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McElroy, Quirk, & Burch, APAC

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Reviews McElroy, Quirk, & Burch, APAC

McElroy, Quirk, & Burch, APAC Reviews (216)

A formal grievance takes calendr days (or less) to resolveThe member will receive a written response with your resolution to her complaint

The health plan will respond within calendar days

The member's issue will be reviewed and responded to within calendar days

The member contacted the health plan on 10/29/Her complaint is being researched and she should have a resolution within calendar days

The complaint has been entered into our standard day grievance and appeals process due to close on 3/

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID 10623404, and find that this resolution
is satisfactory to me
Anthem Blue Cross responded by putting this complaint in the grievance Day notification process. Since then the Company has graciously reversed the amount due by proclaiming that the billing was sent in error. Again, Thanks to the Revdex.com for mediating this and know that your sevice is vital in resolving disputes
Regards,
R*** ***

The health plan responded to this member's complaint on 3/14/His next level of appeal is to the California Department of Insurance as he was advised in his letter

Complaint:
I am rejecting this response because:
I have just received the letter. The original response said you had sent it on the 7th, your new response says it would have been mailed by the 12th. That probably explains why the letter arrived later than expectedHowever, this letter, a rejection of my written grievance, only reinforced your position that you are unwilling to negotiate this dispute in good faith with the provider. A provider you are currently in contract with as in-network and have a longstanding relationship with as being in-network. The only reason they were not a participating provider at the time of my emergency care was because your contract renewal process with them produced a short lapse. Taking the position that you will only pay half of my claim because of this and not even negotiate it with the provider is utterly unreasonable.
Regards,
*** ***

A grievance has been initiated by the health plan for this member. He will receive a response from the health plan within 30 calendar days.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID 10134116, and I do not have the time or energy for a prolonged fight against
Anthem Blue Cross so I am dropping my grievance.Regards, 
[redacted]

An grievance has been initiated for this member. They will receive a response from the health plan within 30 calendar days.

This member's new address was updated and a check went out on 1/24/14

Complaint: 10308493I am rejecting this...

response because it's not resolved. In your letter saying if I don't respond within 7 days or the complaint will be closed as assumed resolved. Regards,[redacted]

This company demonstrates poor telephone etiquette and their associates and management are absolutely rude. The staff is poorly trained on dealing with customer complaints within the billing department. I would not recommend doing business with them if you value these attributes.

The health plan has initiated an appeal for this member. The member will receive a response within 30 calendar days.

Member is stating there was an attachment. No attachment included with this complaint. Please provide if availalbe. Thank you

Complaint: 10017553
I am rejecting this...

response because:
Appeal my health plan how exactly?
Why 30 days?
Are you refusing  to cancel my plan so you can send me an even larger bill in the next 30 days?
I wanted my plan canceled back in December.
I'll take a response both here, and in writing.
Regards,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID 9905474, and here is the information requested: The Identification Number...

listed on the card sent to me by the business is JQO318A75972, effective date 1/01/2014. 
Regards, 
[redacted]

This member's next level of appeal is to the State of California Department of Managed Health Care.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID 10289456, and find that this resolution is...

satisfactory to me. On the condition that the company must contact me with a satisfactory agreement with in the  time frame provided .
Regards, [redacted]

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