Blue Cross & Blue Shield of Minnesota

Blue Cross has contacted me and says they will process my refund as soon as a minor clarification on dates is provided
Should they follow through, which I have no reason to doubt now, this will be a wonderful resolution - although there was a lot of time and hassle to get here

Attached is the letter noting our response to Ms*** in regards to her open Revdex.com caseWe are in the process of reaching out to her directly to resolve her case. Thanks,Brandon

Initial Business Response /* (1000, 8, 2016/02/01) */
Regarding: *** ***
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
With the information provided, we are
unable to locate this as a patient in our systemIf you have additional information that may help us, please remit that and we will research this for you
Sincerely,
Consumer Service Center
Enclosure(s)
***corresponding document attached
Initial Consumer Rebuttal /* (2000, 10, 2016/02/11) */

Regarding: ** ***Case: ***Dear Ms***:I am writing in regard to the inquiry Blue Cross 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 form. At this time we have not received an ARI from the above-mentioned Blue Cross of Minnesota Member.Sincerely,Consumer Service Center

Initial Business Response /* (1000, 9, 2015/10/22) */
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 MsWest'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

Ms***,Please find our response to Mr***'s Revdex.com requestWe will be reaching out to him shortly and please let me know if you have any questions and/or concerns. Thanks,Brandon ***

I am rejecting this response because:1.) My name is *** and not ***If you would have read the complaint I am sure you would have at least gotten my name rightIt appears that Blue Cross and Blue Shield response is a standard form letter that Blue Cross and Blue SHield of Minnesota has
drafted and without reading or looking into complaints they uncaringly send out a standard meaningless response. 2.) Blue Cross and Blue Shield of Minnesota has not reached out to me3.) I have talked with representatives from Blue Cross and Blue Shield on two occasions regarding this matter The first time I called was on 12/26/ I was on hold for over minutes Once I did get ahold of a Blue Cross and Blue Shield representative we just began our conversation and either the representative hung up on me or we lost our connection The representative was very aware of the long wait time to get through but he did not have the courtesy to call me back knowing full well that if I wanted to talk to anyone from Blue Cross and Blue Shield I would have to call back and be stuck on hold for another minutes I did not have the time to wait on hold on 12/26/so I called back on 12/28/and while the hold time was only about minutes, the representative could not answer my question or help me with my concerns.4.) If Blue Cross and Blue Shield cannot get the name on whom they are addressing their response to right and whomever is responding for Blue Cross and Blue Shield cannot sign their name or furnish a direct line to call, it is quite obvious that they any concerns whatsoever for their customers, their only concern is their premium

Good afternoon.Attached is our response to Mr*** ***'s complaint. I apologize for the delay. Lori ***Senior Business AnalystBlue Cross and Blue Shield of Minnesota

I am rejecting this response because: Have not received a refund that I'm owed!

I am rejecting this response because:
I must respond within a certain number of daysI have not yet received a call from BCBS per their letter

We have sent faxes on three different machines, (and have confirmations) snail mail, and now we just sent an email
They continue to claim they do not have our letter of request for a refund, which at this point is impossible to believe
We have also sent two different forms proving we had insurance elsewhere from both the state and the countyThey continue to claim nothing is received
Since we continue to get confirmations on different days different machines etcWe feel this is an outrageous delay tactic and are at our wits end
They say they will return the money but at this stage we continue to be hit with roadblocks

Initial Business Response /* (1000, 8, 2016/02/26) */
Regarding: Case # ***
Dear Ms***:
I am writing in regard to the inquiry Blue Cross Blue Shield of Minnesota (BCBSM) received from you for the inquiry listed above
With the information provided, we are unable to locate this
as a patient in our systemIf you have additional information that may help us, please remit that and we will research this for you
Sincerely,
Consumer Service Center
Initial Consumer Rebuttal /* (2000, 10, 2016/03/07) */

Complaint ID #***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 ** *** to address their concernsThey will be provided a contact and their direct phone number should they have
additional questions regarding this issueWe apologized for any inconvenience this caused them.Please know we take our members' concerns seriouslyWe encourage our members to work directly with us to resolve any concernsM embers can reach us via the Customer Service phone number on the back of their ID card.Sincerely, Customer Service Center

*** *** ***
*** *** ***
*** *** ***
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

Ms***,Please find Blue Cross Blue Shield of MN's response to Ms***'s case filed on 8/11/We will be following up with Ms*** via phone within the next hours to ensure that her concerns are addressed. Thank you,Brandon ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me. I
now have my insurance reinstatedI have an email confirming my insurance did start on 1/1/as it was originally intendedI was promptly addressed and professionally taken care ofI am very satisfied with this outcomeThank you for your assistance

Regarding ID # ***Dear Ms***:I am writing in regard to the inquiry Blue Cross and Blue Shield of Minnesota (BCBSM) received from you for the issue listed above.Due to confidentiality laws, we are unable to provide you specific information regarding *** ***, without a signed
Authorization for Release of Information form At this time we have not received an ARI from the above-mentioned Blue Cross of Minnesota Member.Sincerely,Consumer Service CenterEnclosure(s)lrg

Initial Business Response /* (1000, 13, 2015/12/23) */

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me. Per phone call with consumer, Blue Cross Blue Shield resolved the complaint

Initial Business Response /* (1000, 8, 2015/09/11) */
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 Mr***'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, 14, 2016/01/07) */
BCBSMN's failure to provide accurate provider info resulted in me choosing wrong healthcare plan
I previously filed a complaint with the Revdex.com (#***)As I attempted to resolve the issue with BCBS and the state, the file expiredI would like to reopen this complaint since I have not yet received satisfactory resolution
In late 2014, when I was reviewing health insurance options, one critical need was in-network coverage for the therapist I have been working with for the past couple of years (Kelly *** at *** in Saint Paul)Based on a search of the BCBS website, I determined that she was covered by the Allina Health Network, and so I chose that networkThe premium was higher than I wanted, but I anticipated a high level of coverage and quality of service
As a person does, I didn't review claims and billings too closelyIn March, I logged in to the BCBS MN web site and found that none of my visits had been covered as "in-network"What I learned is that Kelly *** was NOT, in fact, part of the Allina Health Network
I contacted BCBS of MN and after a few weeks, they covered the cost of my previous visitsHowever, they refused to cover additional services at the in-network rate until Ms*** was accepted into the Allina Health NetworkShe applied to be in the network, and after several weeks of waiting, was deniedShe filed an appeal, and is still waiting for a decision as of late August
During the interim, I opted to not continue therapy with Ms*** because of the costI expected that she would be accepted into the Allina Health Network and that foregoing therapy for a couple of months, while not ideal, was the best of several poor alternativesDiscontinuing therapy has resulted in my depressive symptoms being harder to manage, such that my quality of life over the past several months has deterioratedI am now in the process of finding a new provider, and will begin the slow process of developing a relationship with a new therapist
In the meantime, I have been paying a high premium for an insurance plan that does not provide the level of coverage that I expected to receiveIn addition, I am unable to change to a new plan through MnSure for the remainder of the year due to rules about open enrollment and eligibility issues surrounding the circumstances under which insurance is discontinued(At least, this is my understandingI find health insurance to be needlessly complicated, to the point that I do not believe patient well-being is a priority for the insurance industry.)
Throughout this process, BCBS of MN has provided low quality customer service
When I initially searched to find out if my therapist was in the Allina Health Network, their website provided inaccurate information, which resulted in me making the wrong selection for health insurance
When I discovered the problem, it took several weeks for them to resolve it, and I only learned of the resolution by contacting the office - they did not contact me to notify me of the decision
They refused to allow for additional visits unless Ms *** was in the Allina Health Network, and then denied her membership in that networkThey have been extremely slow in dealing with her appeal of that decision
It is unfortunate (to say the least) that the quality of service provided by Blue Cross and Blue Shield of Minnesota has played a pivotal role in a months-long decline in my mental healthSince there is no feasible means for them to rectify the problems that have resulted from their poor service, I am seeking financial restitution
At this point, BCBSMN has continued to deny my request, and I have made no headway through governmental channels, although I have a pending complaint to the Department of Commerce
I have submitted an authorization for BCBSMN to release information to Revdex.com regarding this issue, and am willing to provide copies of correspondence if neededIn their system, the reference number for this complaint is
I am requesting a refund of all premiums paid from April to December of At $per month, this comes to $2,
***copied and pasted from 2nd complaint filed, extension of this originalTransferred data and re-opened this one, closed the duplicate
Final Business Response /* (4000, 22, 2016/02/04) */
Dear Mr***:
I am writing in regard to the inquiry Blue Cross and Blue Shield of Minnesota (BCBSM) received from Revdex.com of Minnesota and Dakota for the issue listed above
Due to confidentiality laws, we are unable to provide you specific information regarding Revdex.com Inquiries, 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)
Cc: Revdex.com of Minnesota and Dakota
Final Consumer Response /* (3000, 24, 2016/02/08) */
(The consumer indicated he/she DID NOT accept the response from the business.)
BCBSMN has taken no accountability for the impacts of their actionsAt EVERYSINGLEPOINTthey have illustrated that they have no respect for me as a customer or as a human beingEvery correspondence I have had with them on this matter has further cemented my negative opinion of the organization
Based on my experience, I no longer anticipate a satisfactory resolution to this issueIn fact, at this point, my original requested resolution is no longer acceptable to meThis issue has been going on for nearly a year, and I am now at the point where there is literally no action they could take that I would consider "satisfactory"They as an organization have continually refused to hold themselves to any reasonable ethical standard