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Insurance hell
AAAAARRRGGGHHHHH!!!!! I HATE BUFFOONS!!!!!
My wife went in for knee surgery on 11-5-08. Our PPO provider is Blue Cross Blue Shield.
Neither we nor the care provider has received payment. My wife finally gave up in disgust trying to get this resolved. I've taken over the reigns and have been keeping careful notes on the assumption we will have to sue.
Apparently they think a check was issued. Some in their organization say that it was intercepted before it was mailed, some say it was mailed but hasn't been cashed. Still others say there is an open investigation to determine whether or not it has been cashed.
Regardless, this claim is over 6 months old. I can't imagine how surgery centers stay in business if this is the kind of malarkey they have to deal with.
I've asked to speak with a supervisor, but they can't just hand over the phone apparently. I will be contacted by a supervisor in the next 24-48 hours (not holding my breath). I have the phone number to the legal department, but not sure if I should expect much joy there. I'm thinking I might at least explain what has transpired, and they may realize they could have a legal problem on their hands if this isn't handled post haste and take care of it themselves.
So, my question to those in the know, is how do I bring pressure to bear? Clearly calling multiple times is not having an effect. I want to request all the notes they have on this claim/case, and have an address to submit a written request. What other things should I be requesting? Should I write my congressman?
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