Pinnacle Claims Management

I have been trying to get a refund for an overcharge on a cancelled policy for three months. I have been bounced back and forth, have my called ignored and messages not returned. It is becoming ridiculously frustrating and it’s astonishing a company cannot process a simple $ 170 refund that’s needed because of their mistake. They have in their system I was charged after cancelling my policy and yet no one seems to care to help me. Do no go with Pinnacle if you’re looking for a responsive, honest company. If you’re stuck with them because of work be sure to document all you can. Even then, good luck.

I would just like to state that out of all the people that I have spoke to in the claims department at Pinnacle Claims Management, Angie has always been a pleasure to talk to/​receive help from whenever my office has to call regarding a claim issue. She does not have an attitude, and instead of setting a restriction on how many she can help me with, she helps with all of them in one call! Thank you Angie!

Christina Baugh was amazing, and understanding. She met me where I was. She was even able to diffuse me & calm me down. Even though it was almost time for her to leave since it was 5pm, she went above and beyond.

I agree with LJ B. about Pinnacle. Unfortunately, my employer still uses them for the PPO plan. I may switch this year to an Anthem HMO plan to avoid the frustration.

WORST Customer Service. I do agree for the 2 previous reviews. I called to verify coverage for a patient and I spoke to ALISHA A. She sounded on a high pitch tone (like yelling at me), that after she talks she is done whether you have a question find your own answer based on what she told you if you ask her for clarifications the respond she gave me is the same; basically she didn’t answer my question. I have to call again.

I have to agree with the previous person. these people are the worst. They are terrible when it comes to customer service. stay away at all costs.

Unfortunately, even when you have a good job and a health insurance plan, you will likely have to deal with a middle man claims management company to get your health insurance claims handled. I had the misfortune of having Pinnacle Claims Management as the company administering my health insurance plan for 2 years. During that time, they made countless mistakes requiring me to diligently sort through their vague and numerous explanation of benefits statements, trying to piece together what I truly owed. When I would call them for further explaintion, they would usually just refer me back to the provider or say that they would «review» the claim. They never resolved a problem with a single phone call, it would require several calls before getting someone who would actually do something. Usually it seemed like they just wanted to get me off the phone.
I thought it was good when the HR at my company decided to change management companies at the beginning of this year. However, it turns out that Pinnacle Claims had not been responsive in reviewing or responding to claims. When I called them in January in regard to a new bill from an old claim they never paid, they were very rude and simply refused to help me, saying they no longer had any responsibility for my claims! Claims that they should have handled over a year before! They did such a lousy job of handling my claims that I am still trying to straighten out claims that they should have handled 2 years ago! They are sloppy, incompetent and rude. If you are looking for a health insurance management company, don’t even consider them!