Business Profile
Insurance Companies
Anthem Blue Cross and Blue ShieldHeadquarters
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Complaint Details
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Initial Complaint
06/28/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I had patellar realignment knee surgery on April 8, 2022. I am currently still in a brace and learning how to walk again. My orthopedic surgeon has prescribed physical therapy 3 times per week until I see him again on August 11, 2022. My insurance company, Empire BCBS, is not authorizing my visits in a timely manner, which forces me to go several days to a week without a visit. This is affecting my recovery and my ability to learn how to walk again. I pay for Empire BCBS health insurance through my employer and have been doing so for over 3 years. This is my first time getting PT while on their insurance.Empire only approves me for 6 PT visits at a time, even though I need 3 visits per week. The visits run out so quick and Empire takes so long to authorize new visits. This is the third time post surgery that I have needed to miss 2 to 3 visits in a row because Empire has not authorized timely the visits requested by my PT provider.I had the worst experience today when I found out that Empire's most recent authorization was only for 1 visit. So in addition to missing PT all of last week, I am only getting 1 visit this week.I have spoke to about 3 different Empire representatives about this and they each give me a different story. They either blame the PT provider or they blame their third party contractor auth system, AIM. When asked if they had a number I could call to speak with an AIM representative the Empire representative said NO.Today I had an Empire representative on the phone with my PT provider. The Empire representative said on the visit request form the PT provider could choose the number of visits to request and **** a request as urgent to get it authorized faster. The PT provider tried this later in the day during my visit and those options were not available on the request form.The only conclusion I can draw is that Empire hires unqualified staff, does not properly train their staff, or cares more about money than their members' health.Initial Complaint
06/21/2022
- Complaint Type:
- Product Issues
- Status:
- Unanswered
My wife left the employ of **** and changed our insurance to a plan purchased by her business. The new plan was with the same carrier as the previous one. They have not changed the group number to that of our new plan in their records (even though they issued the new number) and they issued cards to us with an error in the numbers. As a result the claims submitted by our providers are denied. I have been trying to resolve this since January, but my interactions with the customer service representatives have been characterized by such a high level of stonewalling, obfuscation, outright mendacity and inertia. Even when I wrote a letter of complaint to the ********** ********************** addressed to the address stated on their web site, it was returned with an insufficient address label from the ***** Cumulatively, I have spend several hours on hold, only to be disconnected. I have been told on three occasions that a supervisor will call me back, but that commitment is never kept. I finally got an agent to understand the problem and he promised to have a corrected card sent out. After 8 business days, a card arrived with none of the corrections promised. I am tired of this systematic delay on their part that forestalls their contractual obligation to pay the claims.Initial Complaint
05/18/2022
- Complaint Type:
- Order Issues
- Status:
- Unanswered
As a health care provider I have been trying to get out of network with this company for the better part of a year now and they do not respond to my requests and/or send me to multiple different people who do the same. I have filed an official complaint with their headquarters to no avail. My ****** has contacted them multiple times to no avail.Initial Complaint
03/31/2022
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
On October 12th 2021 I was a patient at miracle ear at ******************************************** telephone number ************ they provide me with hearing aids charge my insurance company 6 months later I'm still going back and forth between miracle ear and my health insurance getting no answers from either one of them of who playing for itInitial Complaint
03/31/2022
- Complaint Type:
- Sales and Advertising Issues
- Status:
- Unanswered
I had a physical on 12/6/2021. Ive had a physical every year. Empire Blue always pays for it. This last one they didnt. They claim the doctor is not in the network. Their own website clearly states that the doctor IS in network. I submitted a print out from their website listing the doctor as in network. They still refuse to pay. Im submitting the claim they wont pay as well as the claim from 2020 that they did pay with the exact same procedures. Im also submitting a print out from their website showing the doctor is in network.Initial Complaint
03/28/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
BCBS Anthem, has screwed me and my provider over now for the 3rd time! On 8/13 and 8/20 my providers submitted a claim for my therapy and said claim was approved now months later 3/12 or so they denied the claim stating that i has secondary insurance and that was false. They re-summited the claim and then told us that it would come out of my deducible even though at the time it was approved with just my copay. They are now saying my provider is out of network and even if thats true it should not matter seeing that at the time of service and the time the original claim was summited they were in network. This has caused my provider and myself a lottt of issues and now costing me more money that i do not have!Customer response
05/10/2022
Better Business Bureau:
At this time, I have not been contacted by Empire Blue Cross & Blue Shield regarding complaint ID ********.
Sincerely,
*************************Initial Complaint
03/25/2022
- Complaint Type:
- Product Issues
- Status:
- Unanswered
I am credentialed with BCBS. I would like to be an out of network provider and be de-credentialed. I called availity and just about every blue cross number I can find. NO ONE CAN DO THIS FOR ME. I emailed the provider help email address and received no response after several weeks. I DO NOT WANT TO BE CREDENTIALED WITH THEM AND THEY HAVE NO WAY TO CANCEL THIS.Customer response
05/04/2022
Better Business Bureau:
At this time, I have not been contacted by Empire Blue Cross & Blue Shield regarding complaint ID ********.
Sincerely,
*********************Initial Complaint
02/23/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I would like to file a complaint regards to Empire Blue Cross & Blue Shield tech support. I am new member January 1 2022. I been going to the doctors few times already and for past month and half i have not see any claims displaying on my online account. I spoke to at least 7 agents through the live chat they said they do not see any claims. the 7 agents who i spoke to every week tells me my online account should show all the claims displayed with the provider name. Last night 2/22/2022 i spoke to a live agent online and this time they found two claims submitted and paid. The person told me i should able to see all the claims on my online account. I called Empire Blue Cross tech support and they saw my online account they said there must be issue with my online account they open a ticket with screen shots. Today 2/23/2022 i got email from ************************* desk Cherry said my plan is under ******** and they do not have access to check on this. I do not have original ******** i have Empire Dual advantage ********. I have right as member to see my claims on my online account. When i go on the app it says there is currently no claims and total billed by Providers $0 and yet there is already claims submitted and paid. I think there is big issue with my online account. I keep getting the run rounds and i would like for someone look into this. Tech Case#**********. Again i spoke to lot of empire blue member service agents and they said as member i should able to see all my claims online. They agreed with me they said something is wrong with the site. I have enclosed documents as attachment . When i signed up as member i was told by many empire blue agents i will able see my claims online.
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Customer Complaints Summary
122 total complaints in the last 3 years.
70 complaints closed in the last 12 months.
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