CIGNA

Hello-Thank you for forwarding this customer's complaint. Cigna will review the complaint and follow-up directly with the customer. Thank youTanya H[redacted]Cigna's Executive Office of Complaints

May 15, 2015Dear [redacted]:We are writing in response to your correspondence dated May 4, 2015, regarding [redacted]’s claim for Short Term Disability (STD) benefits. [redacted] was covered under her employer provided, self-funded STD plan [redacted], which was administered by [redacted]).
[redacted] has expressed her concerns regarding the management of her claim and customer service. We appreciate the opportunity to address her concerns.
As outlined in our previous letter dated April 28, 2015, [redacted]'s claim's claim was received on February 25, 2015, and benefits were initially approved on March 24, 2015, Ongoing STD benefits were approved after receiving updated medical information On April 2, 2015 from her treatment provider that included the following: 
• Family Medical Leave and Medical Request Form (MRF) dated March 31, 2015;
• Office visit note dated March 17, 2015; and
• Work/School Status Note
Based on the review of the above medical information, STD benefits were extended and a benefit check was released on April 6, 2015, for the period of March 22, 2015 through April 7, 2015. Our office did receive duplicate medical records from [redacted] on April 6, 2015, except for a March 9, 2015 office visit note.
On April 16, 2015, our office received an office visit note dated April 7, 2015; however, it was incomplete. Therefore, on April 17, 2015, we requested [redacted]'s medical records from April 7, 2015 to the present and the completion of a MRF. Our office received the requested medical information on that day, and they were reviewed on April 22, 2015. It was at that time it was determined that [redacted]'s benefits were payable through April 27, 2015. However, our office received an email from her employer indicating that she returned to work on April 22, 2015, As a result, STD benefits were only payable through April 21, 2015. [redacted]'s final benefit check was released on April 27, 2015 for the period of April 8, 2015 to April 21, 2015.
In addition, we regret any stress caused to [redacted] due to the lack of customer service and effective communication during the claim review process. We are committed to customer service, and agree that effective communication is very important, especially when dealing with one's livelihood.
Also, we understand that [redacted] would like to be compensated for stress, late fees, and past due bills. However, her STI) plan does not provide for additional compensation outside of the Disability benefit. If she still has not received her STD benefit checks, she may contact our office to discuss possible alternative methods to receive benefit payments. We would like to advise that any alternative would have to be discussed and approved by her employer,
We appreciate the opportunity to be of service and hope that the information provided has been helpful. Should you have any further questions or concerns, please do not hesitate to contact our office,Sincerely,Bianca W[redacted]Consumer Advocacy Specialist

Hello,
Thank you for this inquiry.  I have reached out to the customer to obtain further information, and will continue to do so until completion.
 
Thank you,
Kelly

We have sent a response to the customer today in regard to Revdex.com # [redacted].

Thank you for forwarding this complaint to Cigna. Please be advised a written response was sent to the customer on 4/30/2015 and again today (6/4/2015).
Charlene V[redacted]
Executive Office Advocacy Team

Hello,Cigna has received this complaint at the Executive Office Advocacy Team, and will follow up with the customer directly for resolution.Thank You,Rafael P.

Cigna is reviewing this matter and will respond with additional information.  We take patient confidentiality seriously Protecting our customers’ personal health information is critical. So 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 him to give us permission to share our findings with the Revdex.com. Jaime can grant this permission by signing the attached Authorization for Use and Disclosure form.

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
 Complaint: [redacted]
I am rejecting this response because:
Regards,
[redacted]

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
 Complaint: [redacted]
I am rejecting this response because: Erica called me on 12/4 to say records have arrived and she would call me with results  by 12/8. This is 12/12 and she still has not called me. It has been over 15 months and still no resolution.
Regards,
[redacted]

We have received the Revdex.com complaint from this customer and have sent out an acknowledgement letter as of today. I have attached a copy of the authorization for disclosure form that was also sent to the customer.

Cigna is reviewing this matter and will respond with additional information.  We take patient confidentiality seriouslyProtecting our customers’ personal health information is critical. So 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. [redacted] can grant this permission by signing the attached Authorization for Use and Disclosure form.

Thank you for forwarding this complaint to Cigna. Cigna is reviewing the complaint, and an acknowledgement letter was sent to the customer on December 19, 2016.Rae B[redacted]Executive Office Advocacy Team

I will have this addressed and outreach to the customer regarding the payments.
 
Thank you,
 
Kelly M[redacted]

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Better Business...

Bureau:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me as far as returning the $30.  However, the money you charge for the services covered should be illegal and what Cigna advertises is false.  
Regards,
[redacted]

Thank you for this information.
I will be researching the issue and will respond to the customer once complete.
 
Thank you,
Nicole P[redacted]
Executive Office Advocacy Team

We are actively working on this complaint and have been in contact with the customer via phone. We hope to bring this to some type of resolution next week. Revdex.com complaint # [redacted].

Hi Cigna is reviewing this case and will reply pending the customer authorization to release.Thank youRandy F[redacted]

We take patient confidentiality seriously Protecting our customers’ personal health information is critical. So 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. Eva can grant this permission by signing the attached Authorization for Use and Disclosure form.

Thank you for forwarding this complaint to Cigna. Cigna has reviewed this complaint and resolution letter has been sent to the customer on 06/23/2016.
Charlene V[redacted]
Executive Office Advocacy Team

Cigna has completed our review of this Revdex.com request
and a final resolution has...

been communicated to the customer.