Complaints

This profile includes complaints for Independence Blue Cross's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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  Independence Blue Cross

  1901 Market St Philadelphia, PA 19103-1480

  
• 

  Independence Blue Cross

  Union Center Plaza 840 First St NE Washington, DC 20065-0001

  
• 

  Independence Blue Cross

  PO Box 41820 Philadelphia, PA 19101-1820

  
• 

  Independence Blue Cross

  PO Box 190 Dunmore, PA 18512-0190

  
• 

  Independence Blue Cross

  1901 Market St Fl 13 Philadelphia, PA 19103-1463

  

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.

• Initial Complaint

  Date:12/04/2023

  Type:Billing Issues
  Status:

  ResolvedMore info

  Complaint statuses

  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 with an IBX healthcare plan and submitted payment of $2,840.07 on 11/24. Payment was posted by my credit card on 11/26. I have copies of all payment confirmation numbers. After hours on the phone with customer service over the past week, IBX has still not confirmed payment and refuses to provide a valid health insurance card. I have a sick child with no current healthcare coverage.

  Business Response

  Date: 12/12/2023

  We have received the member's complaint and will respond accordingly. 

  Business Response

  Date: 12/20/2023

  The member's issue has been resolved. 

  Business Response

  Date: 12/27/2023

  The member's issue has been resolved. 

  Customer Answer

  Date: 12/27/2023

  [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
  
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. 
  
  Regards,
  
  *****************************
  

• Initial Complaint

  Date:10/24/2023

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  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.

  On 10/10/2023, I called Blue Cross Blue Shields 1-800-ask-blue to request a lose of insurance coverage letter listing my (2) children names in order to add them to my insurance, since my husband is no longer with the employer. Blue Cross Blue shields explained it will take 3-5 business days to have this letter sent via email and mail. I called on 10/18/2023 because i didnt received any letter yet, they told me it will be in by Friday 10/20/23. I never received anything at this point and I need this letter by 10/30/2023 in order to add my kids to my insurance. I m calling Blue Cross and Blue shields 10/24/2023-today to follow up on this letter and they advised that the letter was sent on 10/10/2023(same day of my request). I never received anything so at this point they told me they need to make a new request. I just find this issue unacceptable and very unprofessional. My kids will be without insurance if i dont submit this letter by 10/30/2023. Please i need some assistance and have someone reliable to assist me with a simple letter that states my kids are no longer under my husband insurance.

  Business Response

  Date: 11/13/2023

  I have reviewed the complaint and will respond in a timely matter. Thank you for bringing this mater to our attention. 

• Initial Complaint

  Date:10/18/2023

  Type:Order Issues
  Status:

  AnsweredMore info

  Complaint statuses

  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 filed an appeal regarding a $500 medical bill for two routine medical tests performed simultaneously. I received a response to my appeal stating that this letter would only address one of the claims and the other would be addressed as a separate appeal. After not hearing anything for a few weeks, I called to see when I could expect the second letter. No one knew what I was talking about. I spoke to countless agents who promised to look into it and call me back, but never did. I called several times and was never able to connect to someone in the appeals department who could actually see the letter to know what I was talking about. After almost two months, being redirected countless times, and repeatedly asking to speak to a manager and never being able to connect with one, I was told a new letter would be sent on September 26 and I would receive it in 7-10 business days. I did not receive anything. I called back and spoke to an agent who told me that he could see the request for the letter to be sent, but the department that handles mail never actually sent it. The agent then said he spoke to a manager who would be emailing the letter to me and I would absolutely for sure be receiving it that day. I never received any email. Finally, after another hour long phone call because no manager was available, I was able to connect to a supervisor who said he would call me back in one hour after researching. I have not heard from him. I have a legal right to an appeal and thus have a right to get a response. The fact that half of the people I spoke to couldn't even see the second appeal and the other half won't speak to me directly, can't read this alleged letter to me, nor call me back leads me to believe I am being intentionally deceived. How hard is it to provide me with information you said you would send two months ago?? It shouldn't take months of waiting, hours of phone calls, dodging managerial assistance, and lies about returning my call.

  Business Response

  Date: 10/26/2023

  Hello **************,

  Attached is our acknowledgement letter and HIPAA consent form that needs to be completed by the complainant.

  Once we receive a valid HIPAA consent form, we will release our findings to your office.

  Thanks so much!

  TF

• Initial Complaint

  Date:09/22/2023

  Type:Delivery Issues
  Status:

  AnsweredMore info

  Complaint statuses

  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 am a disabled veteran and live alone with my GSD service dog. My doctor wrote me a prescription for ***** for sleep. Due to severe pain i have not slept in 3 nights. *** pharmacy located on ************* in Philadelphia would not fill the prescription thru my ******** blue cross insurance or let me pay cash. *** and ******** blue cross insurance refused to prescribe my needed medication. My doctor faxed the required prior authorization form 3 days prior. I have not taken this medication in 2 years. 6 days later ******** blue cross blocked *** pharmacy from filling my medication after several calls from myself and my physician. ******** blue cross could care less about disabled veterans and senior citizens. As of today s date i still have not been prescribed my needed medication and have not slept..

  Business Response

  Date: 10/04/2023

  Due to HIPAA privacy laws, we are unable to release the complainant's protected health information (PHI) without a completed HIPAA authorization form. A blank form is attached. If a completed form is not received, we will reply directly to the complainant.

• Initial Complaint

  Date:09/21/2023

  Type:Order Issues
  Status:

  AnsweredMore info

  Complaint statuses

  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 husband receives infusions for Crohn's disease. His gastro doctor orders lab work to be performed for drug monitoring with each infusion every 3 months to ensure that my husband is receiving the proper dosage to best manage his condition. Since my husband returned to in person infusions in 2021, our insurance company has been randomly denying this lab work citing it as experimental/not medically necessary. We have had to appeal each lab work claim every 3 months since 2021 because they are not approving it. As of 2023, they are now picking and choosing which instance of this lab work they approve or deny with no rhyme or reason. I have escalated 2 service dates as high as I can and even contacted Pennsylvania Insurance Department for help. I was contacted by an agent named *********************** on behalf of Independence who first assured me that something would be added to the account to ensure this lab work would be blanket approved going forward and then told me on 8/14 that they would not be approving it going forward or approving previous dates I had appealed. Since 8/14 I have contacted her 6 times asking for the names and medical credentials of every person who has accessed our appeal which they are required by law to provide. She has been unresponsive. We also received and sent them a letter from my husband's doctor citing the necessary medical need for this lab work along with references showing it's necessity. I am not being unreasonable. I want Independence to approve any previous service dates for this lab work and continue to approve them without an appeal process going forward. I also want to work with another agent who will actually be responsive.

  Business Response

  Date: 10/12/2023

  Dear **************:
  
  I am writing to acknowledge receipt of the October 4, 2023 correspondence you addressed to ******************************************, Manager of the Executive Inquiries Department. The complaint was received in our office on October 4, 2023.
  
  As you know, the Federal Health Insurance Portability and Accountability Act, known as HIPAA, requires that we obtain an individual's written approval before disclosing his/her protected health information (PHI). In order for us to provide your office with a resolution, ******************** may complete the attached HIPAA Authorization form.
  **************, thank you for bringing this matter to our attention.
  
  Sincerely,
  
  *************************
  Executive Inquiries Specialist
  1900 Market Street, 6th floor
  Philadelphia, PA 19103
  P  ************  x*****

• Initial Complaint

  Date:09/12/2023

  Type:Order Issues
  Status:

  AnsweredMore info

  Complaint statuses

  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.

  Medical claim for medically necessary contact lenses for treatment of *********** should be covered without deductible as it was in 2022. 2022 claim and 2023 claim attached with latest claim showing deductible. Coverage booklet states this should be covered without deductible. $800 should be paid to provider for claim dated 4/26/2023.

  Customer Answer

  Date: 09/22/2023

  Benefits booklet showing *********** covered without deductible.

  Business Response

  Date: 09/27/2023

  Dear **************:
  
  I am writing to acknowledge receipt of the September 22, 2023 correspondence you addressed to ******************************************, Manager of the Executive Inquiries Department. The complaint was received in our office on September 22, 2023.
  
  As you know, the Federal Health Insurance Portability and Accountability Act, known as HIPAA, requires that we obtain an individual's written approval before disclosing his/her protected health information (PHI). In order for us to provide your office with a resolution, **************** may complete the attached HIPAA Authorization form.
  **************, thank you for bringing this matter to our attention.
  
  Sincerely,
  
  *************************
  Executive Inquiries Specialist
  ***********************************************************************************
  P  ************  x*****

  Customer Answer

  Date: 10/01/2023

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: ********
  
  I am rejecting this response because: HIPAA form attached as requested. Claim still not paid.

  ****************** is aware of my situation as he helped resolve the same issue last year. This year he has not responded to my email request for assistance. This claim (*********** medically necessary lenses) should be covered without deductible as listed in handbook. We are going on 6 months without resolution.
  
  Regards,
  
  *********************
  

  Customer Answer

  Date: 10/01/2023

  Second attempt to add Medical Benefits Handbook showing *********** medically necessary lenses as covered condition with no deductible.
  

  Customer Answer

  Date: 10/27/2023

  Attached are pages from coverage booklet for my policy. IBX is applying $800 towards deductible on my contested claim. Coverage pages show *********** lenses covered without deductible. I have previously attached file for 2022 claim which did not have deductible. Thank you.

  Business Response

  Date: 11/08/2023

  Thank you for providing HIPAA authorization submitted by ****************. Our Correspondence Department has reviewed and validated the HIPAA authorization form that you submitted. Regarding **. ******* Complaint, I ca provide your office with the following details and attachments.  

   

  Complainants concerns

  In his correspondence to your office, **************** requested that the health plan adjust the claim, numbered ***********, for contact lenses, which processed toward his in-network deductible in the amount of $800.00 to remove any deductible or copay responsibility. **************** cited a previous claim submitted by the same provider for the same service in the previous benefit period that paid with no member responsibility.

  Our review

  We reviewed **. ******* concerns regarding the denied claim, numbered ***********, and have detailed our findings below and on the next two pages. 

  Plan details. **************** was enrolled through the state-based-exchange (SBE), ******, in the ******** HMO ****** ********* Basic individual health plan effective January 1, 2023.  **************** had a total monthly premium of $1706.21, an Advanced Premium Tax Credit (APTC) of $1598.43, a Cost Share Reduction (CSR) of $375.37 and a monthly member responsibility of $107.78. This is an HMO 3 Tier style health plan.

  Claims details. **. ******* provider, ********************** is considered an in-network provider. ********************* submitted a claim for contact lenses using procedure code  *****- Contact ****************** permeable, per lens with a date of service March 18, 2023, under claim number ***********. This claim was rejected because the provider did not submit the modifiers indicating that a right and left lens were being submitted. Ultimately, this claim was withdrawn by the provider on July 28, 2023.

  On May 25. 2023, ********************* submitted a claim for contact lenses using procedure code *****- Contact Lens,********, gas permeable, per lens with a date of service April 26, 2023 under claim number ***********. This claim rejected correctly for exceeding the maximum number of services provided. The rejection occurred because the provider had not yet withdrawn the previous claim submission under the claim, numbered ***********.

  On September 5, 2023, **************** requested that the claim, numbered ***********, be adjusted as the providers previous claim submission had been retracted. The claim, numbered ***********, was adjusted on September 6, 2023 and processed towards the members 2023 in-network deductible of $1,000.00 in the amount of $800.00. At the time of the adjustment, the member had not met the individual in-network deductible. For this reason, the claim correctly applied toward the members individual in-network deductible.

  **************** referenced the prior years claim in his complaint. In 2022, **************** received the same service from the same provider that was submitted under the claim, numbered ***********. However, at the time this claim was processed the member had met the individual in-network deductible for the 2022 plan year. Once the deductible was met, this service processed with no member responsibility. This is why, the health plan paid the claim for 2022 date of service.       

  In his complaint **************** referenced a section of the member handbook that can be found on pages 132 and 133. Please see excerpt below.

   

  The above excerpt titled, Prosthetic Devices, mentions initial corneal and scleral lenses prescribed in connection with the treatment of keratoconus. However, the Repair and Replacement paragraph specifically excludes the services listed in subsection C. For this reason, **. ******* reference to repair and replacements are not applicable in this situation. This years lenses are not eligible under the health plan as only the initial scleral lenses that he obtained last year are eligible. Furthermore, while this service is described in the prosthetic devices section of covered services, procedure code ***** is not considered a prosthetic or a visual prosthetic by the health plan and has been processed under the Vision Care benefit, which is subject to the plan deductible.           

  In summary, **. ******* request that the health plan adjust the claim, numbered ***********, without copay or deductible cannot be honored as the members deductible has not been met. While this service is not eligible under the health plan because **************** received the initial lenses last year under the claim, numbered ***********, we do not intend to make further adjustments to the current claim, numbered ***********. This means that **************** will retain the credit toward his individual in-network deductible for the 2023 plan year. To date, he has met $800.00 out of $1,000.00 for individual in-network preferred services.

  **************, thank you for bringing **. ******* concerns to our attention. Should you require additional information, please contact me directly at ************.

   

  Sincerely,

   

  *************************
  Executive Inquiries Specialist

  Customer Answer

  Date: 11/08/2023

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
  
   Complaint: ********
  
  I am rejecting this response because: Insurer claims that there is a deductible to be met for the medically necessary lenses. Attached is file showing that there should be no deductible. Insurer also claims that I had met my deductible in 2022 when claim was paid in full. That is not true, I had not met my deductible. Finally, insurer claims that replacement lenses are not covered. Guidelines specifically note that replacements are covered when, "C. The Prosthetic Device breaks because it has exceeded its life duration as determined by the
  manufacturer." Further, why would the claim be approved but subject to deductible if they were not covered at all? That is a clear contradiction.
  

  It is despicable that IBX is misrepresenting the reasons for not paying this claim. They are not telling the truth when stating that a deductible should be applied, that I met my deductible in 2022 and that replacement lenses are not covered. There should be consequences for such blatant misrepresentations, but I will be satisfied with the claim being paid without deductible, as my plan outlines. Otherwise, I consider IBX to be in breach of their agreement to provide coverage (as outlined in handbook) for premiums that they received. I urge others who encounter these types of issues to make their complaints public. 

  Regards,
  
  *********************
  

• Initial Complaint

  Date:08/07/2023

  Type:Customer Service Issues
  Status:

  AnsweredMore info

  Complaint statuses

  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 applied to be paneled for Independance Blue Cross on June 15, 2023. I got an automatic reply acknowledging my application on that same day. About a month later, I found out through **** ******* a large national wide provider that my paneling was denied because I have the wrong type of insurance. They explained that I would need to cancel my application as an individual provider and get a new insurance policy showing that I am covered as an individual provider. I reached out to my insurance company ******** ************ ******* which assures me that I am personally covered as well as my LLC. They also provided me with several documents to provide to IBX. I then sent those to **** *******. I got an email from them stating these documents will not suffice. I also emailed IBX to [email protected] on 7/24 asking for further explanation so that I can move forward. As of today, I have not gotten an email back. I also called several times but was told me that IBX credentialing does not have a customer service line for the credentialing department. It is uncontianable to me that such a large company does not have a way that a provider can speak to a live person or receive an email response explaining the problem for paneling. Finally, I am both insured by IBX and am trying to become a provider. It's unconscionable for me that such a large insurance company can chose not have a customer service line to their credentialing department. We have a mental health crisis in this country, and I am having to fight IBX to get panelled to provide a service that their customers need. In addition, I am a bilingual therapist English/Spanish so there is a large need for my services. I have several clients waiting to for my approval to see me. ******************* NPI **********

  Business Response

  Date: 08/31/2023

  I am writing to acknowledge receipt of August 16, 2023, correspondence addressed to ******************************************, Manager of the Executive Inquires Department. The complaint was received in our office on August 16, 2023.
  
  As you know, the Federal Health Insurance Portability and Accountability Act, known as HIPPA,  requires that we obtain an individuals written approval before disclosing his/her protected health information (PHI).
  
  For us to provide your office with a resolution, ************ needs to complete the attached HIPAA Authorization form.
  
  **************, thank you for bringing this matter to our attention.
  
  Sincerely,
  
  ***********************

• Initial Complaint

  Date:08/03/2023

  Type:Product Issues
  Status:

  AnsweredMore info

  Complaint statuses

  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.

  ON JUNE 15, 2023, I SENT PAPERWORK IN TO INDEPENDENCE BC ABOUT TRAVEL REIMBUSEMENT. ON JUNE 20, 2023, I RECIVED CONFIRMATION THAT THE PAPERWORK WAS DELIVERED. I'VE CALLED INDEPENDENCE TIME AFTER TIME ABOUT THE STATUS OF THE CLAIM AND STILL ALMOST 2 MONTHS IN AND NO ONE IS GIGIVING ME CONFIRMATION OF THE STATUS. EVERY PERSON THAT IVE TALKED TO ON THE PHONE AND THROUGH THE MOBILE APP DOESNT KNOW ANYTHING ABOUT THE PAPERWORK OR WHERE IT IS. HOW AM I GOING TO GET REIMBUSEMENT ON MY TRAVEL IF I CAN'T GET ANYONE TO ACKNOWLEDGE THAT THE PAPERWORK WAS RECIVED AND HOWS THE PROCESS GOING.I WANT MY MONEY ON MY TRAVEL EXPENSE. YOU CAN'T EVER GET SOMEONE ON THE PHONE TO DO ANYTHING YOU NEED HELP ON ITS IMPOSSIBLE. I CALLED TO MAKE A GRIEVANCE COMPLAINT AND THIS IS THE NUMBER THAT I WAS GIVEN *********** AND THATS THE LINE TO *******.

  Business Response

  Date: 08/09/2023

  I am writing to acknowledge receipt of August 4, 2023, correspondence addressed to ******************************************, Manager of the Executive Inquires Department. The complaint was received in our office on August 4, 2023.
  
  As you know, the Federal Health Insurance Portability and Accountability Act, known as HIPPA,  requires that we obtain an individuals written approval before disclosing his/her protected health information (PHI).
  
  For us to provide your office with a resolution, ****************** needs to complete the attached HIPAA Authorization form.
  
   
  **************, thank you for bringing this matter to our attention.
   
  Sincerely,
  
  ***********************
  Specialist
  Executive Inquiries
  Independence Blue Cross

• Initial Complaint

  Date:08/03/2023

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  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.

  Although I am capitated to ******** Hospital for MRI imaging, they refuse to allow me to do MRI's there. I have been waiting since Jan 2023 for an MRI and just found out that the MRI I had scheduled for months was just cancelled. I am so angry that I have insurance that I cannot use and I have a serious medical issue that has gone untreated since Jan because I am unable to get an MRI although I pay for insurance.

  Business Response

  Date: 08/29/2023

  I am writing to acknowledge receipt of August 14, 2023, correspondence addressed to ******************************************, Manager of the Executive Inquires Department. The complaint was received in our office on August 14, 2023.
   
  As you know, the Federal Health Insurance Portability and Accountability Act, known as HIPPA,  requires that we obtain an individuals written approval before disclosing his/her protected health information (PHI).
  
  For us to provide your office with a resolution, ************ needs to complete the attached HIPAA Authorization form.
  
  **************, thank you for bringing this matter to our attention. 
  
  Sincerely,
  
  ***********************
  
  Specialist
  
  Executive Inquiries
  
  Independence Blue Cross

• Initial Complaint

  Date:08/01/2023

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  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.

  Went to couples therapy/counseling with *************************** at *********** Willow Grove from February 2020 to late September of 2020. Out of network provider, so was covered/reimbursed 70% of cost after processed by insurance. Multiple counseling services were approved and we were reimbursed for 70% of the counseling fee ($75) - we were booked up front each time. Claims show as "approved" and "adjusted" for claims in March and April of 2020, but then started coming back as "denied". I have spoken with Blue Cross more times than I can count, and time after time been told the claims would be reprocessed. They never were, so we are out hundreds of dollars due to Blue Cross. Spoke to a representative 3/25/22 inquiry # I-*********. Claims to be reprocessed were 4/16/20, 4/23/20, 4/30/20, 5/14/20, 5/21/20, and 5/28/20. I have not heard back from Blue Cross since then, even though I've called multiple times! Claims need to be processed correctly and we need to receive our 70% reimbursement from Blue Cross.

  Business Response

  Date: 08/02/2023

  Dear **************,

  Our review is underway, thank you.

  In the interim, please have the complainant complete the attached HIPAA consent form. Once it is returned to our office and approved, we will provide our findings to your office.

  Thank you for bringing this matter to our attention.

  **