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From what I've gathered, the problem doesn't seem to be that the claim is denied.
My plan is administered in Maryland, where we've got a sister company. It was cheaper for us to get coverage by joining their plan, I suppose.
Where it gets tricky is that their office (says they) cannot pay claims to out of state claimants. Instead they submit the claim to a California BC/BS office, who makes payment.
According to their records, somebody in the Maryland office did issue a check. There are notes that say the check was intercepted before it was sent out. Presumably this was because they are not supposed to issue out of state checks. Now they say that the California office says they sent a check. Nobody's received a check.
You'd think it would be a simple matter to put a stop payment on the check, wait a few days and check to confirm the check has not posted, then re-issue a new check.
But Noooooo, that's too easy. They need to open a Case File™ so that it can be investigated. There's no set time the investigation has to conclude - I suspect this is another of the "float" techniques.
Also, I cannot speak with the CA office handling the payment because they are not my provider.
So, the game seems to be point fingers back and forth claiming that they're doing their utmost to service their customer by opening a case.
It sickens me.
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