Blue Cross & Blue Shield of Minnesota

September 14, Revdex.com OF MINNESOTA AND NORTH DAKOTA ATTENTION: *** *** S RIVER RIDGE CIR BURNSVILLE MN Regarding: *** *** Complaint ID #: *** Dear Ms***: I am writing in regard to the inquiry Blue Cross and Blue Shield of Minnesota (BCBSM) received from you for the concern listed above Due to confidentiality laws, we are unable to provide you specific information regarding *** ***, without a signed Authorization for Disclosure of Health Information (ADHI) form. At this time, we do not have an ADHI form on file allowing us to share specific information with you regarding this case An ADHI form has been enclosed Please know we take our members’ concerns seriously. We encourage our members to work directly with us to resolve any concernsMembers can reach us via the Customer Service phone number on the back of their ID card. Sincerely, Consumer Service Center

Ms***,Please find our response to MrN*** Revdex.com complaint attachedPlease don't hesitate to reach out if you have any additional questions and/or concerns. Thank you,Brandon ***

Ms***,Attached is our response to case #*** and we will be reaching out to Mr*** shortly in regards to his concerns. Thanks,Brandon ***

Initial Business Response /* (1000, 8, 2015/09/28) */
Regarding:***
Case Number: ***
Dear Ms***:
I am writing in response to your letter regarding the above-mentioned Blue Cross Blue Shield of Minnesota memberThank you for forwarding these concerns presented to you
by***
Due to confidentiality laws, we are unable to provide you specific information regarding*** request, without a signed Authorization for Release of Information formAt this time we have not received an ARI from the above-mentioned Blue Cross Blue Shield of Minnesota member
I trust this information has been of assistanceShould you have additional questions or concerns regarding this matter, please feel free to contact customer service at the phone number on the back of the member's Identification card
Sincerely,
Consumer Service Center
***original document attached
Initial Consumer Rebuttal /* (3000, 10, 2015/09/28) */
(The consumer indicated he/she DID NOT accept the response from the business.)
The business did not attach the authorization or mail me an authorization so Blue Cross Blue Shield can communicate with the Revdex.comAn authorization can also be provided to ***@yahoo.com and I can complete this so the Revdex.com, Blue Cross Blue Shield and I can all discuss this claimBlue Cross Blue Shield is avoiding responsibility and is not accepting bills that this provider sendsThey have no interest in correcting the problem and it is a shame that this organization refuses to communicate to resolve this issue and has put profits ahead of its customers
Final Consumer Response /* (2000, 19, 2016/02/22) */
This complaint was resolved and the medical claim was paidPlease close this claim and thanks for your help!
***

September 14, Revdex.com OF MINNESOTA AND NORTH DAKOTA ATTENTION: *** *** S RIVER RIDGE CIR BURNSVILLE MN Regarding: *** *** Complaint ID #: *** Dear Ms***: I am writing in regard to the inquiry Blue Cross and
Blue Shield of Minnesota (BCBSM) received from you for the concern listed above Due to confidentiality laws, we are unable to provide you specific information regarding *** ***, without a signed Authorization for Disclosure of Health Information (ADHI) form. At this time, we do not have an ADHI form on file allowing us to share specific information with you regarding this case An ADHI form has been enclosed Please know we take our members’ concerns seriously. We encourage our members to work directly with us to resolve any concernsMembers can reach us via the Customer Service phone number on the back of their ID card. Sincerely, Consumer Service Center

Initial Business Response /* (1000, 9, 2016/01/19) */
Regarding: ***
Case Number: ***
Dear Ms***:
I am writing in response to your letter regarding the above-mentioned Blue Cross Blue Shield of Minnesota MemberThank you for forwarding these concerns presented to you
by ***
Due to confidentiality laws, we are unable to provide you specific information regarding *** request, without a signed Authorization for Release of Information formAt this time we have not received an ARI from the above-mentioned Blue Cross of Minnesota member
I trust this information has been of assistanceShould you have additional questions or concerns regarding this matter, please feel free to contact customer service at the phone number on the back of the member's Identification card
Sincerely,
Consumer Service Center
Initial Consumer Rebuttal /* (2000, 11, 2016/01/29) */

Initial Business Response /* (1000, 8, 2015/09/21) */
Regarding: *** ***
Case Number: ***
Dear Ms***:
I am writing in response to your letter regarding the above-mentioned Blue Cross Blue Shield of Minnesota memberthank you for forwarding these concerns presented to you
by *** ***
Due to confidentiality laws, we are unable to provide you specific information regarding *** ***'s request, without a signed Authorization for Release of Information formAt this time we have not received an ARI from the above-mentioned blue Cross of Minnesota member
I trust this information has been of assistanceShould you have additional questions or concerns regarding this matter, please feel free to contact customer service at the phone number on the back of the member's Identification card
Sincerely,
Consumer Service Center
Initial Consumer Rebuttal /* (3000, 10, 2015/09/21) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Please send me this ARI form to fill out and a return envelope so I know its going to the right DeptYou have my address on File.TY
Final Consumer Response /* (4200, 13, 2015/10/02) */
Signed Authorization for Release of Information attached
Final Business Response /* (4000, 12, 2015/10/02) */
Regarding: *** ***
Case Number: ***
Dear Ms***:
I am writing in response to your letter regarding the above-mentioned Blue Cross Blue Shield of Minnesota memberThank you for forwarding these concerns presented to you by *** ***
Due to confidentiality laws, we are unable to provide you specific information regarding *** ***'s request, without a signed Authorization for Release of Information formAt this time we have not received an ARI from the above-mentioned blue Cross of Minnesota member
I trust this information has been of assistanceShould you have additional questions or concerns regarding this matter, please feel free to contact customer service at the phone number on the back of the member's Identification card
Sincerely,
Consumer Service Center

You recently contacted the Revdex.com (Revdex.com) concerning your experience with Blue Cross Blue Shield of Minnesota (BCSMN)Your complaint was provided to Prime Therapeutics LLC’s mail order pharmacy. In your complaint, you expressed your concerns regarding billing you
have received for your insurance premiums for you and your family
We understand your concerns about your insurance billingPrime is the Pharmacy Benefits Manager (PBM) for BCBSMNWe are your prescription drug programs administratorWe are able to address concerns only with regard to your pharmacy benefits
Any questions regarding billing or insurance cost are handled through BCBSMNPlease contact BCBSMN directly to assist you with your concernsBCBSMN can be reached at ###-###-#### or you may refer to the information on the back of your insurance card
If you have further questions or concerns, please call Prime ###-###-####Our member services are available hours a day days a week

Initial Business Response /* (1000, 8, 2015/08/10) */
Regarding: *** ***
Case Number: ***
Dear Ms***
I am writing in response to your letter regarding the above-mentioned Blue Cross Blue Shield of Minnesota memberThank you for forwarding these concerns presented to
you by *** ***
Due to confidentiality laws, we are unable to provide you specific information regarding *** ***'s request, without a signed Authorization for Release of Information formAt this time we have not received an ARI from the above-mentioned Blue Cross of Minnesota member
I trust this information has been of assistanceShould you have additional questions or concerns regarding this matter, please feel free to contact customer service at the phone number on the back of the member's Identification card
Sincerely,
Consumer Service Center
***original document attached
Initial Consumer Rebuttal /* (2000, 10, 2015/08/21) */

Attached is Blue Cross's response to Ms***'s inquiry (#***). Thanks,Brandon ***

Initial Business Response /* (1000, 8, 2016/03/03) */
***corresponding document attached
Suscriber: ***
Case # ***
Dear Ms***:
I am writing in regard to the inquiry Blue Cross and Blue Shield of Minnesota (BCBSM)received from you for the inquiry listed above
Due to confidentiality laws, we are unable to provide you specific information regarding ***, without a signed Authorization for Release of Information FormAt this time we have not received an ARI from the above-mentioned Blue Cross of Minnesota Member
Sincerely,
consumer Service Center
Enclosure(s)
lrg
Initial Consumer Rebuttal /* (3000, 10, 2016/03/03) */
(The consumer indicated he/she DID NOT accept the response from the business.)
They have not addressed the complaint or contacted me directly to address the complaintIf they require some type of release of privacy notice from me, they should have contacted me
Again, this speaks for BC/BS of Minnesota's total disregard for their policy holders

I am rejecting this response because: I have not heard from themAgain my doctor has submitted
appeals and also sent one to Prime stating I cannot use their demanded type of insulin which is any Novo productI have not heard back from Prime eitherAgain my doctor and I have been through this times now each time I am unfortunate enough to have to take Blue CrossIn the past they eventually cover my Humulin medicationI am a lifetime diabetic and need my scripts filled immediately!! Blue Cross is the ONLY "insurer" who denys my meds

I will be faxing the form requested for release of information

I am rejecting this response because:
Business didn't offer any solutionThey didn't even offer a partial reimbursement, any type of accommodation or reassurance to prevent such errors from happening in the futureThis is advertising and poor business practice

September 14, Revdex.com OF MINNESOTA AND NORTH DAKOTA ATTENTION: *** *** S RIVER RIDGE CIR BURNSVILLE MN Regarding: *** *** Complaint ID #: *** Dear Ms***: I am writing in regard to the inquiry Blue Cross and
Blue Shield of Minnesota (BCBSM) received from you for the concern listed above Due to confidentiality laws, we are unable to provide you specific information regarding *** ***, without a signed Authorization for Disclosure of Health Information (ADHI) form. At this time, we do not have an ADHI form on file allowing us to share specific information with you regarding this case An ADHI form has been enclosed Please know we take our members’ concerns seriously. We encourage our members to work directly with us to resolve any concernsMembers can reach us via the Customer Service phone number on the back of their ID card. Sincerely, Consumer Service Center

I am rejecting this response because:The issue has not been fully resolved. I finally received my ID card but am still unable to utilize the Blue Cross member
web site even though I have registered with a log in and password. Every feature I attempt to utilize says the web site is having trouble or that it's unavailable. I don't believe BCBS has properly set up my membership which would allow me to utilize the member web site

January 12, 2017 Revdex.com OF MINNESOTA AND NORTH DAKOTA Regarding: Ms*** *** Complaint ID #: *** Dear MsMoore: I am responding to the inquiry Blue Cross and Blue Shield of Minnesota received from you for the member listed above. We are reaching out
directly to Ms*** to address her concernsShe will be provided a contact and their direct phone number should she have additional questions regarding this issueWe apologized for any inconvenience this caused her. Please know we take our members' concerns seriouslyWe encourage our members to work directly with us to resolve any concernsMembers can reach us via the Customer Service phone number on the back of their ID card. Sincerely, Consumer Service Center

Due to confidentiality laws, we are unable to provide you specific information regarding *** ***, without a signed Authorization for Disclosure of Health Information (ADHI) form. At this time, we do not have an ADHI form on file allowing us to share specific information with you regarding this case. An ADHI form has been enclosed Please know we take our members’ concerns seriously. We encourage our members to work directly with us to resolve any concernsMembers can reach us via the Customer Service phone number on the back of their ID card. Sincerely, Consumer Service Center Enclosure JHS

I am rejecting this response because:
Date Sent: 9/15/12:26:PM I am rejecting this response because:I provided written approval that BCBS could release records to the Revdex.com in my letter dated May 31, Just the same, I have included their preferred form for you to share with them in your perusal of this complaint. Thank you,***

I am rejecting this response because:
I provided written approval that BCBS could release records to the Revdex.com in my letter dated May 31, Just the same, I have included their preferred form for you to share with them in your perusal of this complaint. Thank you,***