Anthem Dental

Dear Ms [redacted] We have been advised by Ms***, the Anthem Dental technical support is still in the process of reviewing your current Anthem Wed Site issues An e-mail was sent to you today by Ms [redacted] asking a couple additional questions We hope you continue to work with Ms [redacted] and that your access to the Anthem Web site is resolved soonWe are pleased to advise you a paper copy of your current Dental Evidence of Coverage Booklet was mailed to you on March 26, Ms [redacted] if you have any questions or concerns regarding your dental benefits, contracted provider information or claims payment You may contact Anthem Dental Customer Service directly at 1-***-***-***, they are available from 6AM to 7PM mountain standard time

Complaint: [redacted] I am rejecting this response because:The emails will not let me log in, nor will your website and you still REFUSE TO SNAIL MAIL a copy! So much for customer service! Regards, [redacted]

Complaint: [redacted] I am rejecting this response because:I AM BLAMED IN THE EMAILS! YOU now claim that my website issues are because I'm not on your homepage for minutes!!! Also as of 3/21, when I SPECIFICALLY ASKED AGAIN when you wold post benefits book online I was told "Oh, we NEVER do that." This was after I was first told that I would be MAILED copy and it would be available ONLINE when I FIRST CONTACTED BACK IN OCTOBER! WHAT LIARS!HTTP errors ARE YOURS, not mine! YOUR WEBSITE IS TERRIBLE! AND, my login STILL DOES NOT WORK! If you do not mail copies unless people fight you for it, and you do not put benefits book online, then HOW DO INDIVIDUALS KNOW WHAT THEY ARE PAYING FOR!?! Regards, [redacted]

March 29, Dispute Resolution Specialist Revdex.com La Posada DrAustin, TX Re: ID [redacted] We have received your correspondence regarding the above complaint lodged against Anthem Blue Cross Blue ShieldThe member expressed concerns regarding an unpaid dental claimHe relayed that the claim was paid by his primary insurance carrier and needs to be processed under his secondary insurance carrier, Anthem Blue Cross Blue Shield Our records show the member filed a complaint with the Kentucky Department of InsuranceA resolution letter was sent to the member and provider on March 18, In addition, the claim in question was processed and paid on March 21, The reason for the delay in processing the claim is that it had denied systematically for frequency limitation As soon as we received the complaint for the Kentucky Department of Insurance, the inquiry was addressedIf you have any questions regarding this decision, you may contact customer service at (866) 589-Thank you for your patience while this matter underwent reviewSincerely, [redacted] Grievance/Appeals Analyst Sr

Dear Ms [redacted] Anthem Dental has been advised that the operation experts that was working on your web-site issues has resolved your concerns and has e-mailed you a copy of your current Dental Evidence of Coverage Booklet We hope this clarifies the issue and hope going forward you experience with Anthem Dental is a positive one

[redacted] [redacted] December 4, Revdex.com Corporate Office Lorawn Ashley La Posada Dr Austin, TX ID: [redacted] We are in receipt of the complaint filed through the Revdex.com for the above mentioned IDAs our company strives for customer satisfaction, we appreciate the opportunity to address our member's concerns in writingThe member expressed concerns with his monthly payments to Anthem Blue Cross Blue Shield for the months of June, July, August and September He relayed he does not recall getting a bill for June, but after paying his July and August bills with no problems he might have paid June and just forgotHe relayed he made his September payment which was sent back to himHe relayed he contacted customer service and he was advised he was terminated due to nonpayment on the policy since JuneAccording to our records, the member was enrolled in an Individual Dental PPO plan under Anthem Blue Cross and Blue Shield, effective August 1, through July 31, The policy was auto cancelled on September 8, 2015, and back dated to August 1, 2015, due to non-paymentA payment of $was received on August 14, 2015, and refunded back to the member on October 1, The payment was refunded because it was received after the policy had auto cancelledPlease note a bill was sent on July 22, for the coverage period of August 1, through August 31, 2015, in the amount of $A grace letter was then sent on August 6, and a cancellation letter was then sent on September 9, Based on this information the policy terminated due to non-payment for the month of August not for the month of June as previously mentioned by the memberThank you for allowing Anthem Blue Cross Blue Shield the opportunity to review the request and explain our positionIf we can be of further assistance, please do not hesitate to contact us at [redacted] ***Grievances and Appeals AnalystDental Grievances and Appeals Department

A dental company that looks for a way not to pay a simple teeth check up and cleaning, but can sure take bi weekly premiums out off a paycheck Worst dental insurance I have ever experienced in my years on this planted Customer service was rude and condescending to top it off!

I have Metlife dental insurance as my primary carrierAnthem is my secondaryThey have laid back and let MetLife pay most of my bills and have refused to pay their partI was due an implant bridge 12- I maxed out my Metlife benefits and Anthem was responsible for $of the billThey refused to pay anything because I had to get a replace bridge due to the one I had breakingI paid for it out of my own pocket since it was within the year limit Anthem claims since I paid for it and it was within the year limit they aren't responsible for any bridge costs periodI think they are since they didn't pay dime on itI strongly suggest no one get Anthem Dental Insurancethey are the biggest crooks there areThey won't even pay for a teeth cleaning and they claim they pay for a year

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December 4, Revdex.com Corporate Office Lorawn Ashley La Posada Dr Austin, TX ID: *** We are in receipt of the complaint filed through the Revdex.com for the above mentioned IDAs our company strives for customer satisfaction, we appreciate the opportunity to address our member's concerns in writingThe member expressed concerns with his monthly payments to Anthem Blue Cross Blue Shield for the months of June, July, August and September He relayed he does not recall getting a bill for June, but after paying his July and August bills with no problems he might have paid June and just forgotHe relayed he made his September payment which was sent back to himHe relayed he contacted customer service and he was advised he was terminated due to nonpayment on the policy since JuneAccording to our records, the member was enrolled in an Individual Dental PPO plan under Anthem Blue Cross and Blue Shield, effective August 1, through July 31, The policy was auto cancelled on September 8, 2015, and back dated to August 1, 2015, due to non-paymentA payment of $was received on August 14, 2015, and refunded back to the member on October 1, The payment was refunded because it was received after the policy had auto cancelledPlease note a bill was sent on July 22, for the coverage period of August 1, through August 31, 2015, in the amount of $A grace letter was then sent on August 6, and a cancellation letter was then sent on September 9, Based on this information the policy terminated due to non-payment for the month of August not for the month of June as previously mentioned by the memberThank you for allowing Anthem Blue Cross Blue Shield the opportunity to review the request and explain our positionIf we can be of further assistance, please do not hesitate to contact us at *** ***
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Grievances and Appeals Analyst
Dental Grievances and Appeals Department

March 29, Dispute Resolution Specialist Revdex.com La Posada DrAustin, TX
Re: ID *** We have received your correspondence regarding the above complaint lodged against Anthem Blue Cross Blue ShieldThe member expressed concerns regarding an unpaid dental claimHe relayed that the claim was paid by his primary insurance carrier and needs to be processed under his secondary insurance carrier, Anthem Blue Cross Blue Shield. Our records show the member filed a complaint with the Kentucky Department of InsuranceA resolution letter was sent to the member and provider on March 18, In addition, the claim in question was processed and paid on March 21, The reason for the delay in processing the claim is that it had denied systematically for frequency limitation. As soon as we received the complaint for the Kentucky Department of Insurance, the inquiry was addressedIf you have any questions regarding this decision, you may contact customer service at (866) 589-Thank you for your patience while this matter underwent reviewSincerely, *** *** Grievance/Appeals Analyst Sr

Complaint: ***
I am rejecting this response because: YOU LIE!! I CANNOT log into the website and every time the passoword is reset by YOU the passowrds don't work. Your site has a error if I do get in! And, YOU PROMISED I would be able to access the plan booklet online back in October, but that appears to have been ANOTHER LIE!! Pleasurable experience? I will NOT recommend your company to anyone! Plus, after accessing email once, IT LOCKED ME OUT! So, still UNABLE to access plan booklet!! WHAT AM I PAYING FOR SINCE YOU WON'T TELL ME OR GIVE IT TO ME IN A FORM THAT I CAN ACCESS?!?!
Regards,
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I was told after being enrolled 10/by Anthem to log in to the website to view my plan coverage I was told they WOULD NOT MAIL me a copy of my plan We are now nearing the end of February, and STILL NO PLAN COVERAGE BOOKLET UPLOADED!! I have contacted Anthem multiple times via my account for messages Technical support sends me to customer service; customer service sends me to technical support I have called ALL numbers provided in all message correspondence I contacted a supervisor in December, and have yet to hear back My benefits booklet is STILL NOT UPLOADED!! I am now unable to log in using my user name and password I get an error stating that is does not recognize my info and I cannot even reset the password I called the number provided and the person DID NOT SPEAK CLEAR ENGLISH!!! She gave me a temporary password which did not work After repeating it back to her times, she started yelling at me stating that it was my browser (I had used three by this t

March 29,
"">Dispute Resolution Specialist Revdex.com La Posada DrAustin, TX Re: ID [redacted]
We have received your correspondence regarding the above complaint lodged against Anthem Blue Cross Blue ShieldThe member expressed concerns regarding an unpaid dental claimHe relayed that the claim was paid by his primary insurance carrier and needs to be processed under his secondary insurance carrier, Anthem Blue Cross Blue Shield. Our records show the member filed a complaint with the Kentucky Department of InsuranceA resolution letter was sent to the member and provider on March 18, In addition, the claim in question was processed and paid on March 21, The reason for the delay in processing the claim is that it had denied systematically for frequency limitation. As soon as we received the complaint for the Kentucky Department of Insurance, the inquiry was addressedIf you have any questions regarding this decision, you may contact customer service at (866) 589-Thank you for your patience while this matter underwent reviewSincerely, [redacted] Grievance/Appeals Analyst Sr

[redacted]    [redacted]
    December 4, 2015 Revdex.com Corporate Office Lorawn Ashley 1005 La Posada Dr Austin, TX 78752 ID: [redacted] We are in receipt of the complaint filed through the Revdex.com for the...

above mentioned ID. As our company strives for customer satisfaction, we appreciate the opportunity to address our member's concerns in writing. The member expressed concerns with his monthly payments to Anthem Blue Cross Blue Shield for the months of June, July, August and September 2015. He relayed he does not recall getting a bill for June, but after paying his July and August bills with no problems he might have paid June and just forgot. He relayed he made his September payment which was sent back to him. He relayed he contacted customer service and he was advised he was terminated due to nonpayment on the policy since June. According to our records, the member was enrolled in an Individual Dental PPO plan under Anthem Blue Cross and Blue Shield, effective August 1, 2014 through July 31, 2015. The policy was auto cancelled on September 8, 2015, and back dated to August 1, 2015, due to non-payment. A payment of $31.00 was received on August 14, 2015, and refunded back to the member on October 1, 2015. The payment was refunded because it was received after the policy had auto cancelled. Please note a bill was sent on July 22, 2015 for the coverage period of August 1, 2015 through August 31, 2015, in the amount of $31.00. A grace letter was then sent on August 6, 2015 and a cancellation letter was then sent on September 9, 2015. Based on this information the policy terminated due to non-payment for the month of August 2015 not for the month of June 2015 as previously mentioned by the member. Thank you for allowing Anthem Blue Cross Blue Shield the opportunity to review the request and explain our position. If we can be of further assistance, please do not hesitate to contact us at [redacted]Grievances and Appeals AnalystDental Grievances and Appeals Department

Dear Ms. [redacted]   Anthem Dental has been advised that the operation experts that was working on your web-site issues has resolved your concerns and has e-mailed you a copy of your current Dental Evidence of Coverage Booklet.  We hope this clarifies the issue and hope going forward you...

experience with Anthem Dental is a positive one.

Dear Ms. [redacted] We have been advised by Ms. [redacted], the Anthem Dental technical support is still in the process of reviewing your current Anthem Wed Site issues.  An e-mail was sent to you today by Ms. [redacted] asking a couple additional questions.  We hope you continue to work with Ms. [redacted] and that your access to the Anthem Web site is resolved soon. We are pleased to advise you a paper copy of your current Dental Evidence of Coverage Booklet was mailed to you on March 26, 2018.  Ms. [redacted] if you have any questions or concerns regarding your dental benefits, contracted provider information or claims payment.  You may contact Anthem Dental Customer Service directly at 1-[redacted], they are available from 6AM to 7PM mountain standard time.

Complaint: [redacted]
I am rejecting this response because:I AM BLAMED IN THE EMAILS! YOU now claim that my website issues are because I'm not on your homepage for 3 minutes!!!  Also as of 3/21, when I SPECIFICALLY ASKED AGAIN when you wold post benefits book online I was told "Oh, we NEVER do that."  This was after I was first told that I would be MAILED  copy and it would be available ONLINE when I FIRST CONTACTED BACK IN OCTOBER! WHAT LIARS!HTTP 404 errors ARE YOURS, not mine! YOUR WEBSITE IS TERRIBLE!  AND, my login STILL DOES NOT WORK! If you do not mail copies unless people fight you for it, and you do not put benefits book online, then HOW DO INDIVIDUALS KNOW WHAT THEY ARE PAYING FOR!?!
Regards,
[redacted]

Complaint: [redacted]
I am rejecting this response because:The emails will not let me log in, nor will your website and you still REFUSE TO SNAIL MAIL a copy!  So much for customer service!
Regards,
[redacted]