Trigon Blue Cross Blue Shield of Virginia Complaint - fraudulent allowable charge amt on a claim
RICHMOND, VIRGINIA -- This company, Trigon Blue Shield is suppose to pay my claim according to the allowable charge determined by Empire Blue Cross Blue Shield of New York since that is where the services for the procedure #62287 was performed on 11-21-00. My doctor provided me with copies of claims and predermination letters on patients insured with Empire Blue Cross Blue Shield and Horizon Blue Cross Blue Shield showing the allowable charge amount to be 7000.00 at the time of my procedure. Trigon
says that Empire says the allowable charge to be 2000.00. All copies of claims on patients that I have From Empire show the allowable charge in the New York area to
be 7000.00. Here we have one of our largest insurance companies practicing dishonest and unethical processing of a claim to avoid the proper payment. I urge all patients submitting claims to Blue Cross Blue Shield
companies to beware because their allowable
charge amounts may not be correct so that they
cheat their paying insured customers and only
pay a small fraction of what they are suppose to be paying.