Parker New York

I have reviewed the response offer made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below I believe our account to be correct at this timeHowever, this does not alter the fact that the business has failed to address the unprofessional behavior of its employees or address the damages imposed on our business when our coverage was dropped due to administrative errors on Anthem's partWe were instructed not to pay through the portal and we could not pay over the phone because we were never given an accurate balance to authorize said paymentWe had to pay for charges made due to these errors and inability to supply an account reconciliationAnd this speaks nothing of the damage to company morale when they learned about this lapse in coverage and feared being able to get vital care and prescriptionsI have received message from [redacted] and I have yet to have her respond to the message I left attempting to get into contact Regards, [redacted] ***

Thank you for your December 18, 2015, letter on behalf of *** *** and her concerns about herhealth care coverage and an outstanding claimI have the following information to offer.We have confirmed that Ms*** issues are resolvedWe have corrected the information with regardto her
claim and she should not experience any more difficulties related to this issueAdditionally, wehave responded directly to Ms*** to address her concerns and advise her of the outcome of ourreview.Ms*** thank you for bringing this matter to our attention and your efforts on behalf of Ms***.When we can be of further assistance, please let us know. Sincerely,*** ***SrGrievances & Appeals AnalystExecutive Services

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have called and emailed the companyI was unable to make contactI am waiting for a reply/call
Sincerely,
*** ***

I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved
Regards,
*** ***

Thank you for your inquiry dated August 14, 2015, regarding Ms*** ***'s concerns about theprocessing of her claimsI have the following information to share with you.We have worked diligently on the issues that Ms*** has been experiencing on the claims inquestionOne of our
managers has been in contact with Ms*** to inform her that her claims arenow resolvedIn addition, Ms*** has confirmed that she has received the check that was sentto her regarding this matterWe will be responding to Ms*** in more detail regarding herconcerns.We regret the concern this matter caused Ms*** and hope that her future dealings with Anthemwill be more positiveShould she have further questions or concerns, she can call the number on hermember ID card for assistance.Ms***, thank you for your efforts on behalf of Ms***.Sincerely,*** ***Senior Grievances and Appeals AnalystExecutive Services

I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved.Good Afternoon, I would like to report that *** from Anthem set up a phone meeting for us on 4/24/and spent a great deal of time over the phone listening to the narrative surrounding the issues with Anthem-- She reported that corrections had been made at last regarding a dependent we had attempted to remove from the group numerous times and that an adjustment had been made retroactive to the original date we attempted to drop the memberI explained that our initial issue had arisen as a result of the online portal double tagging our payments to the same month on more than one occasion, and the ensuing inability for the billing department to give us an accurate account reconciliation so we could pay over the phone-- this issue which ultimately led to our policy being cancelled, fining us $and threatening to permanently ban us from the network unless we signed up for auto-draft. *** apologized on behalf of Anthem's behavior in this matter and gave me her direct phone number to follow up should any issues ariseShe explained that the auto-draft had been cancelled as we shouldn't have been forced into it as a result of internal errorsShe also had the $fine put towards credit on our next bill. I believe *** has done everything in her power to correct the issue created by Anthem's billing departmentWhile nothing can undo the damage to our company's morale when they received cancellation notices, I am glad to know that someone at Anthem is willing to apologize for the manner in which our group was treatedI am now satisfied that my complaint has been resolved. Best,*** ***Human Resources Executive*** *** *** ***
*** *** **
*** ** ***
*** ***

Thank you for your October 5, 2015, letter on behalf of *** ** *** and his concerns regardingprescription drug coverage under his HealthKeepers Silver X planI appreciate the opportunity to be ofassistance.Regrettably, we do not have a signed authorization form from Mr*** allowing the
release of specificdetails regarding his complaintThis is necessary to protect our members' personal health informationand to be compliant with federal and state rules and regulationsHowever, a separate letter has been sentto Mr*** to address his concerns.Ms***, thank you for your efforts on Mr***' behalfWhen we can be of further assistance,please let us know.Sincerely,*** ***SrGrievances & Appeals AnalystExecutive Services

Thank you for your inquiry dated January 26, 2017, regarding *** *** concerns about thebilling for her groups' health care planWe regret the delay in responding to your inquiry;however, it was not received in our office until March 16, I hope the following informationwill be
helpful.We have confirmed that our Group Membership Services Unit has completed a careful review ofthis matter, and the billing information has been updated for Ms*** group, *** ***
*** ***The group did have an ongoing billing issue with the dependent in question beingterminated back to December 1, That issue was corrected in January, and a reconciliationwas completed and sent to the groupThe current billing invoices are correct. Ms*** *** of our Group Membership Services Unit has tried to call the group severaltimes in order to advise them of our findings and resolution, but she has been unable to reachthemIf Ms*** would like to contact Ms*** directly regarding this matter, she can bereached by email (***.***@anthem.com) or by calling her directly at ***.Ms*** will be glad to assist Ms*** with any questions or concerns she may have.We regret the concern this matter has caused Ms***, and our most sincere apologies areextended to her and the group for any inconvenience they have experienced while trying toresolve this matter.Ms***, we appreciate your efforts on behalf of Ms***.Sincerely,*** ***Risk Analyst IExecutive Servicescc: Ms*** ***

I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved
I will send the paperwork requestedBut I want to know if I send payments for Oct and Nov before Dec can I get coverage until Dec so I can get my prescriptions?
Regards,
*** ***

Dear *** *** We are in receipt of your complaintI would like to assist you further but I need to confirm some details of the bookings you are referring to. Please contact me at your earliest convenience

I have reviewed the response offer made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
I believe our account to be correct at this time. However, this does not alter the fact that the business has failed to address the unprofessional behavior of its employees or address the damages imposed on our business when our coverage was dropped due to administrative errors on Anthem's part. We were instructed not to pay through the portal and we could not pay over the phone because we were never given an accurate balance to authorize said payment. We had to pay for charges made due to these errors and inability to supply an account reconciliation. And this speaks nothing of the damage to company morale when they learned about this lapse in coverage and feared being able to get vital care and prescriptions. I have received 1 message from [redacted] and I have yet to have her respond to the message I left attempting to get into contact.  
Regards,
[redacted]