Shelby Gahm

Review of SoutWest Administrators

I would strongly discourage patients and providers...

I would strongly discourage patients and providers from being contracted with this company. As an employee for a providers office; I have come to discover that there is no customer service or integrity. The provider's line; does not return calls. The escalation line; does not return calls nor address the problem at hand. I've even gone as far as contacting corporate and was told by the operator that they would have to transfer me to the claims department because "corporate does not handle these type of calls; it is not in their job description." I have tried multiple times to reach someone to solve problems with claims for multiple patients and have gone months without a resolution. As a result, it brings our office to close the claim and submit a bill to our patients to have to deal with themselves. As a contracted provider; it's frustrating to have to make our patients deal with the hassle when there should be a customer service department to rely on to handle these issues. What is the point of being in a contract with a company that does not want to help their partners? Their members? I hope that if this matter can't get solved through the providers line or escalation line that at least a member of the board can read this review and know that the company isn't addressing the issues at hand and making not only their members feel un-easy, but making their providers have to go in circles and get no where to help their patients. I hope this company finds it's integrity again and can become professional in matters to be able to be equipped to have a stronger customer service department.