Oxford did not pay provider. Several calls were made and customer service did not note the calls. I was told numerous times that the claim forms were not received. I faxed the claims twice. The provider was still not paid. On one of the many attempts I was told that the claims were "put aside" and not processed. I was told that they would be processed. Oxford did not process the claim on time therefore 90 days had passed and the provider was not paid. I received a letter stating that they had come to a decision, that I was called and did not answer the phone. This was the reason I called today, to find out the outcome. I was told that they only reviewed the form and did not review the calls I had made. They did not check the system. They only checked the dates on the claim forms and decided not pay. I have never had trouble with health care providers in the past. I will be sure to post this on several sites. I would like to know who else has had problems with "lost" claim forms.
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