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Regence - Denied Coverage and Will Not Re-Review Decision

Regence Medicare Advantage - Complaint
Review by janethbullock on 2013-06-08
Rating: StarEmpty StarEmpty StarEmpty StarEmpty Star
SALT LAKE CITY, UTAH -- My mother fell and broke her hip. We had to take her to the ER for care and x-rays etc. Regence denied the claim stating it was a VEHICLE ACCIDENT. WHAT?!! She was not even near a car ?? They would not even re-review the claim for me. They said I need to file a claim with the auto insurance ..stating they would likely deny it too??.. THEN I can ask for a re-review of decision .What a run around. It is blatant disregard for the customer and dismissal that made me so angry.

I'm usually pretty good natured. But obvious unfairness got to me.
Comments:2 Replies - Latest reply on 2013-06-09
Posted by clutzycook on 2013-06-09:
It sounds like someone in the hospital's billing department coded it wrong. I'd check your mom's hospital record and complete bill with codes to make sure that's correct.
Posted by onlooker on 2013-06-09:
Good point - something is bringing a car into the claim - other documents regarding the claim come from the hospital - please do check them out.

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