ComplaintsforAnthem Blue Cross and Blue Shield
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Complaint Details
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Initial Complaint
08/27/2024
- Complaint Type:
- Billing Issues
- Status:
- Answered
I cannot get accurate billing or payment information need for tax purposes from Anthem. They will no send a monthly bill electronically or via the **** and instead refer you to a terrible 3rd party web portal or their own erroneous website. I a missing transaction details for an entire quarter, and cannot resolve thru call center/ chat or portal. I have numerouse complaints about their coverage as I'm sure most have about every insurance *** but the clerical incompetence is astounding. AVOID AT ALL COSTSBusiness response
08/27/2024
Good afternoon,
We were unable to locate the member in our system. Please provide the member's identification number, including the three-character prefix. This information may be found on the member's health plan identification card.
Thank you,
********************
Initial Complaint
08/16/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
I called my insurance company, Anthem to ask about benefits regarding regular routine counseling. They told me in April of 2024 that routine counseling was covered 100% before my deductible. My member id is ************. I called my therapist to ask if the counseling I requested was considered routine, she said yes. I then had 6 sessions of counseling. Between April-June 2024. Anthem denied all claims. My counselor called but was on hold too long. I called and was on hold an hour. They agreed again that routine counseling is covered 100% and would need to get my therapist on the phone to give correct billing code. We called again together, a three way call. Again the call took almost an hour. They again agreed that routine counseling is covered 100% before deductible. They gave her a code. It was denied again. *** called again on hold for an hour, asked to speak to a supervisor and was told they would call me back. They never did. I called again, same day hours later 8/15/24. Asked again for supervisor and was told someone would call me immediately. No call back. I need help resolving this issue because Anthem refuses to call me back so I can resolve the claim. They continue to refuse payment for the claim and no supervisor calls me back.Business response
08/19/2024
Please be advised that authorization is needed before we can address the members concerns. Refer to attached letter.Initial Complaint
08/08/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
On June 18, 2024, I filed claim for Medical bill on cruise, based on information from anthem, it was filed as international claim, 2 weeks later when I checked, was told needed to be filed differently.representative of anthem filed internal grievance for me. I checked today , was told they resolved it by telling me they were wrong.and threw it out, sent in new claim per their instructions to proper address, then received letter they needed itinerary. I mail in a week ago, checked today , now saying I needed to to resubmit everything again, which starts their 60 cycle all over again, and was hung up on by anthem rep. **** getting the runaround, all I want is for anthem to start their 60 clock on original date filed.in June. Ofcourse they say no!Business response
08/08/2024
Good afternoon,
We were unable to locate this member in our system. Please provide the member's identification number, including the three-character prefix. This information may be found on the member's health plan identification card.
Thank you,
********************
Customer response
08/09/2024
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID# ********, and have determined that my complaint has NOT been resolved because:[Your Answer Here]
The claim number is************
My member number is *********
In order for the BBB to appropriately process your response, you MUST answer the question above.
Sincerely,
*******************************
Business response
08/19/2024
****** *** **** ****** ******** ****** ******* ********************* ********** ******************************************* ******* ******************* **** ***** ****************** *** ****** ****** ***** ******************************* *** ****** *** **** **** ********
Dear BBB:
This is in response to your correspondence dated August 16, 2024, regarding the above referenced member.
Due to federal laws pertaining to the **************** Portability and Accountability Act (HIPAA)and the Protected Health Information (PHI) portion of it that went into effect April 14, 2003, we cannot relinquish information without proper authorization. Therefore, we will be addressing the concerns in question and responding directly to *******************************.
I trust that the information provided will aid in resolving your concerns and want to thank you for the opportunity to assist you. Should you have any additional inquiries, please do not hesitate to contact me by email at *******************************
Thank you for your concern.
********************* ********* ******* *
Medicare Complaints, Appeals & GrievancesInitial Complaint
07/12/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
Writer has been kept held for an extended period of time with the company obstructing writer's ability to provide care for patients. Writer has called multiple times, attempting to arrange a peer to peer to be able to provide care for a patient and has been obstructed at every corner with the call being "dropped" several times and writer being transferred numerous times before ultimately being told that writer could not speak to a supervisor. This has occurred multiple times over the last couple weeks and now after missing 1 phone call (writer was informed that 2 occurred but there is no evidence of this in writer's phone nor way for writer to call anyone back after missing the call), writer now has to file extensive paperwork to have someone review the case again as it has been formally rejected.Business response
07/29/2024
Good afternoon,
So that we may route the request to the appropriate area for handling, please provide the *** and Tax ID belonging to the provider.
Thank you,
********************
Initial Complaint
07/10/2024
- Complaint Type:
- Billing Issues
- Status:
- Answered
I have traded messages, chats, and phone calls on JUST trying to update my debit card (i.e. replace my expiring debit card by the new one) JUST to pay my insurance premium.Simple, but suddenly complicated with the *** in their website.I attach a PDF of a message I am sending them this morning; below parts of it:please, the website is bugged for my dental and vision billing 1- I HAD AUTOPAY, UPDATED MY DEBIT CARD INFO BUT AM UNABLE TO LINK THE DENTAL AND VISION ACCOUNT TO NEW DEBIT CARD due to*** 2- I AM TOLD THIS ACCOUNT DOES NOT TAKE AUTOPAY but a- it took autopay so far b- it displays that it is on autopay c- you are telling me that autopay is cancelled for my dental/vision account on August 01, 2024. Why? When trying to EDIT autopay for dental and vision, it gives me an error message - dental/vision account cannot be used for autopay - is it because it is linked to the medical?It REFUSES to delete the autopay setting for dental and vision - it si LOCKED Also, and suddenly, the next billed amount stopped displaying for dental and vision though I got an email for the dental/vision bill of august 2024 (but not yet the medical)the website does not offer an option for electronic payment outside of autopay the instructions you give yesterday do NOT match what I have on the screen. I CANNOT find an option to Add Autopay under Pay Plan Premium - this may be because I already have autopay for medical! I do not want to mail and fax things to avoid errors. I am traveling out of the country till august 2024 and it is a huge inconvenience to mail and fax these forms, especially that no one can tell me they were received.This is the third time I am going in circles with your chat, your customer service and your IT - once for my old billing address being put back as contact, once for bills not displaying properly on the website, and now. AT THE FIRST OF EVERY MONTH I HAVE TO CHECK YOUR WEBSITE TO MAKE SURE MY BILL WAS PAID, HOLDING MY BREATH.Business response
07/24/2024
Good afternoon,
We were unable to locate this member in our system. Please provide the member's identification number, including the three-character prefix. It may be found on the member's health plan identification card.
Thank you,
********************
Initial Complaint
07/08/2024
- Complaint Type:
- Product Issues
- Status:
- Answered
I filed a claim with Anthem Blue Cross and have submitted all documents requested. Every time I have called requesting status of my claim, they claim that that they have not received the supporting documents. This is after they have confirmed that they have received such documents. Frustrating !Business response
07/23/2024
Good afternoon,
We were unable to locate the member in our system. Please provide the member's identification number, including the three-character prefix. This information may be found on the member's health plan identification card.
Thank you,
********************
Initial Complaint
06/27/2024
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
I, **********************************, am writing to appeal a balance to an urgent care visit on May 25, 2024 showing I owe a balance of $636.80. I called in and spoke to representative named ****** on May 14, 2024 about benefits if I had different appointments such as an urgent care visit and I gave the names like Bonsecours or Patient First and he advised $25-$40 copay and the rest of the bill would be paid. I also asked about mu regular in office and counselor virtual visits and he advised Id only pay the $25 copay and the bill would be paid in full. Im appealing due to received first a bill that said I owed the hospital $8,594.30, then I called the hospital that send a reduction of a bill showing I owed $2558.70. I again called the hospital and gave them my insurance information on June 13, 204 to ***** at Bonsecours at ************ acct # *********. Then, ********************** sent me a message stating Im not responsible for $636.80. I called Anthem on June 27, 2024 and spoke to ***** at 834am advised that the rep did give me incorrect answers on my copay and didnt inform me correctly that Id have to pay this large amount for a hospital bill and I was expecting to get a bill for $40 copay only and Im appealing the bill $636.80. Due to Anthems error from their representative, They need to adjust my bill accordingly to reflect only a $25 copayment as the representative incorrectly advised me. I am in a household of 6 people that I take care of and can barely pay my regular bills. I cannot pay a $636.80 bill which should have been correctly communicated to me and I would have waited to see my in network provider. I can be reached at ************ or ************. if this is not resolved, I will be sending this the bureau of insurance to complain on this bill. Bill is attached from the facility.Initial Complaint
06/25/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
My company started using Anthem and they have completely refused to pay for any of my medication They say a review only takes 30 days but mine took 9 months I jumped through all the hoops get the tests done and they refused my treatment so I am out thousands of dollars and cant get my medicationCustomer response
07/20/2024
Better Business Bureau:
At this time, I have not been contacted by Anthem Blue Cross and Blue Shield regarding complaint ID ********.
Sincerely,
*********************Initial Complaint
06/24/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I am unable to pay my carelon specialty pharmacy bill due to a glitch in their ****** app. The app does not allow me to add a credit card. When I call them and try to pay over the phone, they say that I must first enter a credit card info into the app. I send them checks, but they never cash them. I spoke with IT member at their company and they cant fix the app. They recently sent my bill to a debt collector. I am frustrated that they have sent the bill to a debt collector when I have tried many times to pay, but anthems systems dont work.Initial Complaint
06/04/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I have been trying to file a claim for almost 8 months now, and it is denied every time, and no one can say why. They keep changing the reason. This same claim has been paid in the past with no issue. The care provided is covered by my insurance. I feel they are just trying to prolong how long they have my money and can earn interest on it in the meantime. If they do that with all their customers for network claims, they could be making a lot of money off the interest in delayed reimbursements for member-submitted claims. They own me $945
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Customer Complaints Summary
87 total complaints in the last 3 years.
31 complaints closed in the last 12 months.