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Started By
Message
1
Posted on 1/6/20 at 7:40 am to GetCocky11
quote:no she has secondary BBC
If you have secondary insurance, BCBS
Posted on 1/6/20 at 7:41 am to Bedhog
To paraphrase a sinister politician: Somebody coded something.
There's like 10,000,000 alpha numerical codes to put in the computer blanks that determines reimbursement. 10010A is different from 10100A and from 10001A.
Go ahead and try typing out those about 30 times day each and see how many times you make an error. Insurer (BCBS) only knows what the code input says though.
Based on the "co-pay" and "other insurer" statement I'd bet THAT is the coding error. Some mistake on co-pay/co-insurance code.
There's like 10,000,000 alpha numerical codes to put in the computer blanks that determines reimbursement. 10010A is different from 10100A and from 10001A.
Go ahead and try typing out those about 30 times day each and see how many times you make an error. Insurer (BCBS) only knows what the code input says though.
Based on the "co-pay" and "other insurer" statement I'd bet THAT is the coding error. Some mistake on co-pay/co-insurance code.
Posted on 1/6/20 at 7:42 am to Bedhog
quote:
think it's more sinister than that. I am thinking it is something done on purpose to make their customers jump thru hoops and they get to keep their money a little longer.
Naw, some people don’t want the headache of being on the phone to clear it up and will just pay the bill if it’s only like 100 dollars or something
Posted on 1/6/20 at 7:49 am to Bedhog
Happened to me for services rendered in Sept. I think they’re low on cash and trying to through a tough spot or something.
Go online and fill out a form saying you don’t have other coverage. They will pay.
Go online and fill out a form saying you don’t have other coverage. They will pay.
Posted on 1/6/20 at 7:50 am to Bedhog
Dear interwebz,
Woe is me. I’m whining like a woman. I must incessantly bitch rather than solve a simple mistake.
-Bedhog
Woe is me. I’m whining like a woman. I must incessantly bitch rather than solve a simple mistake.
-Bedhog
Posted on 1/6/20 at 7:52 am to Rebel
In writing. Phone calls might as well not have happened in the modern era.
Posted on 1/6/20 at 7:53 am to Bedhog
Determination is part of something called Coordination of Benefits (COB).
An example of determination from a carrier.
In this situation BCBS has determined they're secondary to some other carrier. That EOB from the provider is for what they got back (and not in this case) from BCBS. That would mean they would have received payment from another carrier. If BCBS ends up being secondary, the provider only gets the two payments up to the allowable amount. They aren't "double dipping".
You still may not be on the hook for anything more. Ask the provider if they received payment from another carrier. If not, go back to BCBS and contest and tell them you didn't have other coverage (i.e. covered under a family plan if you're under 26, or under your wife's plan if you're married).
An example of determination from a carrier.
In this situation BCBS has determined they're secondary to some other carrier. That EOB from the provider is for what they got back (and not in this case) from BCBS. That would mean they would have received payment from another carrier. If BCBS ends up being secondary, the provider only gets the two payments up to the allowable amount. They aren't "double dipping".
You still may not be on the hook for anything more. Ask the provider if they received payment from another carrier. If not, go back to BCBS and contest and tell them you didn't have other coverage (i.e. covered under a family plan if you're under 26, or under your wife's plan if you're married).
This post was edited on 1/6/20 at 7:59 am
Posted on 1/6/20 at 7:55 am to Bedhog
Quit thinking so much.....it’s not working out well for you
Posted on 1/6/20 at 7:59 am to Bedhog
quote:
seems shitty thing to do since they have been getting my money on time for over 20 years.
Say how long you’ve been a customer again.
You should know that in today’s time no one cares how long you or anyone else has been a customer. We are all equally worthless to them.
Posted on 1/6/20 at 8:01 am to Bedhog
quote:
My State Farm auto insurance
Property and Casualty is a whole different animal then health. Just call BCBS. You have spent more time posting in this thread then you will on the phone with BCBS. Just be glad it's not Humana.
Posted on 1/6/20 at 8:02 am to Bedhog
That’s a legit possibility. The other legit possibility, that you need to really hope isn’t the case, is that someone stole your identity and opened an alternate insurance account in your name. Just hope it’s an evil insurance company and not an evil rando from god knows where that you have to deal with.
Posted on 1/6/20 at 8:21 am to Cosmo
quote:I tried but their customer service was not available at the time. I just got off the phone with them. They said my COB wasn't updated which is why my claim was denied.
How bout you call BC and straighten it out?
Lady told me this is required by "Federal Law every 2 years" I asked her what federal law? She said she had no clue
Posted on 1/6/20 at 8:35 am to Bedhog
Had a 4 day hospital stay this time last year. On the 3rd day the hospital business manager informed that BCBS had denied me coverage for the stay etc. Had to call from hospital bed to BCBS to clear up the COB. I was real happy with BCBS.
Posted on 1/6/20 at 8:39 am to Bedhog
Are you 65 or older? They may be talking about medicare/medicaid.
Posted on 1/6/20 at 8:42 am to Bedhog
Just resubmit it
Posted on 1/6/20 at 8:43 am to Eli Goldfinger
quote:that will take a few weeks to clear up
It’s just a simple billing error.
Posted on 1/6/20 at 8:45 am to Bedhog
Posted on 1/6/20 at 8:49 am to Bedhog
Not sure what rock you've been living under or why you may have just been lucky enough to avoid it, but I've been filling those forms out for BCBS for many years now.
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