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Anthem Bluecross And Blueshield Informative - Poor Customer Service

Review by tfcrow on 2008-07-19
INDIANA -- July 19,2008
8 calls, 4 e-mails, 1 letter and no answers.

I have nothing but difficulties with Anthem Blue Cross Blue Shield Company since my wife and started using your healthcare service. Bloodwork is covered at 100% after you pay your co-pay, I still get bills from my doctor for an additional payment since you have processed the bloodwork wrong time after time. Calling and e-mailing your company is a waste of time. We hear the computer is not working properly. Another excuse is that there is no supervisor there. When I ask to have one call me, they never call back. When I e-mail them on their contact site, they do not answer.

I have filed a grievance on line about an appeal of a charge in May 2008. they neveranswered. I sent a second e-mail and they told me that you can't file on line. I asked why do they have a grievance form on line then. Their answer was I Don't know? I mailed an appeal to the appeal division on June 17, 2008. I still have not heard a word. They are supposed to contact you within 30 days in writing. I have e-mailed twice this week of July 14,2008 on it. I still have not received an answer.

I want to know why I don't get answers from my phone calls, e-mails, & written in a mailed appeal. Why is this company so evasive? I want my bloodwork visits to be processed correctly. It is suppose to be processed as a lab, not as a surgery. The processing continues to be done wrong every time we get bloodwork done.

Sincerely,

Thomas Crow
Comments:1 Replies - Latest reply on 2008-07-22
Posted by Anonymous on 2008-07-22:
It's time for you to do some detective work. Go to your doctor, request copies of the HCFA-1500 submission for the lab work (they can print one out). See if the claim was submitted 'clean' (without errors) by the provider. If so, send COPIES of the 1500 and a letter demanding proper payment of the claim consistent with any 'prompt payment laws' for your state (if any). Send it Certified Mail Return Receipt Requested. Many states have set limits (e.g. 45days) for an insurance company to pay a properly submitted provider claim. Good luck!

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