Health Choice Arizona

Health Choice reached out to the member directly to apologize about the confusion and difficulty of filling this medication and to coordinate the reimbursement of this medication as an exceptionHealth Choice also provided an explanation of what steps to take if she has this issue to avoid this situation in the futureThe member was happy with the result and will be submitting the requested documents necessary for reimbursement

[redacted] [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 until for the business to perform this action and, if it does, will consider this complaint resolved Regards, [redacted] ***

I have reviewed the response made by the business in reference to complaint ID [redacted] I have received and cashed my checkThis issue is resolved Regards, [redacted]

The member did not become active with our plan until 1/22/She did reach out to us in March for a duplicate ID card From 8/1/through 1/21/the member fell under ‘Prior Period Coverage’ through [redacted] the State Medicaid agency During this time she did pay out of pocket for her meds as she was not assigned to any insurance company during that period of time and would not have had any type of ID card When she contacted Health Choice, she was advised that we would reimburse her for her qualifying medications that she paid out of pocket for during her Prior Period Coverage time frame She did send in receipts Due to the ‘Prior Period Coverage’ dates being so far in arrears (as compared to when she sent in the receipts 2014), it caused a delay in processing We did advise her that the claim was still in process Once determination of payment for qualified expenses was analyzing and filed a check was cut This was done on 6/14/ A call was placed and a message left on 6/to verify if member received her check

Health Choice reached out to the member directly to apologize about the confusion and difficulty of filling this medication and
to coordinate the reimbursement of this medication as an exceptionHealth Choice also provided an explanation of what steps to take if she has this issue to avoid this situation in the futureThe member was happy with the result and will be submitting the requested documents necessary for reimbursement

"Health Choice reached out to member to inform that the claim was initially processed with incorrect allowable amounts which increase the members responsibility. This claim was reprocessed with the correct allowable amounts and member responsibility.  This information was provided to the member...

on 7/12/16. Health Choice advised that the member and provider will be receiving an Explanation of Benefits in the mail within the next 10-14 days outlining the member responsibility. The member understood, agreed to the member responsibility and had no other questions or concerns."

Health Choice reached out to the member directly to apologize about the confusion and difficulty of filling this medication and to coordinate the reimbursement of this medication as an exception. Health Choice also provided an explanation of what steps to take if she has this issue to...

avoid this situation in the future. The member was happy with the result and will be submitting the requested documents necessary for reimbursement.

I have reviewed the response made by the business in reference to complaint ID [redacted]. I have received and cashed my check. This issue is resolved.
Regards,
[redacted]

The member did not become active with our plan until 1/22/15. She did reach out to us in March for a duplicate ID card.  From 8/1/14 through 1/21/15 the member fell under ‘Prior Period Coverage’ through [redacted] the State Medicaid agency.  During this time she did...

pay out of pocket for her meds as she was not assigned to any insurance company during that period of time and would not have had any type of ID card.  When she contacted Health Choice, she was advised that we would reimburse her for her qualifying medications that she paid out of pocket for during her Prior Period Coverage time frame.  She did send in receipts.  Due to the ‘Prior Period Coverage’ dates being so far in arrears (as compared to when she sent in the receipts 2014), it caused a delay in processing.  We did advise her that the claim was still in process.  Once determination of payment for qualified expenses was analyzing and filed a check was cut.  This was done on 6/14/15.  A call was placed and a message left on 6/18 to verify if member received her check.

[redacted]  [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 until for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]

"Health Choice reached out to member to inform that the claim was initially processed with incorrect allowable amounts which increase the members responsibility. This...

claim was reprocessed with the correct allowable amounts and member responsibility.  This information was provided to the member on 7/12/16. Health Choice advised that the member and provider will be receiving an Explanation of Benefits in the mail within the next 10-14 days outlining the member responsibility. The member understood, agreed to the member responsibility and had no other questions or concerns."

[redacted]

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 until for the business to perform this action and, if it does, will consider this complaint resolved.

Regards,

I have reviewed the response made by the business in reference to complaint ID [redacted]. I have received and cashed my check. This issue is resolved.

Regards,

Health Choice reached out to the member directly to apologize about the confusion and difficulty of filling this medication and...

to coordinate the reimbursement of this medication as an exception. Health Choice also provided an explanation of what steps to take if she has this issue to avoid this situation in the future. The member was happy with the result and will be submitting the requested documents necessary for reimbursement.

The member did not become active with our plan until 1/22/15. She did reach out to us in March for a duplicate ID card.  From 8/1/14 through 1/21/15 the member fell under ‘Prior Period Coverage’ through [redacted] the State Medicaid agency.  During this time she did...

pay out of pocket for her meds as she was not assigned to any insurance company during that period of time and would not have had any type of ID card.  When she contacted Health Choice, she was advised that we would reimburse her for her qualifying medications that she paid out of pocket for during her Prior Period Coverage time frame.  She did send in receipts.  Due to the ‘Prior Period Coverage’ dates being so far in arrears (as compared to when she sent in the receipts 2014), it caused a delay in processing.  We did advise her that the claim was still in process.  Once determination of payment for qualified expenses was analyzing and filed a check was cut.  This was done on 6/14/15.  A call was placed and a message left on 6/18 to verify if member received her check.

"Health Choice reached out to member to inform that the claim was initially processed with incorrect allowable amounts which increase the members responsibility. This...

claim was reprocessed with the correct allowable amounts and member responsibility.  This information was provided to the member on 7/12/16. Health Choice advised that the member and provider will be receiving an Explanation of Benefits in the mail within the next 10-14 days outlining the member responsibility. The member understood, agreed to the member responsibility and had no other questions or concerns."