8 Jun, 2020 → by ClaimboUser54720
Slow claims processing and delay tactics

2

We filed a claim in mid-April. They sent a letter to our PCP requesting information. We received a letter 3 weeks later stating they had not received the requested information. I called the Dr's office and the information had been faxed to them the week before. I called the company and after a long while I was told that they did have the information. Saturday we received a letter with the header: S E C O N D R E Q U E S T IF YOU'VE ALREADY RESPONDED, PLEASE DISREGARD THIS LETTER Nowhere in the body of the letter does it mention what they are requesting. I spent half an hour on the phone with Customer (You-Ain't-Gonna-Get-Any) Service with the Freaking SOB telling me he could not forward the call to the people who had sent the letter and Me calling him A Bald-Faced LIAR! He tried to tell me that they are working on the claim; I called him a liar again; if they are waiting for information they need to process the claim, they're not going to do anything further until they get it. He did say he sent a request in to find out what specifically they need and to allow 3 to 5 business days for them to respond (by mail again). That means two more weeks before I know what they are asking for; two more weeks before we can pay the hospitals and ambulance company. User's recommendation: Beware. Our Agent is great, but I'm not sure about the company.
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