Beedith

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Beedith
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Life & Events > Health Care Vent
 

Health Care Vent

The medical provider billing office says the claim was denied. The PPO says the claim was never received. The insurance company says the claim was paid. And each one wants me to call the others. The billing office, when I suggested they speak directly to the PPO, said, "We don't make phone calls. We don't know what the PPO doesn't like about the claim. All we can is resubmit it." The insurance company says, "We're not set up to make outbound calls. Have your provider call the PPO." The PPO says, "Call the insurance company."

I am sick and tired of dealing with these people. It's stressful, and stress aggravates auto-immune conditions, and I'm going to go do some online research and start calling VP's directly if they give me any more bull droppings.

Gee, I can hardly wait til next year when I'll be eligible for Medicare.

posted on Apr 1, 2008 11:15 AM ()

Comments:

This is the typical run-around. Call you state insurance commissioner's office and ask them to forward you the necessary paperwork to file a complaint against the PPO and the insurance company. That will get them off their arse's in a hurry. (I'm a former insurance agent. Trust me on this.)
comment by redimpala on Apr 1, 2008 12:29 PM ()

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