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Business Profile

Insurance Companies

Anthem Blue Cross and Blue Shield

Headquarters

This business is NOT BBB Accredited.

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Complaints

This profile includes complaints for Anthem Blue Cross and Blue Shield's headquarters and its corporate-owned locations. To view all corporate locations, see

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Anthem Blue Cross and Blue Shield has 9 locations, listed below.

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    Customer Complaints Summary

    • 127 total complaints in the last 3 years.
    • 80 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:02/28/2023

      Type:Service or Repair Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Provider for BCBS. I have spent HOURS on the phone and email trying to get paid for claims that were not paid or paid incorrectly. It's been over a year and BCBS still has not paid. They keep giving me different reasons for claims being paid incorrectly and not being able to pay me for incorrectly paid claims. I will be teaming up with a number of other therapists to bring a lawsuit against BCBS since this seems to be a common practice - giving providers the run around until it ends up costing us money to keep emailing and calling only to be transferred from person to person with no answer or varying answers to our questions about unpaid or incorrectly paid claims.

      Customer Answer

      Date: 03/27/2023

      At this time, I have been contacted directly by Empire Blue Cross & Blue Shield regarding complaint ID ********, however my complaint has NOT been resolved because:

      [Your Answer Here]

       

       

       

       

      In order for the BBB to appropriately process your response, you MUST answer the question above.

      Sincerely,

      *************************

    • Initial Complaint

      Date:02/21/2023

      Type:Billing Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Emergency room visit 9/14/21. BCBS was billed from the hospital and was paid accordingly.In June2022 ******************************* began sending bills for this incident to BCBS. She was denied as per BCBS for "late billing". This bill/denial happened approx. 3 times. ****** ***************** located in ********* ** began sending bills directly to us. Spoke to BCBS approx. 10 times regarding this. The answer as to why they weren't covering this bill varied depending on who answered the phone(which was different reps each time) . Most just said they would resubmit the bill, which resulted in a denial for late billing. After being threatened by ****** Memorial with collection if the bill for **************** was not paid, and after ZERO results from BCBS regarding why they wouldn't pay, I paid the bill. After approx. 4 more calls to BCBS to try and ratify this situation, someone bothered to find out that **************** initially billed incorrectly stating it was a motor vehicle accident(the initial hospital bill that was covered was NOT issued this way so ?)Nov 5, 22 spoke with rep ***** extensively. She filed a grievance/appeal with BCBS for us. We waited until *** without a call back , finally getting thru to ******* at BCBS who discovered the incorrect billing issue with BlountMem/***************. The attached letter dated 1/12/23 states BCBS would send a new explanation of benefits which they have not. ******* spoke with the hospital billing ( ****) and reported back to us that we would be getting reimbursed within 30 days. We Called BCBS 2/17 to see if they recvd the letter they needed from the hospital/Dr. regarding the denial for incorrectly billing, they had not . Then called ****** Mem billing and they stated "the letter is in process" and refused to discuss anything further regarding the refund. We paid this bill to keep from ruining our credit score. But clearly it should be covered by insurance. Some people were helpful, most were not.

    • Initial Complaint

      Date:02/21/2023

      Type:Product Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      My daughter was seen in the ** last June, 2022. To date I've called several times and tried to get the insurance companies to pay her medical bills and they're refusing to take any responsibility or action even though she has medical insurance and coverage.

    • Initial Complaint

      Date:02/16/2023

      Type:Service or Repair Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I HAVE INSURANCE TRHORUGH MY JOB AND MY WIFE ISLEYDI NEED AN PELVIC ULTRASOUND BECAUSE IT WAS ORDER BY HER GYNECOLOGIST AS A PREVENTIVE EXAM BECAUSE SHE WAS HAVVING IRREGULAR PERIODS AND SOME BLEEDING IN BETWEEN AND THE INSURANCE PROCESS 2 DIFFERENT CLAIMS FOR A SINGLE ULTRASOUND, THIS DOES NOT MAKE SENSE, WE CALLED THE INSURANCE AGENT SAYS IS OK THAT THEY MADE 2 CLAIMS FOR THE SAME VISIT BASICALLY THEY DONT CARE. THE ISSUES IS THAT THEY DID NOT COVER THIS EXAM 100% WHEN THIS WAS A PREVENTIVE EXAM WHICH WAS SUPPOSED TO BE COVER COMPLETELY. THEY CHARGE $250 IN 2 DIFFERENT BILLS FOR 1 SINGLE PREVENTIVE ULTRASOUND.

    • Initial Complaint

      Date:02/13/2023

      Type:Service or Repair Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Bcbs paid another provider for services rendered. They admit this but are taking too long to correct and putting the onus of the work in the provider that they have not paid. This has been ongoing for over a year and services were rendered as far back as 10/20. They need to make the correction a priority and finish it

    • Initial Complaint

      Date:01/30/2023

      Type:Service or Repair Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I was on leave from my job at ********************************, and was going to lose my job and healthcare. I notified Empire, no later than August 15, 2022. I needed a termination letter in order to enroll in another health insurance. Empire said I couldn't have a termination letter because the policy "is still active." So, I kept asking, "Are you sure?" "What if there was a mistake, would you retroactively deny coverage?" The representative said, "It is active and we don't retroactive." I called every single day from August 15 on, until October 6th, when I was notified it was cancelled. But, not only that, they did go back retroactively and denied any claims from that time period. I am absolutely furious because they had assured me I had insurance from August 15-October 6th, and then went back in October to deny claims from August and September. Empire has a recording of all the phone calls, every day from August to October. They made a huge mistake, and expect my family to pay from it. We are financially struggling, and this huge domino effect from my job, Empire, and the human resources from my husband's job, are to blame. *************** tried to retro the insurance, but the insurance denied it. I am hoping Empire will pay any medical bills from that time period, when I was assured every day it was active, until October 6th, when I finally got the notification. I shouldn't have had a lapse in coverage, and cannot afford any medical bills. Empire was negligent in making sure it was or wasn't active. They do not want to take responsibility for the snowball effect it has had on getting new insurance, and the cost of medical bills. I am hoping BBB will help. If they continue to blame my former job, for not letting them know ahead earlier, than let Empire **** I am just a "monkey in the middle" and I don't want to get stuck holding the banana.

      Customer Answer

      Date: 02/24/2023

      Better Business Bureau:

      At this time, I have not been contacted by Empire Blue Cross & Blue Shield regarding complaint ID ********.

      Sincerely,

      ***********************

    • Initial Complaint

      Date:12/22/2022

      Type:Billing Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I was a customer of this company in 2021, but switched my insurance to Aetna as of January 1, 2022.I continued to receive bills, and my accountant unknowingly continued to write checks through 2022.I had *************** in effect, and did make claims there.I made no claims on Empire Blue Cross and Blue Shield.They received 4 payments of $875.25 from me. When I realized what had been going on, they reimbursed me for 1 payment only.They claim that they had not been informed by me that I was dropping them, and reimbursed the last payment only.I believe that I did inform them, and they failed to take note. In any case, I did not use their insurance, and had another policy in effect, which I did use.This is unfair.I would like to be reimbursed for the remaining three payments, which total $2,625.75.

    • Initial Complaint

      Date:12/21/2022

      Type:Service or Repair Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I enrolled in Empire BCBS's (Empire) HealthPlus Gatekeeper X, for HSA, Bronze, *** **** *** Network, *** **, Ped Dental Plan on Sep 1 2022. Empire assigned a PCP to me, Dr ******************** I used to see providers at NYU Langone, so I called Empire to change my PCP to a doctor practicing out of NYU Langone who is listed as in network within the Empire network. On Dec 1, I spoke with customer service agent ******* for 1 hour and she confirmed a switch to ************************ I have a recording of her confirming this change. However, when I checked the system the next day, the change had not been made. On Dec 20th I called again, spoke with Supervisor ************ who told me he would make the change, but instead assigned me to ********************************* All doctors assigned to me by Empire to date, Dr ****** ********************* and ********************* are part of One Medical, and none are doctor I requested. Despite numerous calls and repeated requests, Empire does not assign me to Dr *** whom I have requested. When I called One medical, they told me their doctors are actually out of network for Empire. I would like to lodge a formal complaint against Empire and request them to change my PCP to Dr. ****

    • Initial Complaint

      Date:11/18/2022

      Type:Product Issues
      Status:
      Resolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I was insured by Empire BC/BS while employed by ********************* until my termination on 4/12/2022.Since June 2022 I have been trying to get a printed copy of my 2022 Explanation of Benefits from BC/BS. I have made a number of phone calls requesting a printed EOB for January 2022- April 2022. Each time I am told the printed EOB will be mailed out in ***** business days. It is now Nov 18th, and I still have not received the printed copy. That's an awful long ***** business days in my book!In addition to my telephone requests, on 9/28 I sent a certified letter to *** ********************** the Empire BC/BS CEO stating my frustration with his customer service department and asking that a copy of my EOB please be sent to me. I have received no response at all from his office.All I'm asking for is a printed copy of my EOB for January 2022 thru April 2022. Can someone please help me.

      Customer Answer

      Date: 12/16/2022

      Better Business Bureau:

      At this time, my complaint, ID ******** regarding Empire Blue Cross & Blue Shield has been resolved.

      (By clicking "OK", your complaint will be closed as Resolved.)


      Sincerely,

      *****************************

    • Initial Complaint

      Date:11/17/2022

      Type:Service or Repair Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Good afternoon:We are writing to file a complaint against Blue Cross for patient P. ************************************, for date of service 5.11.22 surgery performed by ****************** for ******* claim submitted. Prior to surgery the benefits were verified as 90% *********** for out of network providers. Our verification **** s/w *** on 5.5.22 with a reference number of **********. There is NO WAY that the patients co insurance is ********* with a plan as this and only has a ******* deductible. Blue Cross needs to pay this claim according to *********** reimbursement amounts and I can provide you with those if you should need them , please note if this claim isn't processed according to patient benefits, we are filing a complaint with the attorney general. Thank you!

      Customer Answer

      Date: 12/12/2022

      Better Business Bureau:

      At this time, I have not been contacted by Empire Blue Cross & Blue Shield regarding complaint ID ********.

      Sincerely,

      ***************************

    Anthem Blue Cross and Blue Shield is NOT a BBB Accredited Business.

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