those jerks

2009-10-06
Backstory:
I have the High Deductable Health Plan (HDHP).
There is a $1,500 deductable then everything pays out at 100%.

I just noticed that the values aren’t adding up.
According to EOBs on the BCBS website I have
$1,365.58 in medical claims
$236.45 in Rx claims
$1,602.04 combined total of medical and Rx claims. Which is $102.04 over the $1,500 deductible.

2009-10-06 12:02pm called and spoke with Quinn at Corporate Employee Benefits
1-800-XXX-XXXX.
After I explained the situation to her she advised me to call "Member Services".
She placed me on hold while she looks for a phone number for me to call.
800-XXX-XXXX
12:09 end call

2009-10-06 12:10pm
Called "Member Services" at 1-800-XXX-XXXX
12:13pm - April answered
12-14pm - she put me on hold to figure out what is going on.
She came back on the line. Advised me that she see's the error and that I should call back in a few weeks and it will be resolved hopefully.
12:19pm End call

2009-10-13
Went online to BCBS website and added up the amounts on the EOBs to see if hopefully it has been resolved.
$1,365.58 total for medical claims showing as “Member Liability Amount” (checked math twice)
$263.80 total for Rx claims for “Member Liability Amount” (also checked the math twice)
$1,629.38 total which is $129.38 over the $1,500 deductible.
Will check again next week at the 2 week mark.

2009-10-20
BCBS website is still showing my total
"Member Liability Amount" for medical claims as:
$ 1,365.58
"Member Liability Amount" for pharmacy claims as:
$ 263.80
Which is the exact same as it was last week.
Looks like I will have to give them a call today.

Labels: BCBS, billing error, HDHP, Insurance