Blue Shield of California

I am rejecting this response because: I have gotten no correspondence from Blue Shield besides a faxed email telling me to contact customer service, which I have ALREADY done several times and have gotten no where which is why I finally filed a complaint. This is NOT an appropriate response from them. I souls like someone to contact me that can help!! Otherwise I have gotten nothing from them. HELP!?!

I am rejecting this response because: The response from Blue Shield is completely acceptable in regards to refunding the premium payments that I made through November. However the refund does not include the $33.60 payment that was automatically withdrawn from my credit card account on 12/1. I no longer have access to my online Blue Shield account since the account was cancelled with the assistance of the Revdex.com at my request, so I was unable  to go online to cancel the auto payment myself, but I called Blue Shield this morning to cancel the auto payment and it has now been cancelled as of today.  The total amount of premium payments that I have made to this account that was never activated is $235.20 which includes the $33.60 paid on 12/1.  Thank you for your assistance in completely resolving this matter.[redacted]

This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on February 11, 2015, concerning a Blue Shield enrollee by the name of [redacted]. The information provided by the Revdex.com included a consumer complaint against Blue Shield.We thank...

you for forwarding these concerns to Blue Shield for review and would like to inform you that [redacted] Ms. [redacted] has not completed the grievance process with the plan. We are initiating a grievance to address the concerns raised in the correspondence submitted. Please be advised that, grievances are resolved within 30 days of the receipt date. A response to the review will be sent directly to Ms. [redacted], and a copy of the resolution letter will be sent to the Revdex.com as we received a signed release of information with the correspondence submitted by the Revdex.com.If you have additional questions regarding this matter, please contact me directly at the telephone number listed below.Sincerely,[redacted], Regulatory CoordinatorGrievance Department[redacted]

This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on February 1 1. 2015, concerning a Blue Shield enrollee by the name of [redacted] .The information provided by the Revdex.com included o consumer complaint against Blue Shield. We thank...

you for forwarding these concerns to Blue Shield for review and would like to inform you that Ms. [redacted] has not completed the grievance process with the plan. We are initiating a grievance to address the concerns raised in the correspondence submitted. Please be advised that, grievances are resolved within 30 days of the receipt date. A response to the review will be sent directly to Ms. [redacted] and a copy of the resolution letter will be sent to the Revdex.com as we received a signed release of information with the correspondence submitted by the Revdex.com. If you have additional questions regarding this matter, please contact me directly at the telephone number listed below.

Company states: The customer was referred to their employer. Since this is a group policy no changes can be made from the individual and the group makes the decision and has to be notified.

I am rejecting this response because:
 
Blue Shield of California never contacted me directly. I called customer service on...

September 3rd, 2014 with reference number [redacted]. I was promised a refund will be sent to my mailing address within 7-10 business days. As of today, Sept. 24, I still haven't received the refund, no one has tried to contact me and also already back in August they promised me a refund too. I can't see this issue resolved until I actually receive the check/refund. Thank you.

This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on March 30, 2015, concerning a Blue Shield enrollee by the name of [redacted]. The information provided by the Revdex.com included a consumer complaint against Blue Shield.We thank...

you for forwarding these concerns to Blue Shield for review and would like to inform you that Ms. [redacted], has not completed the grievance process with the plan. We are initiating a grievance to address the concerns raised in the correspondence submitted. Please be advised that, grievances are resolved within 30 days of the receipt date. A response to the review will be sent directly to Ms. [redacted]. Our records do not reflect a signed release of information from Ms. [redacted], we are unable to provide a copy of the resolution to the Revdex.com. If Ms. [redacted] has signed a release of health information to the Revdex.com, you may send a copy to my attention via fax at ###-###-#### or by mail at:P.O. Box 5588El Dorado Hills, CA 95762If you have additional questions regarding this matter, please contact me dreictly at the telephone number listed below.Sincerely, [redacted], Executive Inquiry Coordinator###-###-####

Company states that they are still adjusting the credit because the premiums were changed. The total refund of 792.33 will be completed 7-10 business days from the 8th.

I am rejecting this response because: it is not a response. It is a we will get to it later.  I've been dealing with these same delay tactics for 7 months. I also have signed certified letter receipts from February in which our grievance was ignored.

Dear Mrs. [redacted]:This is in response to the grievance received by Blue Shield of California (Blue Shield) on November 17, 2014, regarding Enhanced Dental HMO $0 plan. You have requested Blue Shield to cancel your dental plan to your original effective date and refund of your premium payments.Your request has been approved. Blue Shield has terminated your dental plan effective June 01, 2014. We have also issued you a refund check in the amount of $201.60.It is important to understand that this decision has been made on an exception basis and, in making this decision; Blue Shield does not waive any of its rights to enforce the provisions of your health plan on this or any other matter.The appeal review was conducted by a Blue Shield Grievance Coordinator with training and experience in processing member grievances.If you have any questions regarding this letter, please contact me directly.Sincerely,[redacted], CoordinatorGrievance Department(916) 350-9960Enclosures:Information regarding the DMHCInformation regarding ERISAInformation regarding Language Assistance Service

This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on October 10. 2014, concerning o Blue Shield enrollee by the name of [redacted]  [redacted]. The information provided by the Revdex.com included a consumer complaint against Blue...

Shield.
We thank you for forwarding these concerns to Blue Shield for review and would like to inform you that Mr. [redacted] has not completed the grievance process with the plan. We are initiating a grievance to address the concerns raised in the correspondence submitted. Please be advised that, grievances ore resolved within 30 days of the receipt date. A response to the review will be sent directly to Mr. [redacted], and a copy of the resolution letter will be sent to the Revdex.com as we received a signed release of information with the correspondence submitted by the Revdex.com.
If you have additional questions regarding this matter, please contact me directly at the telephone number listed below.

Initial Business Response /* (1000, 5, 2015/06/29) */
This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on June 24, 2015, concerning a Blue Shield enrollee by the name of [redacted]. The information provided by the Revdex.com...

included a consumer complaint against Blue Shield.
We thank you for forwarding these concerns to Blue Shield for review and would like to inform you that we are currently reviewing the concerns raised in the correspondence submitted. A response will be sent directly to [redacted]. Our records do not reflect that a signed release of information was submitted with the correspondence sent by the Revdex.com. Unfortunately, without a signed release of information from [redacted], we are unable to provide a copy of the resolution to the Revdex.com. If [redacted] has signed a release of health information to the Revdex.com, you may send a copy to my attention via fax at XXX-XXX-XXXX or by mail at:
[redacted] Box [redacted] El [redacted] Hills, CA XXXXX
If you have additional questions regarding this matter, please contact me directly at the telephone number listed below.

This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on November 24, 2014, concerning o Blue Shield enrollee by the name Shirley [redacted]. The information provided by the Revdex.com included a consumer complaint against Blue Shield. We thank you for forwarding these concerns to Blue Shield for review and would like to inform you that Ms. [redacted] has not completed the grievance process with the plan. We are initiating a grievance to address the concerns raised in the correspondence submitted. Please be advised that, grievances are resolved within 30 days of the receipt date. A response to the review will be sent directly to Ms. [redacted].  Our records do not reflect that a signed release of information was submitted with the correspondence sent by the Revdex.com. Unfortunately, without a signed release of information from Ms. [redacted], we are unable to provide o copy of the resolution to the Revdex.com. If Ms. [redacted] has signed o release of health information to the Revdex.com, you may send a copy to my attention via fax at ###-###-#### or by mail at: P.O. Box 5588 El Dorado Hills, CA 95762

This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on February 18, 2015, concerning a Blue Shield enrollee by the name of [redacted]. The information provided by the Revdex.com included a consumer complaint against Blue Shield.We...

thank you for forwarding these concerns to Blue Shield for review and would like to inform you that Steve Ms. [redacted] has not completed the grievance process with the plan. We are initiating a grievance to address the concerns raised in the correspondence submitted. Please be advised that, grievances are resolved within 30 days of the receipt date. A response to the review will be sent directly to Ms. [redacted], and a copy of the resolution letter will be sent to the Revdex.com as we received a signed release of information with the correspondence submitted by the Revdex.com.If you have additional questions regarding this matter, please contact me directly at the telephone number listed below.Sincerely,[redacted] Regulatory CoordinatorGrievance Department([redacted]

This letter is in reference lo the correspondence received by Blue Shield of California (Blue Shield) on December 15, 2014, concerning a Blue Shield enrollee by the name of Mr. [redacted]. The information provided by the Revdex.com included a consumer complaint against Blue Shield. We...

thank you for forwarding these concerns to Blue Shield for review and would like to inform you that Mr. [redacted] has not completed the grievance process with the plan. We are initiating a grievance to address the concerns raised in the correspondence submitted. Please be advised that, grievances ore resolved within 30 days of the receipt date. A response to the review will be sent directly to Mr. [redacted], and a copy of the resolution letter will be sent to the Revdex.com as we received a signed release of information with the correspondence submitted by the Revdex.com, If you have additional questions regarding this matter. please contact me directly at the telephone number listed below.

Initial Business Response /* (1000, 8, 2015/05/11) */
This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on May 7, 2015, concerning a Blue Shield enrollee by the name of [redacted]. The information provided by the Revdex.com included...

a consumer complaint against Blue Shield.
We thank you for forwarding these concerns to Blue Shield for review and would like to inform you that [redacted], has not completed the grievance process with the plan. We are initiating a grievance to address the concerns raised in the correspondence submitted. Please be advised that, grievances are resolved within 30 days of the receipt date. A response to the review will be sent directly to [redacted], and a copy of the resolution letter will be sent to the Revdex.com as we received a signed release of information with the correspondence submitted by the Revdex.com.
If you have additional questions regarding this matter, please contact me directly at the telephone number listed below.
Sincerely,
Chasytie W., Executive Inquiries Coordinator Grievance Department (XXX) XXX-XXXX
Blue Shield of California Grievance Deportment P.C. Box XXXXXX, El Dorado Hills, CA, XXXXX-XXXX
Initial Consumer Rebuttal /* (3000, 10, 2015/05/12) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Please give me my refund. You had approximately 4-5 months to figure this out. I don't understand the reason for another delay.
Final Business Response /* (4000, 12, 2015/05/14) */
This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on May 12, 2015, concerning a Blue Shield enrollee by the name of [redacted]. The information provided by the Revdex.com included additional information for a current consumer complaint against Blue Shield.
We thank you for forwarding these concerns to Blue Shield for review. Our records indicate [redacted] Pork's original grievance received on May 7, 2015, is still currently in review with the plan. Please note, grievances are resolved within 30 days of the receipt date. We will include the additional submitted information in our review.
If you have additional questions regarding this matter, please contact me directly at the telephone number listed below.
Sincerely,
[redacted] Executive Inquiries Coordinator Grievance Department (XXX) XXX-XXXX

Company states: Customer service department has contacted the customer and also trying to resolve system issues. There is a $792.33 they are trying to refund.

This letter is in reference to the correspondence received by Blue Shield of California (Blue Shield) on April 15, 2015, concerning a Blue Shield enrollee by the name of [redacted]. The information provided by the Revdex.com included a consumer complaint against Blue Shield.We thank...

you for forwarding these concerns to Blue Shield for review and would like to inform you that we are currently reviewing the concerns raised in the correspondence submitted. A response will be sent directly to [redacted]. Our records do not reflect that a signed release of information was submitted with the correspondence sent by the Revdex.com. Unfortunately, without a signed release of information from [redacted], we are unable to provide a copy of the resolution to the Revdex.com. If [redacted] has signed a release of health information to the Revdex.com, you may send a copy to my attention via fax at 916-350-7405 or by mail at: [redacted]If you have additional questions regarding this matter, please contact me directly at the telephone number listed below.

Customer states: We accept the refund amount.

Dear Mr. [redacted]:This is in response to the grievance received by Blue Shield of California (Blue Shield) from the Revdex.com on April 21, 2015, regarding billing and compensation. You are requesting that you are able to use the service that you pay for and Blue Shield compensate you for your time spent fixing the billing problems.Your request has been approved. Our records indicate that your health plan is active and you currently have access to health care. We have placed a onetime credit on your account for your April 2015 premium in the amount of $299.92. Please allow three to five business days for the credit to reflect on your account.It is important to understand that this decision has been made on an exception basis and, in making this decision; Blue Shield does not waive any of its rights to enforce the provisions of your health plan on this or any otherclaim.The appeal review was conducted by a Blue Shield Grievance Coordinator with training and experience in processing member grievances.If you have questions regarding this letter, please contact me directly. If you have questions regarding your health plan benefits, please contact your Customer Service Department at ###-###-####.Sincerely,[redacted]., CoordinatorGrievance Department###-###-####