BlueCross BlueShield of Western New York

Hello, there is no HIPAA on file so I can only provide generic information.The claim was not coded or billed as a preventative serviceWe cannot tell a provider how to bill or request that they change a code.We reached out to the provider on a conference call on 3/1/They advised this was not considered a wellness visitThe provider said they would review the claim and contact the member when their review was completeThey provided the member with a reference numberOn 7/6/the member filed a grievance which is still under reviewPlease let me know if I can provide any additional informationThank you

Thank you for bringing this issue to our attentionWe have spoken with the member and have resolved her issue related to a denied MRIThe authorization for the 2nd MRI has been approved after clarification was received from the ordering PhysicianThe request was submitted with the wrong location in errorThe member was advised of the resolution and stated that she was satisfiedPlease let me know if you need any additional information to resolve this complaint Regards, Gena W Manager, Customer Service

Good Afternoon,
We are not showing that a HIPAA authorization is on file for us to release specific information regarding this member and her concernsPlease be advised that we have reached out on her behalf to the medical facility in question regarding the reimbursement she has been waiting on
The reimbursement is currently being processed by that facility and they have stated that it could take a couple of weeks before it is receivedWe will also reach out to the member regarding her other concerns to reach a solutionThank you for bringing this matter to our attentionPlease feel free to contact me if any additional information is needed

Greetings,The name of the company on my Insurance card is; BlueCross BlueShield of Western New York Please let me know if you have any other questions. Thanks,***

I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
The lab issue was the only issue resolved. I misunderstood that I was supposed to speak with the company before discussing the case with the Revdex.com. None of the other issues have been addressed. I was given an email stating the case would be closed since the company could not get a hold of me. I had faxed a form to the Revdex.com but the case was closed without acknowledgement of the fax. I still am concerned about the company's business practices. I had met my deductible in the spring and right before my contracts renewal, they continually made it too difficult for me to receive my prescriptions. I only hope they stop deceiving other clients and hope others become aware of their deceptive business practices. Thank you, Regards,
[redacted]
See Attached HIPPA.

Hello, there is no HIPAA on file so I can only provide generic information.The claim was not coded or billed as a...

preventative service. We cannot tell a provider how to bill or request that they change a code.We reached out to the provider on a conference call on 3/1/16. They advised this was not considered a wellness visit. The provider said they would review the claim and contact the member when their review was complete. They provided the member with a reference number. On 7/6/16 the member filed a grievance which is still under review. Please let me know if I can provide any additional information. Thank you.

Thank you for bringing this issue to our attention. We have spoken with the member and have resolved her issue related to a denied MRI. The authorization for the 2nd MRI has been approved after clarification was received from the ordering Physician. The request was submitted with the...

wrong location in error. The member was advised of the resolution and stated that she was satisfied. Please let me know if you need any additional information to resolve this complaint.
 
Regards,
Gena W.
Manager, Customer Service