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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by bandolph on May 15, 2001, at 12:29:29
Just a vent here about Blue Cross and Blue shield.
I am a federal employee and now we have this new equalization of benefits. Now my medchecks cost me 37.00 a visit. Last year same visit cost 4.72. I know how lucky that was. Now BC/BS claims that medchecks are an "other" service. They admit on the phone that they are wrong and that my medchecks should be treated like all other office visits witha 15 dollar copay. Does bc/bs just fix there own mistake. NO WAY. They say "write a letter asking us to appeal our decision and then when we again disallow coverage you can appeal it to BC/BS HQ who can overturn our decision."
I JUST FREAKING GIVE UP. Last thing I need is to fight that crap. All it does is piss me off.
My pdoc and his billing office were useless.
Screw em all. I can handle being manic i just dont like to miss my beauty sleep.haha
Posted by stjames on May 15, 2001, at 12:45:55
In reply to bc/bs, posted by bandolph on May 15, 2001, at 12:29:29
> I JUST FREAKING GIVE UP. Last thing I need is to fight that crap. All it does is piss me off.
> My pdoc and his billing office were useless.
> Screw em all. I can handle being manic i just dont like to miss my beauty sleep.hahaJames here....
If you want treatment you have to advocate for yourself and work within the system.
james
Posted by mair on May 17, 2001, at 21:55:32
In reply to Re: bc/bs, posted by stjames on May 15, 2001, at 12:45:55
> > I've occasionally had to fight my own battles with BC/bs. I'm pretty convinced that the system is set up to make it difficult for people to have their claims handled smoothly. Once they denied having ever received claims for about 4 months of therapy (all submitted at different times). They tell you that every claim is supposed to be responded to within 21 days. I dicovered that there's a real catch 22 about this, because if they ignore you, and you are forced to call to find out why you've had no response to the claim, they'll say "we'll look into it," or "refile the claim" and then they start the 21 day period all over again. I also believe that they do this with some deliberation to the people who are least able to advocate for themselves. Mair
PS - lately my claims are coming back at breakneck speed, all marked denied for reasons that are pretty inexplicable. They'll claim for instance that my claim is missing some sort of data, when the claim (or supporting invoice) is filled out the same way that the last 30 were. Go figure
Posted by stjames on May 18, 2001, at 14:43:47
In reply to Re: bc/bs, posted by mair on May 17, 2001, at 21:55:32
> > > I've occasionally had to fight my own battles with BC/bs. I'm pretty convinced that the system is set up to make it difficult for people to have their claims handled smoothly. Once they denied having ever received claims for about 4 months of therapy (all submitted at different times). They tell you that every claim is supposed to be responded to within 21 days. I dicovered that there's a real catch 22 about this, because if they ignore you, and you are forced to call to find out why you've had no response to the claim, they'll say "we'll look into it," or "refile the claim" and then they start the 21 day period all over again. I also believe that they do this with some deliberation to the people who are least able to advocate for themselves. Mair
>James here....
Then I would quit dealing with the claims office and go to the next level of management with your problem.
james
This is the end of the thread.
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