Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that the response would not resolve my complaint For your reference, details of the offer I reviewed appear below HCC mentions in their letter that -(1) The service provided was for screeningQuestion: If a person is having "Rectal Bleeding" should the doctor not screen to find out the root cause of the issue before treating the condition?(2) They state that the condition had existed at the time of purchaseJust to be sure the policy was effective from June 1, to September 14, The service date was July 13, 2016, this service date is about days after June 1, First and foremost the condition was not preexistingIf the condition "Rectal Bleeding" existed since June 1, (or before) to the best of my judgment a person would most likely be dead in daysCan HCC please provide the evidence to substantiate that this condition existed Regards, [redacted]
The claim was processed to the address provided by the insured Address changes can only be initiated by the insured If an address change is needed, please have the insured email me directly at j [redacted] @hccmis.com.?
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution would be satisfactory to me Thank you for your help in this matter Regards, [redacted]
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution would be satisfactory to me.I will wait for the insurance's Explanation of Benefits and will give additional response after I receive my benefits.Thank you so much for your help with everything Regards, [redacted] ***
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that the response would not resolve my complaint For your reference, details of the offer I reviewed appear below:I disagree with their response based on following facts:The only pre existing condition that I agree with is UCThe aneamia I had in was a direct result of profuse bleeding caused by severe UC Flare, which was resolved by blood transfusions and since then I never had any issues with aneamiaThere are different type of aneamia, what I had recently was caused by low Iron Serum levels and low Iron Saturation and the cause could not be identified as I had no UC symptoms or any other health issuesThe health insurance was sold to my mother on the basis that it covers 'pre existing conditions' otherwise my mother would have never purchased the insurance from HCCMISHence this is gross misrepresentation by their representativeUnder the new legislation in the US Insurance companies cannot deny a claim based on pre existing condition, they can normally give a waiting period of months before they cover the pre-existing conditions but cannot deny claims indefinitely as HCCMIS is doing As I am living in the US all laws are applicable to me equallyThe reason to refuse claims for investigative procedures egBlood Tests, MRI is unacceptable- as that is part of investigation to understand the cause of any health issue I was facingHCCMIS should pay all my bills in totality with $deductible.Thanking you Regards, [redacted]
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that the response would not resolve my complaint For your reference, details of the offer I reviewed appear below I need to have writing proof of payments I keep getting hospitals bills and phone calls including one yesterday after noon ( August 17, 2016) and the hospital has not received a single payment from the insurance company In the insurance portal website it still said that the case is close due to lack of patience records and that is patient responsibility to pay in full when I clearly send them years of my medical records times plus doctors note stating that's all their medical records they have of me Regards, [redacted]
After review of Mr [redacted] 's claims, HCC Life Insurance Company did reach out to the provider who has refused the discountOn December 28, a new explanation of benefits was sent to Mr [redacted] showing the updated processing of the claims in question,If I can be of further assistance, please let me know.Respectfully,Lori L***ParalegalHCC Life Insurance Company317/221-8013ll***@hccmis.com
Regarding #1, the insured must complete the attached form and submitted This must be completed and signed by the insured, MR [redacted] [redacted] cannot complete it on the insured behalf.Regarding #2, even though the claims were appropriately denied, HCCMIS will make an exception to allow the following claims as eligible in a good faith effort to resolve this issue New EOBs will be mailed once the claims are reprocessed: [redacted] , [redacted] , [redacted] , [redacted] , [redacted] , [redacted] Sincerely, Jon P [redacted]
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this response/resolution is satisfactory to meBut I didnt make any second level appealI hope they are reviewing it as it is Regards, [redacted]
We have not received a request to cancel Ms [redacted] 's planIf this request was sent to a broker, we would be happy to refund any premiums taken after the request if the original request is forwarded to me directly at l***@hccmis.comAdditionally, we have cancelled the plan as of March 13, and no future payments will be taken If I can be of further assistance, please let me know Respectfully, Lori [redacted] Paralegal HCC Life Iinsurance company 317-221-
HCCMIS has reviewed the calls and the insured was incorrectly notified that a per-cert penalty would apply We apologize for any confusion experienced by the insured As was indicated in the prior response, HCCMIS will not apply the pre-cert penalty to the insured claims.Tell us why here
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that the response would not resolve my complaint For your reference, details of the offer I reviewed appear below.I think the cause of the misunderstanding is the 2/prescription billI've attached original doctor's prescription and the bill from pharmacyYou can see that the 2/prescription is for another person, not for mePlease let me know if you need further information Regards, [redacted] **
We have reviewed the file for Mr [redacted] Mr [redacted] requested that his contract be cancelled and his payment rescindedThis has been processedI hope this information will allow the Bureau to conclude the handling of this fileIf Ican be of further assistance,please let me know Sincerely, 'Lori L***ParalegalHCC Life Insurance Company 317/221- ll***@hccmis.com
After again reviewing Mr***' file, the claims he has referenced have been processed according to the terms and conditions of the planToday I am mailing the explanation of benefits for each claim to Mr [redacted] directly.If I can be of further assistance, please let me know.Respectfully, Lori L***ParalegalHCC Life Insurance Company317/221-8013ll***@hccmis.com
The claims on file for Ms [redacted] were appropriately denied based on the terms and conditions of her planIf I can be of further assistance, please let me know Sincerely, Lori L [redacted] ParalegalHCC Life Insurance Company direct ll***@hccmis.com
All pending claims on file are awaiting information for processingOnce the requested information is received, we will continue review of the claims on file.Two additional claims have appropriately denied as they were incurred after the policy termination date.If I can be of further assistance, please let me knowRespectfully,Lori L***ParalegalHCC Life Insurance Companyll***@hccmis.com317/221-
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that the response would not resolve my complaint For your reference, details of the offer I reviewed appear below HCC mentions in their letter that -(1) The service provided was for screeningQuestion: If a person is having "Rectal Bleeding" should the doctor not screen to find out the root cause of the issue before treating the condition?(2) They state that the condition had existed at the time of purchaseJust to be sure the policy was effective from June 1, to September 14, The service date was July 13, 2016, this service date is about days after June 1, First and foremost the condition was not preexistingIf the condition "Rectal Bleeding" existed since June 1, (or before) to the best of my judgment a person would most likely be dead in daysCan HCC please provide the evidence to substantiate that this condition existed Regards, [redacted]
The claim was processed to the address provided by the insured Address changes can only be initiated by the insured If an address change is needed, please have the insured email me directly at j [redacted] @hccmis.com.?
Please see the attached response to Revdex.com Id [redacted] Thank you, Lori L***
please see the attached response to complaint: RE: Complainant: [redacted] *** IN Revdex.com File #: [redacted] Thank you, Lori L***
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution would be satisfactory to me Thank you for your help in this matter Regards, [redacted]
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution would be satisfactory to me.I will wait for the insurance's Explanation of Benefits and will give additional response after I receive my benefits.Thank you so much for your help with everything Regards, [redacted] ***
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that the response would not resolve my complaint For your reference, details of the offer I reviewed appear below:I disagree with their response based on following facts:The only pre existing condition that I agree with is UCThe aneamia I had in was a direct result of profuse bleeding caused by severe UC Flare, which was resolved by blood transfusions and since then I never had any issues with aneamiaThere are different type of aneamia, what I had recently was caused by low Iron Serum levels and low Iron Saturation and the cause could not be identified as I had no UC symptoms or any other health issuesThe health insurance was sold to my mother on the basis that it covers 'pre existing conditions' otherwise my mother would have never purchased the insurance from HCCMISHence this is gross misrepresentation by their representativeUnder the new legislation in the US Insurance companies cannot deny a claim based on pre existing condition, they can normally give a waiting period of months before they cover the pre-existing conditions but cannot deny claims indefinitely as HCCMIS is doing As I am living in the US all laws are applicable to me equallyThe reason to refuse claims for investigative procedures egBlood Tests, MRI is unacceptable- as that is part of investigation to understand the cause of any health issue I was facingHCCMIS should pay all my bills in totality with $deductible.Thanking you Regards, [redacted]
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that the response would not resolve my complaint For your reference, details of the offer I reviewed appear below I need to have writing proof of payments I keep getting hospitals bills and phone calls including one yesterday after noon ( August 17, 2016) and the hospital has not received a single payment from the insurance company In the insurance portal website it still said that the case is close due to lack of patience records and that is patient responsibility to pay in full when I clearly send them years of my medical records times plus doctors note stating that's all their medical records they have of me Regards, [redacted]
After review of Mr [redacted] 's claims, HCC Life Insurance Company did reach out to the provider who has refused the discountOn December 28, a new explanation of benefits was sent to Mr [redacted] showing the updated processing of the claims in question,If I can be of further assistance, please let me know.Respectfully,Lori L***ParalegalHCC Life Insurance Company317/221-8013ll***@hccmis.com
Regarding #1, the insured must complete the attached form and submitted This must be completed and signed by the insured, MR [redacted] [redacted] cannot complete it on the insured behalf.Regarding #2, even though the claims were appropriately denied, HCCMIS will make an exception to allow the following claims as eligible in a good faith effort to resolve this issue New EOBs will be mailed once the claims are reprocessed: [redacted] , [redacted] , [redacted] , [redacted] , [redacted] , [redacted] Sincerely, Jon P [redacted]
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this response/resolution is satisfactory to meBut I didnt make any second level appealI hope they are reviewing it as it is Regards, [redacted]
We have not received a request to cancel Ms [redacted] 's planIf this request was sent to a broker, we would be happy to refund any premiums taken after the request if the original request is forwarded to me directly at l***@hccmis.comAdditionally, we have cancelled the plan as of March 13, and no future payments will be taken If I can be of further assistance, please let me know Respectfully, Lori [redacted] Paralegal HCC Life Iinsurance company 317-221-
Please see the attached response to the following complaint: RE: IN Revdex.com File Number: [redacted] Complainant: [redacted] Insured: [redacted]
HCCMIS has reviewed the calls and the insured was incorrectly notified that a per-cert penalty would apply We apologize for any confusion experienced by the insured As was indicated in the prior response, HCCMIS will not apply the pre-cert penalty to the insured claims.Tell us why here
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that the response would not resolve my complaint For your reference, details of the offer I reviewed appear below.I think the cause of the misunderstanding is the 2/prescription billI've attached original doctor's prescription and the bill from pharmacyYou can see that the 2/prescription is for another person, not for mePlease let me know if you need further information Regards, [redacted] **
We have reviewed the file for Mr [redacted] Mr [redacted] requested that his contract be cancelled and his payment rescindedThis has been processedI hope this information will allow the Bureau to conclude the handling of this fileIf Ican be of further assistance,please let me know Sincerely, 'Lori L***ParalegalHCC Life Insurance Company 317/221- ll***@hccmis.com
After again reviewing Mr***' file, the claims he has referenced have been processed according to the terms and conditions of the planToday I am mailing the explanation of benefits for each claim to Mr [redacted] directly.If I can be of further assistance, please let me know.Respectfully, Lori L***ParalegalHCC Life Insurance Company317/221-8013ll***@hccmis.com
The claims on file for Ms [redacted] were appropriately denied based on the terms and conditions of her planIf I can be of further assistance, please let me know Sincerely, Lori L [redacted] ParalegalHCC Life Insurance Company direct ll***@hccmis.com
All pending claims on file are awaiting information for processingOnce the requested information is received, we will continue review of the claims on file.Two additional claims have appropriately denied as they were incurred after the policy termination date.If I can be of further assistance, please let me knowRespectfully,Lori L***ParalegalHCC Life Insurance Companyll***@hccmis.com317/221-
Please see the attached response to complaint number [redacted] for [redacted] ***Thank you, Lori L***