Unclaimed
MedRisk Reviews
5.6K
CLAIMED LOSSES
11
TOTAL REVIEWS
6.6K
PAGE VIEWS
MedRisk Reviews
MEDRISK IS HORRIBLE
I work in a providers office and have been in this business for over 30 years. This is the absolute worse workers comp TPA. I would suggest provider to avoid singing a contract with this company. If you expect to get paid for services they authorize, don't hold your breath and they will blame it on the carriers. You will have to accept losses on patient accounts if you sign a contract with Medrisk. BEWARE!
User's recommendation: will never recommend to other providers.
ID
Location
Denmark, South Carolina
New Reviewer
Slow payers
Still waiting for payment for an authorized August visit.
1 comment
ID
Pros
- Demanding
Loss
$78
Preferred solution
Pay us
Company's greed is affecting patient care
I have had so many issues recently with Medrisk I do not even know where to start. Delay of care is the biggest issue I am having, waiting weeks for a test to be scheduled that could have already been completed, results reviewed and surgery planned if it had been scheduled directly instead of using Medrisk. No sense of urgency. Constant excuses for why things are not done. Another big issue is sending people to the lowest bidder, there is a reason that therapy facility was the cheapest, because they are poor quality or lack experience and equipment to get the injured worker what they need. Then they do not pay bills, so more and more facilities are refusing to work with him making it even harder to get people scheduled. I never thought I would experience a company worse than One Call, but these days I am preferring One Call to Medrisk.
User's recommendation: Avoid if you want your injured worker to have a good outcome.
1 comment
ID
Location
Georgetown, Kentucky
New Reviewer
Terrible company that doesn't pay
Around 2017 we started having issues with Medrisk. They told us they'd except the new PT eval codes and they did pay them up until October 2017 - then they started denying them and said they'd only except the old code 97001. We continuously resubmit several corrected claims for 2 years and they give a different explanation each time or say the claim isn't on file - then it takes them another 30-60 days to reprocess. And they keep doing this over and over again....I'm guessing they just hope we'll give up. We also have several treatments that are unpaid - they do the same thing, they say the claim isn't on file, or the provider name and provider number are missing (when they're not), or that we need to submit directly to the carrier (and the carrier has already paid Medrisk for the visit). I'm so fed up with fighting with them because each time I call no one knows what they're talking about. I can't believe they're able to get away with operating this way! I make it a point to contact them every month and we've managed to get some of our claims paid but I still have at least 10 claims I need paid.
1 comment
ID
Cons
- Billing practices
Reason of review
Problems with payment
Loss
$1600
Preferred solution
Proper reimbursement for services authorized and rendered
Avoid doing business with them you will regret it!
They will avoid paying as long as they possibly can and when they do it’s at a much lower rate than the contracted fee schedule. Avoid wasting your time and money with these thieves!!
ID
Location
Burbank, California
Terrible communication and have to fight to gets claims paid
We had a work comp patient that their case was being managed by MedRisk. We had been going back and forth with them to get claims paid. Since there were more that 10 DOS we had to go through an email. This was worthless. MONTHS of going back and forth. They came back stating the insurance company had denied the claims and there was nothing else they could do. Finally I contacted Liberty Mutual directly. They told me the claims had been approved to be paid long ago. The gentleman I spoke with there was SO HELPFUL. Within 6 business days of speaking with Liberty Mutual we finally and magically got payment from MedRisk on these claims.
ID
Reason of review
Order processing issue
MED RISK SCAM
We have been billing Med Risk for years and the way they process claims is deplorable. They routinely ignore the claims for at least 6 months and then they say the claim is denied by the Home Plan so tough!! They also pay some of the claims and ignore others forever. The best one is they tell us to contact the home plan, but will not tell us who the adjuster or what the contact information is!!! We are thinking of pulling the plug on this contract as the stress is too much. This company needs to be gone over by the Insurance Commission and held to account for their business practices. I am disgusted with this shoddy company with no website and stupid reps!
3 comments
ID
Reason of review
Poor customer service
Short Review on September 15, 2016
Does not pay on time, gives countless excuses as to why they haven't paid, continuously tell you to wait for payments. What they are doing is illegal and they just keep getting away with it.
ID
Location
Northbrook, Illinois
Reason of review
Problems with payment
Medrisk Work Experience Review from Philadelphia, Pennsylvania
I worked for the company for a short stint just under a year and I have to say that their system is horrible. The problem with billing and payment of the claims is that each department is only briefed on what the other department does and the episodes of care contain no information on billing for all employees to see. So often times on the phone the employees have to say that they're not sure and transfer the caller around until they get to the person they need. In one incident I was transferring a provider to claims in which the claims employee told me that the provider would have to send all the bills and daily notes but payment wouldn't begin for another month because that's the earliest MR to get to it, the bills for this patient hadn't been paid over the previous two months. This company is cut throat and the work isn't distributed fairly, if a worker is out which on some days 5-6 people might be out everyone else's work load increases in online assignments and those crazy days are never reimbursed, when that worker comes back in they never have to take on more assignments. Also, the supervisor is more lenient with full time employees which can ask the day of if they can leave early and make up the time in which the supervisor says no problem we'll figure it out . Where as temps get told to let her know further in advance if they can leave early a day or two on advance. It also too way to long for them to approve time off for me when I put in request 3 weeks in advance, I needed to be told that I could come in an hour early for this one particular week so when I had that friday off I only lost half a day of pay. I was approved the tuesday the week of, and I felt like they should have just given me the time since I lost two days of making it up, especially since it wasn't my fault. Training is a one week process maybe 9 work days total before you're just dumped into the full work load and sifting through papers where you took endless notes about XYZ. Also they claim that they try to talk to you about what you're doing wrong or lacking in skill before they give you the boot but that's not true. They will let you go at the drop of a hat just because and offer you no explanation.
1 comment
ID
Location
Philadelphia, Pennsylvania
Companies Similar to MedRisk
Optum
72 Reviews
“My nurse Hayley here in Albany Oregon contacted me March13,2023 asked if she could come a different day...“
Davita
520 Reviews
“Well... Spoke with some one from corporate who is in the Detroit area. To lie about your patient to...“
Cleveland Clinic
335 Reviews
“This doctor has the WORST bedside manner I have ever experienced before. He comments that my blouse was...“
Fresenius Medical Care
294 Reviews
“Was told to call back and leave number of boxes to pick up. Have called 4-5 times this past week and am...“
MedRisk don't pay claims on time!
This company is ridiculous. I have 2 patients from them on which multiple claims are still unpaid 'til today. One patient has 18 claims that has not been paid for 1 1/2 yr. The other one has 31 claims which has not been paid for more than 7 months. I'm giving MedRisk a 15-day ultimatum to pay all these unpaid claims. If they don't pay us in 15 days, we will send them to a DEBT COLLECTIONS AGENCY. What the're doing is illegal! By law, electronic claims should be paid within 30 days, paper claims should be paid within 45 days. As soon as all these claims settle, we will stop participating with MedRisk. We are actually not accepting MedRisk referrals anymore. They don't pay on time anyway so it's really not worth it. WARNING to all the providers, don't waste your time participating with MedRisk!
2 comments
ID
Location
Paterson, New Jersey
Loss
$3675
New Reviewer
Medrisk TPA for GallagherBassett
Would you believe Medrisk does not have to be accountable to the Florida Department of Financial Services. Medrisk is a healthcare provider network and can legally get away with not paying worker comp medical claims,they are not responsibile to abide by Florida laws and statues. I am pissed. I have a 7 month old medical claim that all I can do is sue or let everyone read this web site how Medrisk is above following Florida laws and can legally get away with it. Must be nice! Shame on you Medrisk. Please comment on this site to stop this injustice.
17 comments
ID
Location
Miami, Florida
Loss
$240
Hospitals, Clinics and Medical Centers Expert Talks
4th COVID Vaccine, Monkeypox, Mask-Optional Policy
Jan 6, 2022
Who may need the 4th vaccine? Is monkeypox dangerous? Prof. Karen Jubanyik comments on the mask-optional policy, COVID booster shot, and the monkeypox.
Prof. Karen Jubanyik
Karen Jubanyik, MD is Associate Professor, Clinician-Educator Track, in the Department of Emergency Medicine at Yale University School of Medicine.
Thank You for Your Reply!
Thank You for Your Reply! We are processing your message.
11Thank You for Your Submission
Your comment is successfully posted.
Select Reason
Select Reason
MedRisk
Did you get paid? We are a physical therapy clinic and have clams from 2019 (now it is 2022) that still have not been paid.
Can't get an answer from people when we call as to why it is not paid. We have a ton of claims not paid.
They don't have a "manager" we can talk to. All they do is record the request and then told to wait 30 days for a reply.