Land of Lincoln Health

Revdex.com of Chicago & Northern Illinois N Wabash, SteChicago, IL RE: Case *** To Whom It May Concern: Land of Lincoln Health received case *** regarding a payment issue and a problem involving precertification of benefits for a medical
procedure There was an issue with this member’s billing as LLH showed this member enrolled in two health insurance plans, one through the *** *** ***, and one directly through Land of Lincoln HealthThis caused invoicing issues which had a downstream impact on the member portal and the member’s ability to make a payment through our websiteThe dual enrollment issue and invoices have been corrected and the member is paid through 4/30/The member should have no difficulty making payment online for his May bill The member also had concerns over obtaining precertification for benefitsAs of 3/8/16, the LLH Medical Management department shows that we have received the members request and are waiting on medical records to approve itThe member and provider will be notified of a decision shortly after these documents are submitted Best Regards, Land of Lincoln Health

There has been nothing done or said to correct this POOR process and excessive time needed for precertification They sent me the approval after weeks of asking for it They have not even attempted to justify there process or lack of dutie to the contract I have to pay monthly to a company that has no reason to fullfill there end of the contract
Allow me and people everywhere to move from an inferior health service provider AT ANY TIME the provider is: said by health professionals, "this is a terrible company", or refuse to respond to medical precertifcation requests for weeks, or require the patient and the medical provider to call and beg and plead to have the test or treatment done for weeks before someone even looks at the the request
The company should and probably will have a class action law suit against them

Revdex.com of Chicago & Northern Illinois Wabash, SteChicago, IL RE: Case *** To Whom It May Concern: Land of Lincoln Health received case *** regarding an estimated quote for benefits
We contacted the member on 3/8/and advised that the procedure that she inquired about would be subject to her individual deductible of $2,and 35% coinsurance at *** *** HospitalThe member wanted an exact estimate of cost, which we explained would not be possible due to variations in reimbursement rates from provider to provider, as well as all of the individual procedure and diagnostic codes that go into determining how claims are adjudicatedThe member is able to contact the provider to ask about billed charges, and then she can estimate her cost using an approximate discount rate between 20% to 40% off of the billed charge amountUnfortunately, we are not able to disclose further information as discount rates are proprietary and are not shared with health plan members industry-wideBest Regards, Land of Lincoln Health

Revdex.com Chicago & Northern Illinois
Lower Wabash
Ave Chicago, IL
RE: Case ***
To Whom It May Concern:
Land of Lincoln Health received case *** regarding a reinstatement issue
The information submitted by Ms*** suggests that the form is showing them as being terminated on 04/30/15. The following members of the *** family were in fact active with Land of Lincoln Health until 12/31/(this appears via an file):
a. *** (subscriber) active 2/1-4/and 5/1-12/ b. *** (dependent) active 2/1-4/and 5/1-12/ c. *** (dependent) active 2/1-4/and 5/1-12/
*** was active 2/1-4/30, but not 5/1-12/31; the 5/plan only had ***, ***, and *** on the plan. However, the member’s statements from the year come from what the *** has on file, not what LLH has on fileAs an on exchange member, Ms*** would have received a 1095-A form from the marketplace. Ms*** will need to file an appeal with the *** using the following email address: ***@cms.hhs.gov
As a *** enrollee, she needs to request a 1095A form via a HICS case.
Best Regards,
Land of Lincoln Health

Revdex.com of Chicago & Northern Illinois *** * *** *** *** *** ** *** RE: Case *** To Whom It May Concern: Land of Lincoln Health received case *** regarding precertification for a medical procedureThe procedure in question did require medical management review, and LLH
approved the authorization request with confirmation number *** A copy of the authorization letter has been emailed to the providerBest Regards, Land of Lincoln Health

Revdex.com Chicago & Northern Illinois Lower Wabash Ave Chicago, IL 60611 RE: Case *** To Whom It May Concern: Land of Lincoln Health received case *** regarding a plan terminationLLH receives enrollment information from the Health Insurance Marketplace, and in this
particular case we received an automatic re-enrollment for her for The Marketplace is the “source of truth” for eligibility and we cannot override their enrollment dataTherefore, the member will need to contact them at *** and request to open a HICS (health insurance casework system) caseWe will then be notified of the termination and will reach out to confirm thisAlternatively, the member has the option of not paying her invoices and she would then be cancelled for non-paymentWe would terminate the policy as of 1/LLH does not report to collections agency or credit bureaus and this would in no way affect the member negativelyBest Regards, Land of Lincoln Health

Worst customer service I've ever receivedNo one answers their phone or they ask for your name and number to call you backIf they happen to call back it's hours later and you arent even home

Complaint: [redacted]
I am rejecting this response because:  Land of Lincoln has still not addressed all of the items  from the original complaint, specifically the issue of hold times of 30-45 minutes.  We encountered hold times of 30-45 minutes several times because we needed to make several phone calls in order to clear up the wrong information which we were given by Land of Lincoln.  Hold times of 30-45 minutes put an unfair burden on the doctor's offices which are required to contact Land of Lincoln on behalf of their patients in order to server their patients. 
Sincerely,
[redacted]

Revdex.com of Chicago & Northern Illinois [redacted] Chicago, IL 60611 RE: Case [redacted] To Whom It May Concern: Land of Lincoln Health received case [redacted] regarding a member’s transition of care request....

The member’s request was received but cannot be approved because additional information is needed. LLH mailed a request for relevant medical records related to the member’s treatment and diagnosis on February 22, 2016, however, we have not received any correspondence back since that date. We have mailed out an additional copy of letter requesting this documentation. Once provided to LLH, we will be able to review the member's request. Best Regards, Land of Lincoln Health

Revdex.com of Chicago & Northern Illinois 330 N Wabash, Ste. 3120 Chicago, IL 60611       RE: Case [redacted]   To Whom It May Concern:   Land of Lincoln Health received case [redacted] regarding a payment...

issue and a problem involving precertification of benefits for a medical procedure.   There was an issue with this member’s billing as LLH showed this member enrolled in two health insurance plans, one through the [redacted], and one directly through Land of Lincoln Health. This caused invoicing issues which had a downstream impact on the member portal and the member’s ability to make a payment through our website. The dual enrollment issue and invoices have been corrected and the member is paid through 4/30/16. The member should have no difficulty making payment online for his May bill.   The member also had concerns over obtaining precertification for benefits. As of 3/8/16, the LLH Medical Management department shows that we have received the members request and are waiting on medical records to approve it. The member and provider will be notified of a decision shortly after these documents are submitted.   Best Regards,   Land of Lincoln Health

Revdex.com Chicago & Northern Illinois 330 Lower Wabash Ave Chicago, IL 60611 RE: Case [redacted] To Whom It May Concern: Land of Lincoln Health received case [redacted] regarding a reinstatement issue. The information submitted by Ms. [redacted] suggests that the 1095 form is showing them as being...

terminated on 04/30/15.  The following members of the [redacted] family were in fact active with Land of Lincoln Health until 12/31/15 (this appears via an 834 file): a.            [redacted] (subscriber) active 2/1-4/30 and 5/1-12/31 b.            [redacted] (dependent) active 2/1-4/30 and 5/1-12/31 c.             [redacted] (dependent) active 2/1-4/30 and 5/1-12/31 [redacted] was active 2/1-4/30, but not 5/1-12/31; the 5/1 plan only had [redacted], and [redacted] on the plan.  However, the member’s 1095 statements from the year come from what the [redacted] has on file, not what LLH has on file. As an on exchange member, Ms. [redacted] would have received a 1095-A form from the marketplace.  Ms. [redacted] will need to file an appeal with the [redacted] using the following email address: [redacted]@cms.hhs.gov. As a [redacted] enrollee, she needs to request a 1095A form via a HICS case.  Best Regards, Land of Lincoln Health

Not sure about all the negative reviews, but my experience with this company has all been positive. This is the second year and signing up and receiving the ID cards went without a hitch. Claims have been paid according to the plan.

Revdex.com of Chicago & Northern Illinois 330 N Wabash, Ste. 3120 Chicago, IL 60611 RE: Case [redacted] To Whom It May Concern: Land of Lincoln Health received case [redacted] regarding a member’s missing refund We...

are unable to directly deposit the refund to the member’s bank account, however, check [redacted] has been mailed to the member in the amount of $392.98. This will now clear any remaining credits for insurance coverage during 2015. Best Regards, Land of Lincoln Health

Revdex.com Chicago & Northern Illinois [redacted] Chicago, IL 60611       RE: Case [redacted]   To Whom It May Concern:   Land of Lincoln Health received case [redacted] regarding two claim issues.   LLH has reviewed the claims in question:  ...

1.       Date of service 9/9/2015, billed charges of $243, claim ending in -[redacted] processed as in-network 2.       Date of service 9/23/2015, billed charges of $1,009, claim ending in [redacted], processed as out-of-network   Based on the information submitted by the provider, both claims paid out correctly with the provider’s associated Tax ID and National Provider ID numbers.   In order for the 9/9 date of service claim to be paid as preferred, the provider will need to submit an updated claim using his alternate Tax ID number ending in [redacted]   In order for the 9/23 date of service claim to be paid as preferred, the provider will need to submit an updated claim using his alternate Tax ID number ending in [redacted] with provider [redacted] not [redacted] Ltd.   If the provider is unwilling to make these changes, the member will need to file a verbal appeal by contacting LLH Member Services at [redacted]   Best Regards,   Land of Lincoln Health

Revdex.com of Chicago & Northern Illinois [redacted]       RE: Case [redacted]   To Whom It May Concern:   Land of Lincoln Health received case [redacted] regarding a refund and balance inquiry.   Please reference the attached payment...

and invoice history provided by the LLH Finance Department detailing all transactions for this member’s account. Information is separated into two tabs, “Invoices Due” and “Payments & Tax Credits.” The member’s account has a $0 balance at this time.   Best Regards,   Land of Lincoln Health

Initial Business Response /* (1000, 5, 2015/02/20) */
Land of Lincoln Health received case XXXXXXXX regarding an issue involving payment of medical claims for a member.
The member was treated for a medical situation and incurred hospital, physician and laboratory charges during this...

episode of care. The hospital and doctor utilized were considered in-network providers; however, the laboratory was not a contracted provider with Land of Lincoln Health. As such, the laboratory services were originally processed accordingly.
Upon receiving a verbal complaint from the member in January, Land of Lincoln Health did review and reprocess the claims in question. The member has since requested additional review of claims incurred for a second episode of care which is currently under review.
We apologize for any inconvenience the member has experienced in receiving service from Land of Lincoln Health and are committed to resolving the member's issue.

Revdex.com Chicago & Northern Illinois330 Lower Wabash AveChicago, IL 60611RE: Case [redacted]To Whom It May Concern:Land of Lincoln Mutual Health Insurance Company (LLH) is in receipt of case [redacted] related to a termination and refund issue.We are able to verify the member terminated his plan, and...

the LLH finance department has confirmed that a refund was issued to the member on 2/19/2016. Best Regards,Land of Lincoln Health

Land of Lincoln Insurance stands by nothing they post in their materials. No accountability whatsoever. I was told my doc was covered in network and then 2 weeks later when I showed up for my appointment they told me I wasn't covered.
Why? My doctor would be in network if I drove to a location over an hour from my house, but if I wanted to see him at my local location-the one I'd been swing him at for 1.5 years, I would have to pay out of network. The issue according to the LOL rep. was that his billing address is from his Chicago location. Even though all claims go through the same office and under the same tax ID number, LOL told me to tell my physician that if he want his other location included for in-network, that he needs to update the profile on his website to include that location. So much for continuity of care.
They put all burden on their clients and the physicians they have contracts with.
Their website is a joke and looks like a 3 year old put it together.
Why would I need to put in a date to search for their providers list? Insane.
They are behind in posting claims and deny parents the right to access their children's claims without opening a separate account for them....ridiculous.
FYI: if you are an insurance company and you are a reputable business, you ensure that the information on the website that YOU put together is accurate and up to date.
The consumer is paying YOU. Either stand by your company or get out of the business.

THIS IS THE WORST COMPANY IN THE HISTORY OF TIME. I had to go to the ER April of 2015 and before I went, I checked to see if the nearest hospital was in network. It was. They doctor wasn't apparently which isn't something you think about when you are in and IN NETWORK facility. I was seen and then for a year afterwards, I was being bill by the doctor for $900. At least 6 people that I had talked to at LOL assured me that they will resubmit this claim and I shouldnt have to pay this and they will contact me. Then I got my FIRST collections letter. I called LOL and waited for days, literally days, to hear back from someone. They called the collections company and said they were still looking into it. I just got another collections letter. NEVER HEARD FROM LOL AGAIN. I am a single mother with a very limited income and can't afford this. I could have been making small payments and been done with this nightmare by now but the principle of the matter is, this insurance company SHOULD PAY for some of this claim.This company is a JOKE and has treated me worse than any business I have ever dealt with. I'm not expecting them to pay all of it but they owe more than $100.
Total **

I agree with all of the other reviews thus far. There is no EOB information available on their web portal. The accumulator information for our account is wrong. You can't get anyone on the telephone, you can only leave a message, and no one calls you back. They have sent me the exact same letter three times explaining that they would make a claim determination within 15 days. The first one arrived over 30 days ago and the most recent one today. They have yet to process the hospital claim for a colonoscopy that I had on January 13th with a preferred, in-network hospital. The hospital is now dunning me and asking me to get my health insurance company to cooperate in paying the claim. They won't allow you to fill generic or other prescriptions that were written by the doctor for a 90 days supply, so each time the pharmacy has to call LOLH to get the claim to go through. Worst customer service ever!