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American Specialty Health
- Business Services
- Carmel, IN
About this business
American Specialty Health, also known as ASH, is a health improvement organization. Founded in 1987, it serves more than 90 health plans and over 2,000 employer groups throughout the United States. The organization offers health coaching services and Internet-based self-care tools. American Specialty Health offers work site programs for weight management, tobacco cessation and healthy living. The company operates offices in Illinois, Texas, New Jersey, California and Arizona. It manages a staff of nearly 595 employees and is... read more
Location details
12800 N Meridian St, Ste 190, Carmel, IN, 46032, United States
Get directions| Weekday | Schedule | Status |
|---|---|---|
| Mon | 8:00 a.m. to 5:00 p.m. | |
| Tue | 8:00 a.m. to 5:00 p.m. | |
| Wed | 8:00 a.m. to 5:00 p.m. | |
| Thu | 8:00 a.m. to 5:00 p.m. | |
| Fri | 8:00 a.m. to 5:00 p.m. | |
| Sat | Closed | |
| Sun | Closed |
I own a medical billing company and many of my clients are chiropractors. The worst insurance we have to deal with is definitely ASH!! First of all, my docs don't even get the full amount that they deserve to be paid for their services! A max ***** of each visit at $45 (minus co-pays and/or deductibles) is absolute robbery. I have been billing and coding for chiropractors for 24 years and I have seen it all!! I remember when *** first started with ***** and some BC/BS claims. Reliable sources have told me that *** gets paid ... read more
Business response:
Hi ******, thank you for sharing your feedback. In fact, participating provider reimbursement is developed with consideration of several factors including competitive information on rates, public information, and more. It is up to each individual provider to decide to accept the offer of participation in our provider networks. As far as paperwork, more than 90% of members' conditions are resolved before medical necessity review is required! We hope this information is helpful.
It is very hard to sign up for. You cannot type in your birthday. They give you a calendar that starts ****. Then you must manually punch until you get back to the 50's which that's where we seniors are. This takes at least 15 minutes of constant punching. How many seniors can do this? Very frustrating! Secondly the free garmin and fitbit is a joke. The face on these watches are so small. Seniors cannot read these. It would be better to have a cheap one from ******* that we could read. One with a large face. I spent several ... read more
Business response:
Hi *********** Were sorry to hear of your dissatisfaction with your home fitness kit order. Thank you for taking the time to speak with me yesterday and Im glad we were able to satisfactorily address your concerns.Please feel free to share the information with the friends you were assisting. Please dont hesitate to call if you have any further questions.
I can not order my home kit. As a member that is an advantage I wish to use. No one answers the chat line even though I am no 1 in the Que. I called and finally got the automated system to send me to an agent behind never answered I was on hold and no one came on the line. Terrible setbocr
Business response:
Upon receipt of the members concerns, We contacted the member on 1/10/2024 and 1/11/2024 to assist in ordering her Home Fitness Kit.Unfortunately, the member did not answer, and we left two voice messages. A follow-up email was sent requesting the member to contact me directly to resolve her concerns.
If there was a way to give zero stars I ****% would! As many providers have stated in previous reviews, ASH is slow in payments, the payments are manual entry, and they limit services to an bare minimum. Post op physical therapy patients can't get better in 8 or even 12 visits. Then they send me an 835 file but I can't enter that in...I'm not a computer...I'm a human, useless! I asked to be set up for electronic EOBs through our clearing house and was told to just use the 835, again..not helpful! So, lots of manual entry tha... read more
I am covered by a Cigna PPO through my former Employers health care plan, and I have paid an extra yearly premium to upgrade the base plan. This insurance upgrade covers me for 365 days of physical therapy, and medically necessary MRI's. I am currently seeing several ******s who are trying to determine why my feet are numb, painful and burning, with these symptoms worsening over time with my first ****** visit for this back in 2018. ***** denied an MRI of the lumbar spine saying it was not medically necessary until a certain... read more
Business response:
We are so sorry to hear about your situation. Based on the information you provided when you submitted your review, we were able to locate the transaction with our company that you reference. The denial you mention is not a part of the transaction on file. We want to ensure clear understanding for you and your provider and will reach out directly to your provider. Thank you for allowing us the opportunity to improve your experience.
As a business owner providing PT services ASH is an absolute nightmare to deal with. They process claims at a snails pace. Claim that they handle all CIGNA clients in my state, but in reality they do not. Forced to contract with them to continue to accept Cigna. Some plans they do, some they don't. My office has no way of knowing until denials come through. Zero communication, zero answers. Awful provider portal. We are in 2023 now, why are we dealing with clunky portal systems? Why do I need to submit separate involved form... read more
Business response:
Hi ******************, Im sorry the transition has not gone smoother for you. We will give you a call to see what works best for you, if you or a member of your team would like to do a 1X1 session to review options available through the provider portal eligibility/benefit checks can be completed there so you know where to submit claims before waiting for the remittance advice. We also offer peer-to-peer clinical support and would love the opportunity to answer any questions you have. Speak with you soon thank you for your fe... read more
Terrible Network for PT services!!! They reduce payments for PT services significantly and every 5 sessions determine if patients need more visits and limit their care. Most practices are dropping them from their network, and I need to do the same. If you are thinking of getting Cigna for PT services, they use ASH for their claims and don't pay what we're worth as clinicians.
Business response:
Hi **************** we value you and all of our participating providers and practitioners. Based on your comments, it seems like we have an opportunity to provide additional information and clarification about our program to turn your experience around. As an example, we do not require medical necessity review every 5 sessions, but rather after the initial 5 visits, providers request what they feel the patient needs along with the supporting documentation. We desire that patients receive the care they need. If you are open t... read more
As a chiro provider, I find communication and follow up with this company to be severely lacking. After contacting this company on a issue and being told to wait 60 days for resolution only to contact them again 60 days later and be told nothing has been updated and they will contact you with update. Another month later and still no one has contacted me. I have called weekly and basically been avoided by the supervisor and mgmt. Have left multiple messages and no one returns my call. Worst provider service ever received and ... read more
Business response:
Hi *****, what you describe is the opposite of what we aim to provide. Based on your name/email address domain, I searched our database for transactions/outreach and was not able to locate any. I reached out to your email, directly, with my contact information. Please respond at your convenience!
As a patient recovering this is insane they took over two weeks to get approval after surgery. People need to get their help and medical coverage. When you call they won't talk. to you without the insurance but won't spend more than 2 minutes trying to get all the parties on the line to fix the problem. Terrible service.
Business response:
I am sorry to read that you did not have a positive experience. We agree that timely responses are of the utmost importance and complete medical necessity review in 1.4 days on average. It is true that some client health plans wish to retain direct responsibility for communications with their members - it sounds like we could have done a better job explaining this during our contact with you. We appreciate the feedback and will incorporate it within additional trainings.
Frequently asked questions about American Specialty Health
How is American Specialty Health rated?
American Specialty Health has a 1.6 star rating with 236 reviews.
When is American Specialty Health open?
American Specialty Health is closed now. It will open on Monday at 8:00 a.m.
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