Provider complaint

RE: Provider complaint

BCBSTX Connect Team — Fri, 16 Aug 2024 16:23:10 GMT

Hi JF, I'm sorry to hear you've had a bad experience with us. If there is anything we can do to help please send us a private message. ~ KW

RE: Provider complaint

JF — Fri, 16 Aug 2024 16:15:34 GMT

I encountered this issue on several occasions with BCBS TX reps. They are very unprofessional and disconnect your phone call if they don't know the answer. If you message them here there is nothing that they can do about it. It is very frustrating that our time get wasted. I also worked with BCBS for 7 years and I was so shocked that their employees can now freely do something like this.

RE: Provider complaint

swaters22 — Tue, 25 Jun 2024 17:42:58 GMT

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.

RE: Provider complaint

BCBSTX Connect Team — Tue, 25 Jun 2024 17:39:49 GMT

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

RE: Provider complaint

swaters22 — Tue, 25 Jun 2024 17:24:27 GMT

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?

RE: Provider complaint

BCBSTX Connect Team — Wed, 03 Apr 2024 14:56:12 GMT

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

RE: Provider complaint

swaters22 — Wed, 03 Apr 2024 14:43:12 GMT

RE: Provider complaint

BCBSTX Connect Team — Tue, 02 Apr 2024 15:02:15 GMT

Hello, If you'd like to send us a private message we can ask our provider services team to assist you with this. ~ KW

RE: Provider complaint

swaters22 — Tue, 02 Apr 2024 14:40:40 GMT

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.

RE: Provider complaint

BCBSTX Connect Team — Mon, 17 Dec 2018 16:41:20 GMT

Hello, Please send us a private message and we can look into this for you. Because we don't allow the posting of personal information on a public forum, we also ask that you delete this message. ~ Heather

RE: Provider complaint

kristinmw — Sun, 16 Dec 2018 16:15:56 GMT

[deleted]

RE: Provider complaint

BCBSTX Connect Team — Tue, 30 Jan 2018 11:53:55 GMT

Hi Angela, I'm so sorry to hear this. If you'd like to send us a private message I can have someone in our provider services area contact you to assist. ~ KW

RE: Provider complaint

ANGELA BURCHETT — Tue, 30 Jan 2018 11:18:14 GMT

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 me that I am currently filing an report against them with TEXAS DEPARTMENT OF INSURANCE. I worked for BCBSTSX for over 8 years and I have NEVER heard ANY OF YOUR EMPLOYEES be so incredible hateful to one of your providers. Keeping in mind, if you didn't have providers, you would be out of business. I will make sure to speak with a higher up manager TODAY BEFORE THE END OF DAY. THIS IS INCREDIBLY UNACCEPTABLE.

RE: Provider complaint

BCBSTX Connect Team — Tue, 21 Feb 2017 14:19:12 GMT

Hi Jetmech471, You can contact our fraud department at 800-543-0867 to report this. ~ Kayla

RE: Provider complaint

jetmech471 — Tue, 21 Feb 2017 13:05:49 GMT

I am receiving medical bills from a provider for services that I was not seen for and need to file a complaint.

RE: Provider complaint

BCBSTX Connect Team — Tue, 31 Jan 2017 09:47:44 GMT

Hello sgardner .You can send us a private message with the complaint and we can get it to the appropriate area for review. Make sure to provide as much detail in the message you send so we can have a good understanding of what happened. - See more at: connect.bcbstx.com/.../435

RE: Provider complaint

sgardner — Mon, 30 Jan 2017 16:20:04 GMT

I'd like to make a complaint about one of your review nurses. She was extremely rude with me and kept speaking over me. She sounded like she was eating food when we spoke and she had a dog barking over her in the background of the phone call. She was completely unprofessional and I would say extremely unfriendly. Is there somewhere I can make this complaint formally?

RE: Provider complaint

BCBSTX Connect Team — Wed, 28 Dec 2016 11:34:20 GMT

Ben, If you click on our blue hyper-linked name it will take you to a page with a blue button that says Connect; you can click on that and a drop-down menu will give you the option to send a private message. ~ Kayla

RE: Provider complaint

Ben Cooper — Wed, 28 Dec 2016 10:11:52 GMT

Ok, where can i send a Private detailed message?

RE: Provider complaint

BCBSTX Connect Team — Wed, 28 Dec 2016 10:01:40 GMT

Hello Ben. You can send us a private message with the complaint and we can get it to the appropriate area for review. Make sure to provide as much detail in the message you send so we can have a good understanding of what happened. - Renee

RE: Provider complaint

Ben Cooper — Tue, 27 Dec 2016 15:13:37 GMT

I would like to file a Complaint about Provider Data Service Representative, where should i go to file my complaint?

RE: Provider complaint

BCBSTX Connect Team — Fri, 16 Dec 2016 14:22:44 GMT

When you are logged into this site, there is a Message Box in the upper Right Hand corner. You can submit your complaint through the private message. We will let you know if there is any additional information we need. - Renee

RE: Provider complaint

dickcarl@dickcarlson.com — Wed, 14 Dec 2016 17:45:40 GMT

Your email has a "no-reply" address. Where should I send my complaint?

RE: Provider complaint

BCBSTX Connect Team — Wed, 14 Dec 2016 14:55:33 GMT

Hello. I'm sorry for any trouble you encountered with the BCBS provider. There is not a specific form to fill out. However, you can send us a private message with your complaint so we can look into it. - Renee