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Provider complaint

dickcarl@dickcarlson.com

I would like to file a complaint about a doctor who is a BCBS provider.  Is there a form on your website, or an email/snailmail address?

Parents
  • 0

    We handled several of your provider billing and I'm trying to get serval claims sent back for manual pricing. I've called 4 times, and each rep doesn't know anything about NSA or QPA. Who's training these people? Clearly on the provider claim summary it shows BCBS of TX didn't allow anything, yet they keep telling us to file an IDR. Which we unable to do because nothing was priced. How are we going to negotiate a $0.00 amount? Make it make sense. Can someone train all these reps about manual pricing? This is only an issue with BCBS of TX reps and if the patient has a host plan in TX.

Reply
  • 0

    We handled several of your provider billing and I'm trying to get serval claims sent back for manual pricing. I've called 4 times, and each rep doesn't know anything about NSA or QPA. Who's training these people? Clearly on the provider claim summary it shows BCBS of TX didn't allow anything, yet they keep telling us to file an IDR. Which we unable to do because nothing was priced. How are we going to negotiate a $0.00 amount? Make it make sense. Can someone train all these reps about manual pricing? This is only an issue with BCBS of TX reps and if the patient has a host plan in TX.

Children

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