Tuesday, December 08, 2009
BCBS doesn't pay when it should part 4
2009-11-05 3:39pm
The BCBS site shows:
Total Deductible to Meet: $1,500.00
Total Deductible Met to Date as of 10/29/2009: $1,516.26
Total Deductible Remaining: ($16.26)
But when you add up the member liability amounts
$ 1,249.73 (for medical claims (double checked)) and
$ 263.80 (for RX claims (double checked))
$ 1,513.53 is the total you get.
These are the same figures as last time I looked.
I do not know what is going on...
I haven't received an email from the BCBS employee letting me know everything has been straightened out.
Maybe it's not still. Next Tuesday (November 10th 2009) will have been 3 weeks. Maybe it will be fixed by then.
12-03-2009 8:47am I checked the BCBS website to see how the corrections they made worked out.
Since I never did received that detailed email (nor phone message) of what they did.
Guess they never bothered to finish adjusting it. It's still incorrect.
Total Deductible to Meet: $1,500.00
Total Deductible Met to Date as of 12/02/2009: $1,513.53
Total Deductible Remaining: ($13.53)
Which equals the member liability amounts when you add them up. It hadn't last time I had checked.
$1,249.73 Medical Member Liability Amount
$ 263.80 Pharmacy Member Liability Amount
added together equals
$ 1,513.53 for the total Member Liability Amount. Which is the same as it was last time I checked.
So they owe me $ 13.53
12-08-2009 12:36pm finally have a free minute to call BCBS
12:38 Yolanda answered.
I advised her:
Total Deductible Met to Date as of 12/07/2009: $1,513.53
Which still needs to be adjusted for the $13.53 since my deductible is only $1500.00
12:40pm she placed me on hold to look into it.
She came on the line a few minutes later and said she saw on her end that there is still an open case since October 20th.
She will send them an email (who ever "them" is) advising them that this is a priority to close/resolve.
I provided her with my phone number and gave her permission to leave me a voicemail once she gets a status.
The BCBS site shows:
Total Deductible to Meet: $1,500.00
Total Deductible Met to Date as of 10/29/2009: $1,516.26
Total Deductible Remaining: ($16.26)
But when you add up the member liability amounts
$ 1,249.73 (for medical claims (double checked)) and
$ 263.80 (for RX claims (double checked))
$ 1,513.53 is the total you get.
These are the same figures as last time I looked.
I do not know what is going on...
I haven't received an email from the BCBS employee letting me know everything has been straightened out.
Maybe it's not still. Next Tuesday (November 10th 2009) will have been 3 weeks. Maybe it will be fixed by then.
12-03-2009 8:47am I checked the BCBS website to see how the corrections they made worked out.
Since I never did received that detailed email (nor phone message) of what they did.
Guess they never bothered to finish adjusting it. It's still incorrect.
Total Deductible to Meet: $1,500.00
Total Deductible Met to Date as of 12/02/2009: $1,513.53
Total Deductible Remaining: ($13.53)
Which equals the member liability amounts when you add them up. It hadn't last time I had checked.
$1,249.73 Medical Member Liability Amount
$ 263.80 Pharmacy Member Liability Amount
added together equals
$ 1,513.53 for the total Member Liability Amount. Which is the same as it was last time I checked.
So they owe me $ 13.53
12-08-2009 12:36pm finally have a free minute to call BCBS
12:38 Yolanda answered.
I advised her:
Total Deductible Met to Date as of 12/07/2009: $1,513.53
Which still needs to be adjusted for the $13.53 since my deductible is only $1500.00
12:40pm she placed me on hold to look into it.
She came on the line a few minutes later and said she saw on her end that there is still an open case since October 20th.
She will send them an email (who ever "them" is) advising them that this is a priority to close/resolve.
I provided her with my phone number and gave her permission to leave me a voicemail once she gets a status.
Labels: BCBS, billing error, HDHP, Insurance
# posted by The Owner of This Here Blog : 1:06 PM
