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BLUE CROSS BLUE SHIELD DENIED MEDICAL CLAIM
Posted by: JACFAR ()
Date: November 17, 2010 08:25AM

If you are denied coverage based on medical necessity WHILE PAYING HEALTH INSURANCE WITH ANTHEM BLUE CROSS BLEU SHIELD
PLEASE LETS TALK ABOUT IT

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Re: BLUE CROSS BLUE SHIELD DENIED MEDICAL CLAIM
Posted by: jacfar ()
Date: November 17, 2010 08:26AM

If you are denied coverage based on medical necessity

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Re: BLUE CROSS BLUE SHIELD DENIED MEDICAL CLAIM
Posted by: BABA DUNDE ()
Date: November 17, 2010 08:43AM

I feel like the company deliberately crafted a policy to severely limit their liability,they always "Deny, deny, deny, need more information, excuses, excuses, excuses. In four months.
How can a company with a name like Blue Cross Blue Shield be allowed to operate with such underhanded business ethics, especially in a medical field. Their license to operate should be terminated. "
"Anthem is the worst possible "insurance" you can have & still be paying premiums. They deny claims without giving you any information--not even a code--& make you WRITE BY SNAIL MAIL to appeal a denied claim. Their obvious, fondest hope is that you'll give up & they'll keep their money. Look on their site--they're obviously ashamed to even list their executive management. Or else the management are afraid they'll be contacted by actual, you know, "members". Or "victims", to be more accurate. One reason

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Re: BLUE CROSS BLUE SHIELD DENIED MEDICAL CLAIM
Posted by: CMM ()
Date: December 04, 2010 07:52PM

I work in billing and coding for a very large practice and deal with BCBS on a daily basis.

You're right insurance companies shouldn't mindlessly ply you with forms written in a language that is incomprehensible to their subscribers and a huge drain on every one's (theirs and yours) time. A phone call from a informed patient advocate who can take the information over the phone would get these claims taken care of in a timely manner without all the frustration.
There are things you can do to help ensure your claim is paid, get the clincals/doctor's notes, and on the BCBS web site get a copy of their criteria for the procedure you had done. Armed with those documents you can effectively fight any denial as long as you meet the criteria. If you need a hand locating the information on their web site or with the appeal feel free to message me.



Edited 1 time(s). Last edit at 12/04/2010 07:53PM by CMM.

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