I am filing fraud complaints as I write…
I am filing fraud complaints as I write this review. It has been one year since I paid Ideal Billing Services $5,000 after being told they would credential me with five insurance companies in each state at approximately $100 per application.
Now, over a year later, they claim they only completed six applications—applications for insurance companies I was already credentialed with before I hired them. I paid $5,000 and, from my perspective, received nothing that I hired them to do.
Instead of honoring what I understood I was purchasing, they continued to reinforce that understanding by providing spreadsheets showing applications rolling out by time zone across the United States. When I challenged their position, they refused to move forward with the agreement we had been discussing. I spent the last year being told they would fix it, help, or make it right, and now they have refused.
I have filed a complaint with the Better Business Bureau and am working with my attorney, my bank, and law enforcement regarding what I believe is a fraudulent transaction. The BBB also asked whether I intended to pursue media attention, and I answered yes, because I do not want other business owners to go through what I have experienced.
If you are considering using this company, I strongly encourage you to get every promise in writing before paying them. My experience has been extremely disappointing. In my experience, they sold me one understanding of the services, later described them differently, and stalled my business expansion with promises that, from my perspective, were never fulfilled.
They refused providing management help or info along the way and they changed their business name in the middle so i am looking for that name now.
Reply from Idealservicellc
Hi Jessica - thanks for the note. We are disappointed to see this review as it does not reflect the work we completed or the extensive supported we provided throughout our engagement.
As agreed in our original contract, our scope of work was to credential your practice with the following insurance companies for nationwide PPO participation:
- Cigna
- UnitedHealthcare (UHC)
- Optum
- Blue Cross Blue Shield (BCBS)
- Tricare
- Aetna
The agreed objective was to enable your practice to bill patients through these insurance companies' nationwide PPO networks. We successfully completed the agreed credentialing work and kept you informed with regular updates throughout the entire process. Your organization has been able to bill through these PPO plans as discussed and agreed at the start of our engagement.
After the original scope of work was completed, you requested several additional services that were not included in our agreement. As a gesture of goodwill, we completed a number of these requests at no additional charge. Later, you requested credentialing for an additional provider and submitted a list of approximately 14 more insurance applications, all of which were outside the original scope of the contract.
When we explained that these new requests would require a separate agreement and additional fees, you declined and insisted the work be completed free of charge. We even offered to credential one additional provider at no cost as a courtesy, but the remaining requests required additional payment due to the significant amount of work involved.
Some of your concerns relate to matters that are outside our control. For example, Tricare has its own billing requirements for certain services, and we cannot bypass an insurance company's billing policies. Likewise, although we submitted a request to negotiate your Cigna reimbursement rates on your behalf, the final decision regarding reimbursement rates rests entirely with the insurance company.
For over a year, we worked diligently to support the growth of your practice and provided numerous services beyond our contractual obligations. Unfortunately, when we explained that additional providers and insurance enrollments would require a new agreement and appropriate compensation, we were met with threats of legal action and this negative review.
We remain committed to providing professional, transparent, and ethical services to all of our clients. We stand behind the work completed under our agreement.
Thank you,
Ideal Billing Services Team
