ComplaintsforAnthem Blue Cross and Blue Shield
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Complaint Details
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Initial Complaint
12/29/2021
- Complaint Type:
- Product Issues
- Status:
- Unanswered
I received a letter from Empire Blue Cross Blue Shield 3 months after they sent me reimbursement checks, stating that I was overpaid and now owed $560 back to them, with very few details in the letter explaining why. I called the customer service department and after an hour on the phone (Phone Call ID: ********** they explained that it was THEIR error and they misfiled the claims as out of network and now that they had caught their error, I owed the money back. Not only was I discouraged from filing a complaint, but I was also told repeatedly that, as the customer, it is MY job to call and check their work each time I receive a check or letter from their company in the mail. I was told several times that filing a complaint, which is the customer's right to do, "wouldn't work" and "wouldn't make a difference" and that I owed the money no matter what.Initial Complaint
12/20/2021
- Complaint Type:
- Product Issues
- Status:
- Unanswered
On December 16, 2021, I received the attached letter from Empire Blue Cross/Blue Shield regarding ******** eligibility. I have several questions about the information in the letter but when I tried to contact the sender of the letter (***************************) by phone I could not reach her at the number provided. I also tried emailing ****************** but the email address provided in the letter did not work either. I also called member services on December ************************************************* with ****************** or answer my questions. I am completely frustrated that I would received a letter regarding important information from a person who cannot be contacted. I would like someone the Coordination of ************** at Empire Blue Cross/Blue Shield to contact me so my questions can be answered.Customer response
01/30/2022
Better Business Bureau:
At this time, I have not been contacted by Empire Blue Cross & Blue Shield regarding complaint ID ********.
Sincerely,
*************************Initial Complaint
12/09/2021
- Complaint Type:
- Order Issues
- Status:
- Unanswered
I went to a hospital emergency room on 2-20-2021, I was discharged a few hours later and my ****************** coverage Empire Blue Cross and Blue Shield (ID#********** refused payment to pay ******** Hospital located at ****************************************** TEL. ************ (Account #**********) in the amount of $4,378.27 I have had this hospital insurance since I retired from the ************* ********** of ********** in 1994.Their excuse for non-payment is I was supposed to have ******** Part B. I was never notified of this change. As far as I understand I will be eligible for ******** Part B when I'm 65 years of age on August 9, 2022.I feel my hospital coverage should pay this hospital **** and properly notify their members of any changes that would not cover them in the event of a hospital visit.Customer response
01/20/2022
Better Business Bureau:
At this time, I have not been contacted by Empire Blue Cross & Blue Shield regarding complaint ID ********.
Sincerely,
***************************
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Customer Complaints Summary
92 total complaints in the last 3 years.
34 complaints closed in the last 12 months.