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Ortho Association of Texas

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Ortho Association of Texas Reviews (15)

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution would be satisfactory to me I will wait until for the business to perform this action and, if it does, will consider this complaint resolved Regards, [redacted]

Ms [redacted] s account issues have been corrected,her premium payments have been applied and she has elected to retain her MDwiseMarketplace insurance coverage MDwise strives to provide the bestpossible care to all of our members and we take member concerns and complaintsvery seriously In this case a resolution was reached promptly and we arepleased to continue our relationship with this member

We, at MDwise, value each of our members and strive to treatevery individual member with respect and dignity by seeing that all issues arehandled with the greatest amount of professionalism and attentivenessIn thisinstance however, we missed the mark Wehave reconciled the member’s account which now shows the correct effectivedates and ensured that all payments received have been applied and that theaccounting is up-to-date and accurate MDwisehas reached out to our member and we are actively working to resolve anadditional concern she brought forward, and anticipate that this issue will beresolved by close of business today.MDwise strives to provide the best possible service and careto our members It is our desire that nofurther issues arise, however in the event that concerns are voiced, we willmake every effort to resolve them quickly and efficiently for our member

MDwise has been working with our member on the addition of the two children who have been missing from the member’s policy Healthcare.gov is the custodian of all member enrollment information and is responsible for transmitting that information to the insurance carrier MDwise received the policy details from Healthcare.gov, but unfortunately the two siblings in question were not originally includedOn March 11th, MDwise received the additional enrollment records effective January 1, for the two missing siblings and have reached out to our member to let them know of the addition and to address any additional concerns they had regarding their policyMDwise takes all member calls and concerns very seriously We apologize for the unusually long wait times our member has experienced in contacting our customer service department Recently, additional customer service staff have been hired and trained and we are pleased to report that wait times have decreased to less than five minutes per call We are pleased to assist our member in correcting the enrollment issues with her policy and welcome ongoing opportunity to provide the best possible care and service to her and their family

Please see the attachment regarding MDwise response to MS [redacted] 's Revdex.com complaintBelow is the contact information for our Marketplace Compliance Officer if Revdex.com need addiitional informationBest Regards, [redacted] @mdwise.orgMarketplace Compliance Officer(317) 822-

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me. I will wait until for the business to perform this action and, if it does, will consider this complaint resolvedRegards,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me. I will wait until for the business to perform this action and, if it does, will consider this complaint resolved
Regards,
*** ***

MDwise received the member’s complaint and promptly reachedout to assist in resolving any outstanding issues with ID cards and concernsregarding claims processing. Memberstated that he has received his ID cards, but had an outstanding concernregarding claims and a questions regarding
pharmacy. Our customer service team has been able toassist the member with both issues, and member did not have any additionalconcerns at this time.MDwise takes our member’s care and concerns very seriously,and we strive to ensure that our members receive the best possible customerservice. It is our sincere desire towork through any issue a member experiences with their coverage and to do so inmost timely fashion. We apologize forany inconvenience our member has experienced in obtaining a timely resolutionto his concerns and are proactively working to improve our internal processesto deliver outstanding all-around service

Please see the attachment regarding MDwise response to MS. [redacted]'s Revdex.com complaint. Below is the contact information for our Marketplace Compliance Officer if Revdex.com need addiitional information. Best Regards, [redacted]@mdwise.orgMarketplace...

Compliance Officer(317) 822-4300

MDwise has been working with our member on the addition of the two children who have been missing from the member’s policy.  Healthcare.gov is the custodian of all member enrollment information and is responsible for transmitting that information to  the insurance carrier.  MDwise...

received the policy details from Healthcare.gov, but unfortunately the two siblings in question were not originally included. On March 11th, MDwise received the additional enrollment records effective January 1, 2015 for the two missing siblings and have reached out to our member to let them know of the addition and to address any additional concerns they had regarding their policy. MDwise takes all member calls and concerns very seriously.  We apologize for the unusually long wait times our member has experienced in contacting our customer service department.  Recently, additional customer service staff have been hired and trained and we are pleased to report that wait times have decreased to less than five minutes per call.  We are pleased to assist our member in correcting the enrollment issues with her policy and welcome ongoing opportunity to provide the best possible care and service to her and their family.

Ms. [redacted]s account issues have been corrected,her premium payments have been applied and she has elected to retain her MDwiseMarketplace insurance coverage.  MDwise strives to provide the bestpossible care to all of our members and we take member concerns and complaintsvery seriously. ...

In this case a resolution was reached promptly and we arepleased to continue our relationship with this member..

We, at MDwise, value each of our members and strive to treatevery individual member with respect and dignity by seeing that all issues arehandled with the greatest amount of professionalism and attentiveness. In thisinstance however, we missed the mark.  Wehave reconciled the member’s account...

which now shows the correct effectivedates and ensured that all payments received have been applied and that theaccounting is up-to-date and accurate.  MDwisehas reached out to our member and we are actively working to resolve anadditional concern she brought forward, and anticipate that this issue will beresolved by close of business today.MDwise strives to provide the best possible service and careto our members.  It is our desire that nofurther issues arise, however in the event that concerns are voiced, we willmake every effort to resolve them quickly and efficiently for our member.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me.  I will wait until for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me.  I will wait until for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]

MDwise has contacted our member and determined that the payment made on 12/26/2014 was inappropriately applied to his 2014 policy and not applied to his 2015 policy as intended. Member did make subsequent payments in January and in February that were applied appropriately.  Unfortunately...

the misapplied payment caused errors on the member’s account which resulted in themember being wrongfully told by his pharmacy and providers that he was not covered.  MDwise first became aware of the member’s coverage issues on March 10th and received the member’s Revdex.com complaint on March 12th.  We have reconciled the member’s 2014 and 2015 accounts, have applied theDecember payment to the correct policy and now show that the member is active and covered in all systems.  We have reached out to the member to let him know of our steps to correct his account errors, to ensure that he has received his ID cards and to address any other issues orquestions he has regarding his coverage.MDwise strives to provide the best possible care and customer service to each of our members, and we are happy to work with our members to solve any issues or concerns they have regarding their insurance coverage.  We have taken additional measures to improve our member’s customer service experience and to reduce wait times for customer service calls and we are pleased to have reached a prompt resolution for this member.

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