My family has Anthem Blue Cross health insurance (We actually have excellent coverage, which we pay for).
In Feb, our son (15 months old) had some upper respatory breathing issues. Our Pediatrician prescribed a Nebulizer, as well as a prescription medication to load into the Nebulizer.
The total cost was around $100. We paid with our Chase debit card and normal protocol is to submit the receipt and receive reimbursement (the Pharmacy wasn't able to process our insurance info and it was a Sunday so Anthem was closed for phone contact).
We received a letter from Anthem declining reimbursement due to, GET THIS - they are "unable to confirm coverage for this member". Yes, that means they have no record of coverage for our son. Keep in mind our pediatrician, WHO IS COVERED AND PAID BY ANTHEM BLUE CROSS, prescribed this medicine.
So even though we sent them the original receipt and everything they now want us to RE-SUBMIT the claim again and a copy of our son's medical card.
The letter has no phone number, mind you, as i suspect they would have a new one ripped every 5 minutes, were that the case.
The letter also advises us to "examine his insurance card carefully, and submit to another entity if it is listed on the card."
Stall tactics, anyone? I know it's only $100 but that's a lot of money to my family and we pay all our bills and we pay Anthem to administer good and reasonable service. My wife and I are just beside ourselves from this rediculous letter.
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