BlueShield had been "Suspending processing due to eligibility investigation". All my explanation of benefits had zeroes in all the columns, except what was being claimed, with a footnote to the suspended processing note. I got this 3am email with tons of claims re-examined more properly. Now I just have to audit what they have me co-paying because I know that at least one was wrong by a couple thousand and wasn't fixed when they took the suspension off.
They give no explanation for what was being investigated and refused to let me talk to anyone that knew anything about it. The claims help line said that the department cannot be called by a client. No info. on the form and no info. by phone: very nice. Well it's fixed now...
Sunday, January 31, 2010
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