Provider complaint

dickcarl@dickcarlson.com over 7 years ago

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?

Top Replies

ANGELA BURCHETT over 6 years ago +1

I am one of your providers and have called your company to get some assistance with a claim that was incorrectly denied. Your representative Sarah and your supervisor Liz L. were so incredibly rude to…
BCBSTX Connect Team 7 months ago in reply to swaters22 +1

Hello, If you'd like to send us a private message we can ask our provider services team to assist you with this. ~ KW
BCBSTX Connect Team 7 months ago in reply to swaters22 +1

Hello, We have responded to your private message. ~ KW

Parents

0 swaters22 5 months ago

Good morning, I'm back again and I'm still having the same issue with these BCBS reps. We handled several of your provider billing and I'm trying to get serval claims sent back for manual pricing. 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 these reps about manual pricing?
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0 swaters22 5 months ago

Good morning, I'm back again and I'm still having the same issue with these BCBS reps. We handled several of your provider billing and I'm trying to get serval claims sent back for manual pricing. 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 these reps about manual pricing?
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0 swaters22 5 months ago in reply to BCBSTX Connect Team

I'm already doing that! And y'all are still not listening or wanting to work. Like I ask the rep was pricing done and they keep saying that nothing done. Like why they are okay with allowing line items to be priced at $0.00? We can't negotiate or arbitrate when nothing is priced or allowed. We only ask for y'all to send the claim back and price it.
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0 BCBSTX Connect Team 5 months ago in reply to swaters22

Hello, To speak to a Customer Advocate regarding a claim, please call 800-451-0287 and have the 13-digit claim number ready to enter. See the IVR Claims Caller Guide for detailed instructions. Page 2 lists the Alpha touch-tone reference guide. Alpha touch-tone is available as an alternative to voicing alpha-number mixed information. ~ KW
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