CIGNA

Hello-
Thank you for notifying us of this complaintA full audit will be completed and I will follwith the customer directlyThank you
Tanya H***

---- Forwarded message ----------From: Revdex.com of Metro Washington DC Date: Wed, Dec 21, at 10:AMSubject: Fwd: Complaint ID: ***To: *** *** ---------- Forwarded message ----------From: *** Date: Wed, Dec 21, at 9:AMSubject: Complaint ID: ***To: Revdex.com FYI,Cigna is not responding to, or trying to resolve this issueCharlene has all my personal information and was my original contact that denied to pay anything at all as secondary on the Hospital bill. *** ***

Hello-Thank you for forwarding this customer's complaint to CignaCigna will research this customer's complaint and provide folldirectly with the customerThank youTanya H***CignaExecutive Office of Complaints

I have been in contact with the customer and working on resolution

Complaint: ***
I am rejecting this response because:Please see signed and completed HIPPA form which is attached
Regards,
*** ***

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason
is received your complaint will be closed Administratively Resolved]
Complaint: ***
I am rejecting this response because: There is not enough effort from Cigna to resolve this issue and it has been almost two months without any phone calls to resolve this issue
Regards,
*** ***

Thank you for this information. I will have this account reviewed and reach out to the customer directly
Thank you,
Kelly M***

Revdex.com of Metro Washington DC
May (days ago)
to me
---------- Forwarded message ----------
From: ** ***
Date: Tue, May 20, at 4:PM
Subject: complaint #***
To: [email protected]
I
was informed this morning that my complaint has been resolved and my wife will have her surgery next Tuesday Thank you for your help
*** *** ***

Hello-
Thank you for forwarding this customer's complaintCigna has begun reviewing the complaint and will provide folldirectly with the customerTanya H***

Thank you for this information. The claim will be review and outreach to the customer will be made when completed
Thanks,
Kelly M***

October 8, 2015Dear Sir or Madam:
We are writing in response to your correspondence dated October 1, 2015, referencing *** *** ***’s claim for Long Term Disability (LTD) benefits*** *** was covered under her employer full- insured LTD group benefit policy ***This
policy was underwritten by *** *** *** ** *** *** (***) and sitused in the state of Massachusetts.*** *** raised concerns regarding ***’s adverse decision on her LTD claimPlease allow us this opportunity to address her concerns, explain our decision, and provide a current updateWith respect to *** ***’s employer’s LTD policy ***, in order for benefits to be payable, her medical records needed to support that her health conditions caused a functional impairment that would continuously prohibit her from performing the material duties of any occupation beyond months of benefitsThe policy’s “Definition of Disability/Disabled” lays out these requirements and is defined on page of the enclosed policyWhile her LTD benefits were approved for a time, continued LTD benefits were not payable to *** *** beyond June 16, 2015, because she no longer met the policy’s definition of DisabilityThis determination was based on our ongoing medical review of the relatively stable findings and low treatment intensity received from her providersAfter a complete medical review of the available records on file, it was determined that *** ***’s condition would not render her Disabled beyond the date referenced above, according to the terms of her LTD policyAs a result, no further benefits were payable and her claim was closedOn June 16, 2015, a letter was sent to *** ***, which explained our decision and provided information that may be helpful to perfect her claimWe understand that *** *** disagrees with our decision of her LTD claimAccording to our review, she has since filed an administrative appeal with our companyAt this time, her claim has been assigned to Appeal Specialist, Linda G., for reexaminationWe are fully committed to conducting full and fair reviews of all claims, and will consider any new information *** *** wishes to submitOnce all of the information she wants to provide has been collected and an appeal decision has been rendered, Linda will contact *** *** directly with the outcomeIn the meantime, should she have any specific questions regarding the appeal process, *** *** can always contact Linda directly at ###-###-#### for further assistanceThank you for allowing us this opportunity to respond to your inquiry regarding *** ***’s LTD claimWe hope the information provided is helpfulShould you have questions or would like to discuss this matter, please do not hesitate to contact me directly at ###-###-####You may also contact CGI’s Consumer Advocacy department regarding any group disability, life or accident concerns at:Cigna Consumer Advocacy Attn: Meredith *L*** *** *** *** *** Phoenix, AZ *** Email: [email protected] Fax: ###-###-####
Sincerely,
Rick P
Consumer Advocacy Specialist

*** *** MD
Complaint: *** I am rejecting this response as there has been no resolution! The check fraud amount and associated bank fee is still outstanding months later

*** *** ** ** *** *** *** ** * *** *** *** *** ** * *** *** *** *** *** *** *** ** ** *** ** *** *** *** *** ** *** ** ***
*** ***
I am rejecting this response because: Cigna called me twice during work hours of 9-10am when I was unable to answer, they never left me any contact information all I am able to do at this point is call the 1-numberMy problem still persist at this point in time
Regards,
Shane G***

I have sent coorespondence to the customer directly regarding the results
Thanks,
*** ***

Cigna is reviewing this matter and will respond with additional information. We take patient confidentiality seriouslyProtecting our customers’ personal health information is criticalSo much so, that the Health Insurance Portability and Accountability Act (HIPAA) requires that we
protect an individual’s private health information (PHI)Because this matter requires that we look into personal information, we need her to give us permission to share our findings with the Revdex.com*** *** can grant this permission on behalf of her minor daughter by signing the attached Authorization for Use and Disclosure form. Alicia G*** Executive Office Advocacy Team

From:
#222222">Revdex.com of Metro Washington DCDate: Mon, Nov 3, at 9:AMSubject: Fwd: You have a new message from the Revdex.com of Metro Washington DC & Eastern Pennsylvania in regards to your complaint #***.To: *** ***
---------- Forwarded message ----------
From: ***
Date: Sun, Nov 2, at 2:PM
Subject: RE: You have a new message from the Revdex.com of Metro Washington DC & Eastern Pennsylvania in regards to your complaint #***
To: [email protected] regards to my complaint against cignaThey have contacted me and sent a packet with requestthey want a copy of my license which I have providedMy license are still in my maiden name of *** *** due to the fact that I have not had the money to get them changedmy married name is *** *** I have provided them with a copy of my social security to prove this. They stated they needed permission to go back three months prior to my ensurability to see that this was not pre existingI have signed and given them permission to see my medical records three months prior as I only saw a Dr for aurthoritis. they also requested that I give them proof that I have signed up for ssdiI spoke with the ssdi department and they stated that I did not qualify to even apply as my Dr has not stated that I am expected to be disabled for months or more or until deathI can not give them this proof as I do not qualify to apply. They want me to use *** *** to applyI will not use this company as I know they do not have my best interest in mind. They are paid and represent cigna when all is said and done. They also require that I give them at will access to my checking account to make a one time debit at their determination if cigna decides that they have over paid meThat is laughable considering I cant get them to pay me what they owe me much less an overpayment. I will not give anyone unrestrained access to my checking account and they have no legal right to ask that. This is all the contact that I have receive so far and I have answered all request except to use advantage and after talking with ssdi agent the ssdi application
thank you

Thank you for this inquiry. I will review and respond directly to the customer
Thank you,
*** ***

We have tried to contact the customer, *** ***, using the telephone number listed in the complaint without successThis is not a valid number
The person that filed the Revdex.com complaint will need to
"Calibri","sans-serif"Times New Roman"Times New Roman"">call ###-###-#### for resolutionWe consider this to be a closed issue

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the
responseIf no reason is received your complaint will be closed Administratively Resolved]
Complaint: ***
I am rejecting this response because: I received the business's message on June (days ago) and I still haven't heard from themThis is what I was talking about in my original complaint, first they tell me one thing, I do what they said, they turn around and say that I did the wrong thing! And now it's radio silence, I haven't heard anything from them and this keeps getting more and more frustratingI need this to be resolved ASAPCigna, please be ethical and show a sense of urgency
Regards,
*** ***

Don't waste your money !!! I'm in Michigan being treated for extreme anxiety from ptsMy doctor is incorrect in my treatment according to Cigna , who is in Pennsylvania , so they are refusing to payGreat how an insurance company thinks they know more about treating a patient than your personal physicianHorrible company