  
  ********* ********* to *******************
  
  * **********, **********, ** *****
  P: ******************
  D: ************
  E: ******************
  *************************;
  ---------- Forwarded message ---------
  From: PrimePay <**********************************>
  Date: Tue, Dec 13, 2022 at 10:37 AM
  Subject: RE: We have received your request: Ticket #: ******** [ ***:***********************:*** ]
  To: ****************** <******************>
  
  Hello *****:
  
  I wanted to reach out to you as one of the Manager's to address your questions/concerns that you are having with your claims submissions to us and acknowledge your letter sent to the Better Business Bureau.
  
  In review of your account, it appears that there are some needed itemized receipts or EOBs needing to be uploaded in order to have the claims processed.  I am listing them below and you are able to upload the needed receipts or EOBs directly through our portal.  
   
  11/21/2022 HRA ********* *************************** $210.13 New Needed Details EOB needed
  10/31/2022 HRA ****** **** *************************** $39.00 New Needed Details EOB needed
  10/28/2022 HRA *************** *************************** $81.95 New Needed Details Itemized receipt needed
  9/13/2022 HRA *** **** ****************** *************************** $278.00 New Needed Details EOB needed
  8/29/2022 HRA *** Medical *************************** $399.00 New Needed Details EOB needed
  8/26/2022 HRA *** **** ****************** *************************** $50.00 New Needed Details EOB needed
  8/14/2022 - 11/25/2022 HRA ***/*** ****/****** *************************** $766.00 New Needed Details EOB needed
  
  Please submit or upload these through the portal as soon as you are able.  Please let me know if you have any additional questions or concerns.
  Thank you,
  ******************* | Client Success Manager, Benefit Services
  Call:  ************ | Fax: ************
  ******** | ********* | ******** | *******

  --------------- Original Message ---------------
  From: PrimePay [**********************************]
  Sent: 12/7/2022 9:37 AM
  To: ******************
  Subject: We have received your request: Ticket #: ********
  
  ##- Please type your reply above this line -##
  
  Thank you for contacting us!
  
  We have received your request and a ticket has been created.
  
  Subject: Prime Pay
  
  Our Client Success Team will review your request and respond as soon as possible.
  
  Need to update your ticket? Simply reply to this email. You may also search our Knowledge Base at *********************************************.
  
  Thank you,
  PrimePays Client Success Team

  Business Response

  Date: 12/22/2022

  December 21, 2022

  Dear Ms. Cameron:

  *** ******** was reached out to by two different Manager’s in regard to the required Explanation of Benefits (EOB’s) on  12/12/22 and 12/13/22 with a more detailed explanation. PrimePay is not able to contact any Physician’s office on behalf of  any participant due to the HIPAA regulations. Her request for us to do that on her behalf cannot be granted. 
  As a review of the previously communicated information: 
  PrimePay administered a Health Reimbursement Account (HRA) plan for ***** ********’s employer, and *** ********  participated in the plan during 2022 and 2023. As the third-party administrator, PrimePay must require proper  documentation to substantiate any claim for reimbursement. If proper documentation is not submitted, then PrimePay must  deny the claim. 
  *** ******** was enrolled into Health Reimbursement Account plan during plan year effective date of 8/1/22-7/31/23. 
  In the Enrollment Confirmation notice sent to *** ******** on 11/22/22, there were clear instructions provided on what documentation is needed when a claim is submitted for reimbursement from her employer’s HRA plan. 
  As it stands today 7 claims are still needing Explanation of Benefits (EOBs) from the insurance carrier to be submitted to  PrimePay for substantiation purposes, and *** ******** may upload these to our portal. These details have been provided  to *** ******** via email and through the task notification located directly on the portal. 
  Thank you for allowing us to reply to this complaint. Please let me know if you have additional questions.

  Kind Regards, 
  Joshua L** 
  Client Success Manager, Benefit Services
  

  Customer Answer

  Date: 12/22/2022

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: ********
  
  I am rejecting this response because: As per their letter, they even say I was paying since August of 2022 but not enrolled until November 2022...let the common sense kick in!!!! and tell you if I should be reimbursed from August to November since I paid for a service that I didn't have access to at no fault of mine. I am not sure who's responsibility it is to make sure people are enrolled and have their insurance information at time of payment but that is no fault of mine that they did their job 3 months later and no in August when it should have been done! I understand their policy since November and now that I have the information I will follow the policy. I pay $65 per week for medical coverage that I wasn't able to use! So if I go off their email and total what  I paid to them from 8/1/22 to 11/22/2022 when I was FINALLY enrolled and able to use the service the amount they would owe me is $65 x 16 weeks of unusable pd service = $1040.00. I am tired of the back and forth please finalize this and send me my refund. Thank you!
  
  Regards,
  
  ***************************
  

  Business Response

  Date: 01/12/2023

  January 5, 2023

  Dear *** *******: 
  
  PrimePay has reviewed *** ********’s additional rejection of PrimePay’s response to her complaint and have provided  additional feedback below.  
  The Health Reimbursement Arrangements (HRAs) are 100% Employer Funded, pre-tax benefit programs. As such, the  Employer (Plan Sponsor) has discretion to dictate exactly what expenses are eligible for reimbursement through the benefit  program. According to the Plan Documents of the HRA sponsored by *** ********’s Employer, the benefit offers  reimbursement of deductible, co-insurance, and co-payment expenses associated with her Group Health Plan and is set to  reimburse 50% of each eligible expense up to an annual benefit of $3,275.00. 
  *** ******** cited in the letter drafted to PrimePay on December 22, 2022, a request for reimbursement of an amount  totaling $1,040 and we are happy to report a Direct Deposit payment of $1,090.24 was approved on December 30, 2022. The  funds should have been successfully posted to the balance of the ** ****** ***** Bank account we have on file for ***  ******** on December 31, 2022. 
  PrimePay has also inquired with *** ********’s Employer, as well as their Benefits Broker, to secure a confirmation of eligible  deductible/co-insurance/co-payment expenses incurred by *** ******** since August 1, 2022. We sent a message on 1/4/23  and a follow-up today, 1/5/23. If we’re able to obtain her current medical insurance out-of-pocket (OOP) totals from 8/1/22  to current, we can utilize this information to process additional claims/issue additional reimbursement to her that may still be  due. 
  *** ******** receives the HRA benefit free of charge for her participation in the Employer sponsored Group Medical Plan.  *** ******** cites contributing $65.00 per week for medical coverage and we do want to clarify this is not to secure her HRA  coverage. HRA eligibility is directly integrated with enrollment in the Group Health Plan sponsored by *** ********’s  Employer. 
  Thank you for allowing us to reply to this complaint. Please let me know if you have additional questions. Kind Regards, 
  John T**** 
  Director, Client Success – PrimePay Benefit Services
  
  

  Customer Answer

  Date: 01/19/2023

  [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
  
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. 
  
  Regards,
  
  ***************************