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Business Profile

Health Care

ProHealth Care, Inc.

This business is NOT BBB Accredited.

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Complaints

This profile includes complaints for ProHealth Care, Inc.'s headquarters and its corporate-owned locations. To view all corporate locations, see

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ProHealth Care, Inc. has 20 locations, listed below.

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    Customer Complaints Summary

    • 13 total complaints in the last 3 years.
    • 4 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    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.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:06/15/2025

      Type:Billing Issues
      Status:
      Unanswered
      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 been trying for over 6 months to get my billing straighten out with ************** issue 1) They bill me, I make a payment (applying it specifically to the bill identified) - balance is zero. Then insurance comes in much later and makes a payment. Prohealth Care then applies the insurance payment and removes all of my previous payment (keeping anything on that bill that requires it to net to zero) - then moves partial payments to other bills indiscriminately. What I need to happened is for the bill to show the amount owed to us (negative balance) and then either refund me - or ask ME where to apply it. issue 2) Some of their bills to ME do not match bills to the insurance company and I cannot get billing to explain the differences.issue 3) I have emailed ************************** headquarters on their website (twice in the last 2 months) - NO RESPONSE.issue 4) billing only replies back saying CALL us - I call but nothing ever changes (except totals on my bills - it's a shell game). They are tell me they cannot do anything via email but I cannot spend hours waiting on hold AND subsequent hours (which I have already done), discussing these issues with them.

    • Initial Complaint

      Date:12/09/2024

      Type:Service or Repair Issues
      Status:
      Unanswered
      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.
      These people from ProHealth came to our house after my Ostomy operation and didn't have a clue as how to care for it!After several leaks, the guy ordered up an ambulance to take her to the ** and they sent her right back home as nothing was wrong!My complaints with this company are mostly about their ineptitude but now we're getting bills for the ambulance that these people called and we didn't even authorise it!!!!Plus we had to pay $120.00 taxi fare home when this ProHealth idiot said all the rides were taken care of!!!

    • Initial Complaint

      Date:11/29/2024

      Type:Delivery Issues
      Status:
      Unanswered
      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.
      Received notification from collections agency on 11/25/24. Spoke with prohealth care billing on 11/25/24. This is for date of service 11/22/23 and prohealth care sent bills Jan, Feb, March, and April to an incorrect address that differed from the address provided to them and sent to a collection agency. Prohealth billing also indicated on 11/25/24 phone call that they did not bill any insurance. Insurance information was provided to Prohealth at date of service.

    • Initial Complaint

      Date:07/26/2024

      Type:Service or Repair Issues
      Status:
      Unanswered
      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 went to Pro Health care in Oconomowoc to get a refill on blood thinner medication I only had 4 left. The nurse was very rude and put the ** cuff on very tight so my ** read high but wasn't. The ** *********************** told me I had a blood cot on my heart which isn't true and would not refill my medication. I walked out because she kept arguing with me about the blood clot. ***********************

    • Initial Complaint

      Date:05/31/2024

      Type:Billing Issues
      Status:
      Unanswered
      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 was overbilled for lab services. They list 93$ each online for anthem PPO and i was billed 327$ each I was also billed for 2 lab services when i only requested 1. They told me they were required to request both tests, even though i only needed one of them. this doubled the bill. If both are required together it should be one bill. *** never had a bill not match the online published rates in the past. I tried contacting this healthcare provider, they claimed their was a glitch in the system and offered a small discount but the discount does not cover even 1/4 of the discrepancy. what they originally billed me (after insurance discount) was actually higher than the bill would have been if i walked in, claimed i had no insurance, and paid cash. On my most recent call, the billing representative tried to deny this being the case.

    • Initial Complaint

      Date:02/16/2024

      Type:Service or Repair Issues
      Status:
      Answered
      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 receive between 5-10 calls a day regarding ****************** I have tried telling them I do not have either. The calls keep coming. This is harassment, plain and simple. Please help me to stop this.

      Business Response

      Date: 03/07/2024

      These calls are not coming from ProHealth care.

    • Initial Complaint

      Date:02/12/2024

      Type:Service or Repair Issues
      Status:
      Answered
      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.
      ******** calling even after I advise them I am not ******** eligible. Multiple calls daily and sometimes after 9P and before 8a.

      Business Response

      Date: 03/07/2024

      These calls are not coming from ProHealth Care.

    • Initial Complaint

      Date:09/19/2023

      Type:Billing Issues
      Status:
      Unanswered
      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 receive medically necessary Botox injections for migraine headaches at Waukesha Memorial Hospital. Every time I get these treatments something happens with the billing. There are 2 issues happening currently: 1. Only part of my preauth goes through with my insurance because Prohealth fails to send a list of meds that were tried and failed. I have a long list of these and I know it's on file with the doc. notes. So every time I have treatments I have call back and forth between my insurance (UMR) and Prohealth many times. 2. There is a bill from May 23, 2023 that says I owe ****** with ****** still pending with insurance. It says I may become responsible if insurance doesn't respond, for a total of 1303.51--this makes no sense because I was paying less than this when I had a UMR plan with a higher deductible (I had the bronze plan, now I have silver) When I talked to billing they said my ins. isn't paying according to contract. I contacted UMR and they faxed over paperwork proving they honored the contract. I have been going back and forth on this for months and have called and messaged Prohealth MANY times. I want this bill finalized so I can pay what I owe and be done with it. I'd also like Prohealth preauth **** to follow through with all the doctor's notes and medical files necessary to get UMR to cover what they owe. I have spent hours on hold, and spoken with many people at both the insurance company and Prohealth and have gotten no where, please help.

    • Initial Complaint

      Date:01/30/2023

      Type:Billing Issues
      Status:
      Resolved
      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'm a 100% disabled vet and entitled to have the VA pay my hospital emergency care. I have spoken to several times to several different people at Pro Health Cares billing phone number, as has my *** office of finance people. We have explained several time what the *** needs in order to pay PHC invoice. As of today *** has still not rec'd the required invoice and I continue to receive email notices stating the invoice is owed. It is not owed by me. It will be paid in full by the *** I've been told, once they have the invoice with the details we have defined several time.I am totally frustrated at this point. I have been waiting for a call back form PHC automated return call system for several hours now to once again follow up on having checked and found they have still not provided the necessary invoice to ***. ************************* ************ Home phone ************ Cell Phone

      Business Response

      Date: 02/10/2023

      We have submitted this to the VA on 2/1/23
      I did review all of the notes:


      12/22/22 First call from the patient. Said **** at the ************ said we need to submit the claim to them, but patient was a little fuzzy on the details and did not provide an auth number which we need to bill to the VA. Customer Relations did ask the billers to review this.

      12/29/22 Patient called again before the billers had reviewed.Patient said that **** at the VA would call us with the authorization for this claim.

      12/29/22 ****** called the VA and spoke to a ******* who had no idea what we were talking about and did not show record of a conversation with *********

      1/06/23 Customer Relations left a voicemail mail for the patient asking him to call us back or have **** at the VA call us with the auth number.

      1/06/23 Patient called back after speaking to a ***** at the VA who said she didnt know why ******* could not see all the notes, and that **** at the VA admitted that he dropped the ball and forgot to call us. ***** provided us with the address of where to bill and the auth number. This info was sent to the billers to submit the claim.

      1/17/23 Patient called to check on status he was advised we are still waiting for billers to submit the claim.

      1/30/23 ******* from the VA called with the patient on the line, stating that Humana needs to be refunded before the VA will pay.


      At that point I received your email and got ******/hospital billing team lead involved. She called the VA to confirm details and sent the claim out today along with medical records that the VA also requested. I do apologize that it took us so long to bill this out, but part of it was waiting on the correct info from the VA which took from 12/22 to 1/6 then after that,waiting for the billers to respond and submit the claim.

      Customer Answer

      Date: 02/14/2023

      [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,

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

    • Initial Complaint

      Date:09/22/2022

      Type:Customer Service Issues
      Status:
      Resolved
      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 tried to called ProHealthCare to be removed from their advertisement mailing list, but each person I spoke with could not help and I just kept being transferred to another person. Please remove my address from mailing list. Was not asked if I wanted to receive information in the mail and I don't. My address is ******************* *******************************************************

      Business Response

      Date: 09/22/2022

      I will let the appropriate department know to have her removed.

      Customer Answer

      Date: 09/23/2022

      [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,

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

    ProHealth Care, Inc. is NOT a BBB Accredited Business.

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