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T L C Marine Service Reviews (78)

Dear Mr [redacted] : I am writing to acknowledge our receipt of the complaint filed by [redacted] ***We are currently working to resolve his concernsPlease note they we will need a completed HIPAA form which will alow our office to respond to you If you have any questions, please feel free to contact me at ###-###-####I will be happy to assist you Sincerely, Sylvia B***, Specialist Executive Inquiries

I am writing in response to the May 2, letter to [redacted] - [redacted] on behalf of Mr [redacted] ***Your complaint was received in our office on May 9, and concerns the enrollment status of Mr***’s vision planAs you are aware, the federal Health Insurance Portability and Accountability Act, known as the HIPAA Privacy rule requires that we obtain an individual’s written approval before using or disclosing his/her protected health information or PHIWhile our records indicate that there is no authorization for you to receive this member’s PHI, we want you to know that we have reviewed ***’s complaint to your officeIt was identified that we previously resolved this matter on April 22, and currently consider it closedMs***, we appreciate your bringing Mr***’s concerns to our attentionIf you have any additional questions, please do not hesitate to contact me at ###-###-####Sincerely, Jamela W [redacted] Customer Touch Point Analyst IIExecutive Inquiries [redacted] ***Philadelphia, PA

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved] Complaint: [redacted] I am rejecting this response because:they are lying about what REALLY happened.The story is as follows, so Blue Cross, get it right!After contacting the Revdex.com, I still had not received the book for weeks And FYI Revdex.com had not received any response from BC as well I went to our Reps office, complained about the issue, and the Rep contacted BCBC claimed they would overnight deliver with mail signature requiredHOWEVER, I never recieved the overnight delivery, and the Congressman Rep called me to see if I got itI did not, so the Congressman Rep AGAIN RE-CONTACED BC asking where the book was They finally sent it.HOWEVER, the facts remain THE Revdex.com contacted BC, and Blue Cross ignored the communication completely, didn't you? It was not until I sicked the Government Rep office on BC, that BC responded.So in essence, in your world BC, the Revdex.com is insignificant, or you would have immediately responded to the Revdex.com request, correct? I mean, why ignore them?Needless to say, if you were really concerned about me getting the book, when I initially asked TWICE in January, YOU would have overnighted it, rather than wait until forced by Government Reps YOUR BOOKS are shipped from MECHANICSBURG PA, TWO HOURS FROM MY HOUSEand yet, never come??? Mystery I dear say! hmmmI will now forever contact Govreps in the future, when I need BC to do the job that my premiums pay BC to do!Apparently these are the only people BC will respond to.The rating for this company should be a C+ NO CONSUMER SHOULD HAVE TO RESORT TO COMPLAINING TO A GOVERNMENT ENTITY IN ORDER FOR A CORPORATION TO DO WHAT THEY ARE CONTRACTED TO DO! [redacted] ***-***

Re: [redacted] [redacted] Dear Ms [redacted] : I am writing to acknowledge our receipt of your February 28, 2015, correspondence to Detra D [redacted] , Manager of the Executive Inquiries DepartmentWe appreciate your writing to alert us to Ms [redacted] 's concern(s) In order to fully address the concerns you have presented, additional research is necessaryI have forwarded your correspondence to the appropriate liaison for further review.However, as you may be aware, the federal Health Insurance Portability and Accountability Act, known as the HIPAA Privacy rule requires that we obtain an individual’s written approval before using or disclosing her/his protected health information or PHI for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable lawThe written approval, called an “authorization”, must contain certain required elements for us to consider it valid under the HIPAA Privacy rule Our records indicate that there is no authorization for you to receive this member’s PHIAs a result, we cannot disclose any information regarding our memberWe ask that you have Ms [redacted] complete the enclosed Authorization to Release Information formIn order for us to consider the authorization valid, all sections of the document must be completedShould [redacted] require assistance, instructions for the completion of the form are located on the back of the documentWhen she has proved you with the completed the authorization form, to expedite our receipt, please forward it to me via email as a PDF If we have not received the completed autorization form by the time we have finalized our review, we will respond directly to Ms [redacted] Ms [redacted] , should we complete our review before the completed form is received, we will be required to correspond our findings directly to Ms [redacted] Thank you for bringing this matter to our attention and for the opportunity to address her concerns Sincerely, Yvonne MP [redacted] , Specialist/Executive Inquiries Enclosure

I am writing to acknowledge receipt of the February 22, 2017, correspondence you addressed to Detra D [redacted] , Supervisor of Executive Inquiries DepartmentThis complaint was received in our office on March 3, As you know, the Federal Health Insurance Portability Accountability Act, known as HIPAA, requires that we obtain an individual’s written approval before disclosing his/her protected health information (PHI)In order for us to provide your office with a resolution, it would be necessary for [redacted] to complete the attached HIPAA Authorization Form [redacted] ***, that you for bringing this matter to our attention Sincerely, Chris H***Executive Inquiries AnalystMarket Street, Philadelphia, PA

Dear [redacted] ***: I am writing to acknowledge our receipt of your September 18, 2015, correspondence to Detra D [redacted] , Supervisor of the Executive Inquiries DepartmentWe appreciate your writing to alert us to your concern(s) As you may be aware, under the federal government’s Health Insurance Portability and Accountability Act, known as the HIPAA Privacy rule we are required to obtain an individual’s written approval before using or disclosing his/her protected health information (PHI) for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable lawThe written approval, called an “authorization”, must contain certain required elements for us to consider it valid under the HIPAA Privacy rule Our records indicate that there is no authorization on file for us to disclose information to you concerning this memberIn order to provide you with the requested information, please have [redacted] complete the attached Authorization to Release Information formTo be considered valid, all areas of the document must be completedInstructions are listed on the back of the form should assistance be requiredOnce you have received the completed docment, please return it to us for processing Should we finalize our review before the completed form is received, we will be required to correspond our findings directly to [redacted] In the interim, please be advised that I have forwarded your inquiry to the appropriate liaison(s) for further review Sincerely, Yvonne *P [redacted] , Specialist Executive Inquiries Attachment

[redacted] Good morning Although we have already conversed regarding this case, I am writing to officially acknowledge the complaintI spoke with [redacted] and received additional information yesterdayOur review is currently underway and I will provide your office with our response upon the conclusion of our investigation In the interim, should you have any questions, please contact me directly at [redacted] Thank you Regards, Rafael PD [redacted] Specialist Executive Inquiries Department

I am writing in response to the Revdex.com’s complaint id# [redacted] (see attachment)The complaint was submitted on behalf of [redacted] I spoke to [redacted] today and advised her the primary care physician change was completed on 10/4/ [redacted] confirmed that she has already received her new ID card and thanked me for the call Please let me know if you have any questions or need further assistance Sincerely, Chris H***Executive Inquiries AnalystMarket Street, Philadelphia, PA

[redacted] ***5:PM (hours ago)to me No, the complaint has not been resolved I received an email from the Revdex.com with a link to a letter from Blue Cross In the letter, Blue Cross stated that they would be sending a check for the amount in question I still have not received this check

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved] Complaint: [redacted] I am rejecting this response because: I received no information or closure in the aforementioned case.I received no reimbursement for the erroneously rejected claims.Furthermore, I disputed two more claims in the meantime (one for our son'so rejected hearing exam, which should have been covered at 100%; the other for counseling, which was never correctly sent to or processed through [redacted] I reject the response--there has been no response or resolution Regards, [redacted]

[A default letter is provided here which indicates your acceptance of the business's response If you wish, you may update it before sending it.] Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to me Regards, [redacted] ***

Re: [redacted] Dear Ms***: I am writing to acknowledge our receipt of the May 2, 2016, correspondence you addressed to Detra D [redacted] -S [redacted] , Supervisor of the Executive Inquiries DepartmentAs you are aware, the federal Health Insurance Portability and Accountability Act, known as the HIPAA Privacy rule requires that we obtain an individual’s written approval before using or disclosing his/her protected health information or PHI for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable lawThe written approval, called an “authorization”, must contain certain required elements for us to consider it valid under the HIPAA Privacy ruleOur records indicate that there is no authorization for you to receive this member’s protected health information or PHIAs a result, we cannot disclose any information regarding our memberPlease have Mr [redacted] complete the attached Authorization to Release Information formOnce the document has been completed please forward it to my attentionMs***, thank you for your patience while we resolve this matterShould we finalize our review before the completed authorization form is received, we will respond directly to Mr [redacted] Sincerely, Yvonne MP [redacted] , Lead Client Services Representative Executive Inquiries

Good afternoon [redacted] ***: I am writing in response to your recent inquiry on behalf of [redacted] I forwarded her grievance request to our Medicare Member Appeals to department for review and responseHer case is pending the review and a determination is forthcomingonce the determination is made available, [redacted] will be contacted by our Medicare Member Appeals Department Thank you, Scott Y***, Specialist Executive Inquiries

This email is to acknowledge receipt of your inquiryWe are currently reviewing the concerns presented; however, pursuant to HIPAA guidelines, we need to received a completed HIPAA Authorization form to release the member’s PHI to your officeTo this end, attached is a copy for you to forward to the member for their review/completionOnce we receive it, we will share our findings with youIn the event that we do not receive it, we will respond directly to the memberThanks Reginald H [redacted] Executive Inquiries SpecialistOffice of Consumer Advocacy [redacted] ***Philadelphia, PA 19103P ###-###-#### x | F ###-###-####

I was forwarded the below email from Independence for Inquiry [redacted] The specific claim in question was paid correctly according to the provider’s contract with [redacted] If the provider disputes the rates paid, they need to contact [redacted] ’s Provider Services department at ###-###-#### for further assistance with their contractIf you have any questions, please let me knowThanks,Maureen Maureen R [redacted] Supervisor

I am writing to acknowledge receipt of the October 11, 2016, correspondence you addressed to Detra D [redacted] , Supervisor of the Executive Inquiries DepartmentThis complaint was received in our office on October 21, The concerns presented in complaint ID number [redacted] are being reviewed, and we will be in direct contact with the member based on the status of the account [redacted] ***, thank you for bringing this matter to our attention.Sincerely, Rasheeda H***Lead Client Services Rep.Executive Inquiries [redacted] ***Philadelphia, PA

See Attached form

Dear [redacted] : I am writing to acknowledge our receipt of [redacted] 's complaint to your officeI will be in touch with your office shortly with a resolutionIn the interim, if you have any questions, please feel free to contact me at ###-###-####I will be happy to assist you Sincerely, Sylvia B***, Specialist Executive Inquiries

August 23, 2016Dear [redacted] ***:I am writing in response to the August 17, 2016, letter to Detra D [redacted] on behalf of [redacted] Your complaint was received in our office on August 17, 2016, and concerns [redacted] 's experience when she contacted our office for benefit information and a claim processing complaint.As you are aware, the federal Health Insurance Portability and Accountability Act, known as the HIPAA Privacy rule requires that we obtain an individual’s written approval before using or disclosing his/her protected health information or PHIWhile our records indicate that there is no authorization for you to receive this member's PHI, we want you to know that we have reviewed [redacted] 's complaint to your officeIt was identified that we previously resolved this matter on August 17, 2016, and currently consider it closed[redacted] ***, we appreciate your bringing [redacted] 's concerns to our attentionIf you have any additional questions, please do not hesitate to contact me at ###-###-####.Sincerely,Tedra FLead Client Services Representative Executive Inquiries Department

From: [redacted] < [redacted] @***.com>Date: Thu, Sep 24, at 7:PMSubject: Complaint ID [redacted] To: [email protected] Whom It May Concern:The business I filed a complaint with took care of the problem and I received the refund check in the mail yesterday for the proper amount However, even though the issue was solved; I feel like it should never have gone as far as a it did to get resolved! I should have never needed to go as far as filing a complaint with the Revdex.com nor with the NAICThe customer call center at IBX has always been a source of extreme frustration, deep lack of information and full of confusion on the parts of all people involvedAny time I ever called their customer care line to deal with any type of issue, I was always put on hold, sent from one person to anotherMore often than not I would have to ask to speak to a supervisor because the person I was dealing with at the time did not have the information I needed, or was ill-equipped to deal with what I needed help withIn my experience as a customer with this company, the whole call center needs a complete overhaulFrom the bottom on up! Scratch that, the whole company needs to be re-evaluated, and overhauledI am so thankful and grateful that I am no longer a customer of theirs to be quite frankSincerely, [redacted]

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