What a racket. This is everything that is wrong with economies of scale.
-You will spend excessive amounts of time on hold.
-You may never actually speak to a doctor. Good luck even getting to a PA.
-Everyone you do get a hold of on the phone will pass the buck and transfer you to another department.
-No one takes any personal responsibility. It is always someone else's job or it's just the way the system works, etc.
-After "urgently" ordering me to rush in for an MRI and collecting their $$, it was damn near impossible to get service from TOCA.
Working with TOCA has led to nothing but half-baked information and a HUGE hassle.
Too big for their own good. You will feel like a commodity and not a patient.