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:04/03/2025

  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.

   
  Complaint: 23159203
  
  I am rejecting this response because I haven't received any notice from the business by mail that this has been paid and closed. I need a written confirmation by mail stating that the account is clear and balance is zero.
  
  Sincerely,
  
  ***** *****sionally by contacting the dental service provider directly. I will not be held liable for any alleged overpayment that resulted from their client's, *****'s, original payment instructions

  Business Response

  Date: 04/17/2025

  Cotiviti reviewed the Complaint and investigated the allegations surrounding notices received by the complainant and believes the Complaint is unwarranted. The notices were letters to the complainant stating that "One of your claims was processed incorrectly. ***** has asked COTIVITI, a company that helps ***** audit and coordinate benefits, to contact you about this." The letters go on to explain "Here's what happened...," "Here are some details...," "Important next steps....," and "We're here to help... ." The letters were not harassing in any way. Further, our system shows that this matter was closed after the provider contacted Cotiviti about having the check from the Complaint and the refund was received and closed as paid on March 21. There will be no further contact with Complainant on this matter. 

• Initial Complaint

  Date:11/08/2023

  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.

  Medical Services rendered 6-4-2021
  Medical claim sent 07-29-2021
  Acceptable reimbursement made 8-03-2021 Ref# ************* Check# *********** -Case closed in A/R
  ...
  
  Sept 16, 2022- Cotiviti sends refund request with this detail-
  
  "Cigna plan #******* is primary fo r this patient effective 02/01/21 because the plan that covers a patient as a subscriber is primary to a plan that covers the patient as a dependent. COB type is standard."
  
  Research determines:
  Patient reports he has no other insurance at the time of the surgery,
  Cigna representative confirms that the other Cigna plan became inactive 12/31/20
  Call ref : ******* 
  Appeal sent once reminded of this outstanding overpayment, multiple calls to Cotiviti seeking retraction letter. No money requested, we only seek retraction of this overpayment so we can close the case. Please email with questions.