Lone Star Siding Solutions

Consumer states the following ;Members ID is [redacted] DOB [redacted]. Resolution would be a zero balance so they don't put this into collection. One more detail. The complaint was escalated to the supervisor, management as well as the Grievance Department. The name of the grievance Officer was [redacted] number [redacted]

Thank you for contacting the Executive Inquiry Team. This email is confirmation that we have received your member inquiry and that a representative from our team will be assigned to this inquiry as soon as possible. We are committed to reaching out to the member quickly and our goal is to...

contact the member within an hour and resolve the inquiry within one business day. We will also keep you informed along the way and ensure you are aware once the member’s inquiry is resolved. Our normal operating hours are Monday through Friday from 7:00 am – 6:00 pm. As a reminder, the Executive Inquiry team serves escalated member inquiries on behalf of Blue Shield executives and directors and above that are received via written mail, email, social networking, and telephone correspondence. Don’t hesitate to reach out again! Sincerely, Executive Inquiry TeamBlue Shield of California[redacted]  El Dorado Hills, CA  [redacted]

We thank you for forwarding these concerns to Blue Shield of California (Blue Shield). We would like to inform you that we have initiated a grievance analysis to review and respond to the concerns raised in the correspondence submitted. We will provide a written response to [redacted]...

[redacted] within 30 calendar days. We have mailed an acknowledgement letter to Ms. [redacted]’s mailing address with additional information regarding the grievance process as well as direct contact information for her assigned grievance coordinator. Thank you.

We thank you for forwarding these concerns to Blue Shield of California (Blue Shield). We would like to inform you that we have initiated a grievance analysis to review and respond to the concerns raised in the correspondence submitted. We will provide a written response to [redacted]...

[redacted] within 30 calendar days

We thank you for forwarding these concerns to Blue Shield of California (Blue Shield) for review and would like to inform you that [redacted], has not completed the grievance process with the plan. We are initiating a grievance to address the concerns raised in the correspondence submitted....

Please be advised that, grievances are resolved within 30 days of the receipt date. A response to the review will be sent directly to [redacted] via US Postal Mail.

Dear Revdex.com: This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on July 16, 2015, concerning a Blue Shield enrollee by the name of [redacted]. The information provided by the Revdex.com included a consumer...

complaint against Blue Shield.We thank you for forwarding these concerns to Blue Shield for review and would like to inform you that we are currently reviewing the concerns raised in the correspondence submitted. A response will be sent directly to [redacted]. Our records do not reflect that a signed release of information was submitted with the correspondence signed by the Revdex.com. Unfortunately, without a signed release of information from [redacted], we are unable to provide a copy of the resolution to the Revdex.com. If [redacted] has signed a release of health information to the Revdex.com, you may send a copy to my attention via fax at 916-350-7405 or mail at:P.O. Box 5588El Dorado Hills, CA, 95762If you have any additional questions regarding this matter, please contact me directly at the telephone number listed below. Sincerely,[redacted], Executive Inquiry Coordinator

March 8, 2016Dear Revdex.com:This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on March 7, 2016, concerning a Blue Shield enrollee by the name of [redacted]. The information provided by the Revdex.com included a consumer...

complaint against Blue Shield.We thank you for forwarding these concerns to Blue Shield for review and would like to inform you that we are currently reviewing the concerns raised in the correspondence submitted. A response will be sent directly to [redacted]. Our records do not reflect that a signed release of information was submitted with the correspondence sent by Revdex.com. Unfortunately, without a signed release of information from [redacted], we are unable to provide a copy of the resolution to the Revdex.com. If [redacted] has signed a release of health information to the Revdex.com, you may send a copy to my attention via fax at [redacted] or by mail at:[redacted]
[redacted]If you have additional questions regarding this matter, please contact me directly at the telephone number listed below.Sincerely,[redacted] 
[redacted]

I received all my money back. Thank you.

I am rejecting this response because: We continue to receive letters from BlueShield. On 10/17 we received a letter dated 10/11 stating they attempted to process a payment, but the bank told them funds were not available - that due to the fact I became frustrated with the failure to set up the easy pay program and set up an auto pay through my checking account. The letter stated "your payment in the amount of $0 is now overdue" ??

Revdex.com:
I have reviewed the response made by the business in reference to my concern, and find that this resolution is satisfactory to me.
Here is [redacted] Subscriber id# [redacted]Bronze PPO Thank you![redacted]

We thank you for forwarding these concerns to Blue Shield of California (Blue Shield). We would like to inform you that we have initiated a grievance analysis to review and respond to the concerns raised in the correspondence submitted. We will provide a written response to [redacted] within 30...

calendar days. We have mailed an acknowledgement letter to Ms. [redacted] mailing address with additional information regarding the grievance process as well as direct contact information for her assigned grievance coordinator. Thank you.

I am rejecting this response because: this does not mean or DO anything. Why do they get to wait 30 calendar days to do anything when they pulled funds from my account in early January after I cancelled my insurance policy with them, and they acknowledged on 3 separate occasions that I cancelled my policy in December? So now I get to wait another month to get my money back? Refund my money now, initiate your "grievance analysis" after you send me my money.Also, I do not want to talk to their "grievance coordinator" if I have to repeatedly give them my information over and over. My account number, my date of birth, the last four of my SSN. Then do it again once I actually have a person on the line. Their idea of customer service is insulting.Blue Shield is STEALING, plain and simple. Then hiding behind their own complicated system to not have to return stolen funds right away. Another 30 days? What a joke. I was told at least twice that it would take 3-5 business days to get my money back. Guess what, I did not. Does that mean Revdex.com wants me to wait until 30 days + another 3-5 business have expired to say that the business did not resolve the issue?

Revdex.com:
I have reviewed the response made by the business in reference to my concern, and find that this resolution is satisfactory to me.
But if this issue does not get resolved in the 30 days blue shield promises then I will be filing another Revdex.com complaint. The grievance was filed because the initial appeal was never submitted early August as promised over the phone. I don't think it's fair I should wait another 30 days since the records show the representative made a mistake and did not file the appeals on time

I am rejecting this response because: It has been over a week and I still have received no phone call from them.  Things are just as they have been. Revdex.com please do a thorough investigation of this company. These are people's health on the line. A health provider should be reliable and be a source of support not an added stressor.

Here is the subscriber ID : [redacted]

Revdex.com:
I have reviewed the response made by the business in reference to my concern, and find that this resolution is satisfactory to me.
I have filed a dispute directly with Blue Cross, however they refuse to accept my dispute.  I will wait for the response from them to see what decision they come too and decide what will be the next step I will take in this matter.