Blue Cross and Blue Shield of Illinois

Due to the Protected Health Information involved in the response of this inquiry, a letter will be sent directly to Raymond [redacted] on or before the due date of January 27, 2018.Thank you,Kristin ***

This is in response to Christina [redacted] inquiry, submitted to your office and received by Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, on March 5, Due to the Protected Health Information involved in the response of this inquiry a letter will be sent directly to Christina [redacted] on or before the due date of March 25, We strive to deliver excellent service and appreciate being made aware of instances in which improvement is possible If you require additional information please do not hesitate to contact us in the future

Due to the Protected Health Information involved in the response of this inquiry a letter will be sent directly to Ms [redacted] on or before the due date of February 7,

Complaint: [redacted] I am rejecting this response because:this is NOT a protected HIPPA violation/complaint! This is a complaint of a switch and bait billing scheme!Because of their gross negligence in “protecting” my identity during the initial application process it has resulted in my identity being compromised as admitted through their recent class action lawsuit!!! They have already been neglect when it comes to my identity, NO need to “protect” it NOW!!! Sincerely, Jennifer [redacted]

This is in response to Jean [redacted] inquiry, submitted to your office and received by Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, on March 13, Due to the Protected Health Information involved in the response of this inquiry a letter will be sent directly to Jean [redacted] on or before the due date of April 3, We strive to deliver excellent service and appreciate being made aware of instances in which improvement is possibleIf you require additional information please do not hesitate to contact us in the future

This review is directed specifically towards the fitness program they offerFor starters, it is expensive and quite pointless unless you use multiple gyms for some reason because if you only use one gym, say LA Fitness or Anytime fitness you are essentially paying the same price as you would be for a membershipMaybe difference? The main part of my review though is on how shady their terms and conditions are with this programI would suggest reading this closely before signing upIn order to cancel you have to actually call them manually, even if you no longer actually have health insurance with Blue Cross because you have canceled it, this fitness program will keep charging your card for up to months, even if you aren't eligible for the program anymore, this is really just a way for them to get money, sneakily without making it obvious in my opinionThey are misleading about this and don't tell you up frontDespite how misleading they are about this, they won't refund youIt's not "their policy"Their immediate response when you call to ask for a refund for the months they unfairly charged you for a program you can no longer use, is to remind you this was in the terms and conditions, so tough luckNo refundBe carefulPersonally in a nutshell, I feel his program really doesn't provide as many discounts as they like to advertiseThere are hidden fees and hidden terms and conditions in fine print

The complaint from Mary *** was in regards to receiving mailings from BCBSIL from the previous residentsI have requested that any correspondence for Christopher G *** and Micelle A *** be removed from the mailing address provided by Ms***I sent Ms*** an
email this morning advising the request has been completed and that she may contact me directly if she has any further questions

Due to the Protected Health Information involved in the response of this inquiry a letter will be sent directly to Regins *** on or before the due date of 12/26/

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meI just wish the same result could have been achieved earlier when I called Blue Cross and Blue Shield customer service.
Sincerely,
Mary ***

Blue Cross and Blue Shield of Illinois refuses to cooperate with me to correct my dental coverageThe customer rep did not include the correct plan
The plan that I currently have only consists of adult medical and child dental coverageI do not have any children; I am unsure why this plan was includedThe first time I brought my issue to a representatives attention it was a hassle to obtain instructions to resolve the issueAfter speaking with multiple representatives I was instructed to contact the rep that signed me up for the plan to change the plan; if he made an error he could correct itI was given the contact information for the rep that signed me up for the plan, however, he is no longer employed with the companyAfter calling the rep and receiving no luck, I requested to speak to a managerThe manager informed me that the rep was no longer employed and that she would pass *** request to pull the call to ensure that I did not request the plan included on my planI wai

September 29, Revdex.com of Chicago North Wabash Avenue, Suite Chicago, Illinois Re: Anna *** Case #: To Whom It May Concern: Please be
advised that Blue Cross Blue Shield of Illinois (BCBSIL) is in receipt of the letter forwarded to the Revdex.com from Anna *** Unfortunately, due to current HIPAA guidelines, we are unable to release an insured’s Protected Health Information (PHI) to any unmauthorized partyOur records do not reflect that the Revdex.com is an authorized party on Mrs***’s policyWe communicated our detailed response directly to Mrs*** Thank you for the opportunity to review Mrs***’s file Sincerely, Jernard C *** Executive Inquiry Specialist Cc: File

See attachment

Complaint: ***
I am rejecting this response because: unlike it stated in the response sent to the Revdex.com, no representative from the Insurance company has contacted me about addressing the complaint I have filedI have neither received a call, text or email from anyone
from BlueCross or BlueShield of Illinois Once again this entire situation began when BlueCross and BlueShield verbally authorized for my physician to send me for a colorectal cancer exam/screening and upon billing them for their portion of the coverage they are now stating that they will not pay any portion of the billed amount as it is not something they will authorize BlueCross and BlueShield never communicated with myself or my physician that they had changed their minds prior to myself being sent for the exam By reaching out to the insurance company directly and receiving verbal authorization from them my physician did her best to ensure that this exam would be covered before sending me My physician even tried contacting the insurance provider again directly after the invoice was created and they informed her that they would not cover it after allI have attached a copy of the letter and the medical bill I receivedI am not asking for anything that is outrageous simply for BlueCross and BlueShield to cover their portion which they originally had approved and gave the go ahead to I thank you in advance for your time and help in this matter.
Sincerely,
*** Anaya

May 17, Revdex.com of Chicago & Northern Illinois, IncNorth Wabash Avenue, Suite Chicago, Illinois RE: Teresa A*** File #: ***
To Whom It May Concern: This letter is in response to Teresa A ***’ inquiry submitted to your office and received by Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, on May 8, Due to the Protected Health Information involved in the response of this inquiry we responded directly to Ms*** today. We strive to deliver excellent service and appreciate being made aware of instances in which improvement is possibleIf you require additional information please do not hesitate to contact us in the future Sincerely, Amber G*** Executive Inquiry Specialist Cc: Theresa *** *** *** *** *** Chicago IL 60629; File

Please be advised that our Customer Service Department reviewed Ms*** inquiry and a determination was made to adjust the claims in question from the date of service December 12, The adjustments took place on January 23, 2017, and new explanations of benefits were sent to Ms***
under separate coverOur Customer Service Department spoke with her on January 23, 2017, to advise the outcome

Due to the Protected Health Information involved in the response of this inquiry a letter will be sent directly to Ms*** on or before the due date of February 7, 2018, to the address indicated within her complaint

Complaint: ***
I am rejecting this response because: I can not open this file on my computer to readI do not have microsoft office on my computer.
Sincerely,
Christine ***

See attached response

October 27, 2016     Revdex.com 330 North Wabash Chicago, IL 60611     Case #:            [redacted]               Dear Sir or Madam:   Please...

be advised that Blue Cross and Blue Shield of Illinois (BCBSIL) are in receipt of the inquiry forwarded to your agency identified by Case Number [redacted]. This inquiry was received in our office on October 13, 2016.    Thank you for understanding that due to the Health Insurance Portability and Accountability Act (HIPAA), BCBSIL is unable to release this complainant’s Protected Health Information (PHI) without consent from the complainant. However, please be assured that BCBSIL conducted a thorough review of the complainant’s inquiry. As a result, a detailed response was mailed directly to the complainant on October 27, 2016.   It is our pleasure to be of assistance. Thank you for the opportunity to address the complainant’s concerns.     Sincerely,   [redacted] P. [redacted]   [redacted] P. [redacted]  Executive Inquiry Specialist BlueCross BlueShield of Illinois   Cc: File

see attachment