What is the corporate number for blue cross blue sheild? Ways to clash claims?
I'm having profoundly of problems with BCBS of Texas and entail to go above the rank of "customer service" because no one within will fix the problem. I'm having a concrete time finding any corporate contacts, does anyone have this info? Also does anyone know how I can argument an unfair claim denial when the insurance company refuse to review it?
Thanks!
Answers:
You make a claims appeal within writing. They have to RESPOND within writing. You can ALSO make the appeal surrounded by writing, request a response within 30 days, and if you dont' find it, file a complaint beside the Texas Insurance Department. They'll write a nasty-gram to BCBS, and tell them to respond to you, and cc them contained by on the response.
There isn't really a "next level" of customer service - you can name the member services number on the wager on of your card and ask to talk to a supervisor, but it's really rock-hard to work up the corporate ladder in that.
Regarding unfair claim denial . . . if they broke the contract, that's a serious issue. If they DIDN'T break the contract and you in recent times don't like it, after the TX Ins Dept is probably going to back them up.
If you haven't tried to appeal surrounded by writing yet, okay, telephone call don't count.
And keep copies of adjectives your correspondence.
Please provide more details as to why BC/BS denied the claim and maybe I can lend a hand. Also is it a doctor's office bill, hospital bill or other bill? When is the date of service? What are the total charges on the claim and how much did BC/BS hand down as your financial responsibility? Did you receive an explanation of benefits in the messages that specifically states the charges are patient responsibility?
Update:
Excuse me for trying to minister to! I was hoping I could make available you advice but gratefulness for making me feel resembling a crazy psycho-stranger. It's not like I asked you for your signature, address, tel# and social security #! Have fun trying to digit this mess out on your own.