@JustaMom5465 Did the vinegar and baking soda work?
“They admit they made a mistake when reprocessing a claim, which is costing me many hundreds of dollars, but they won’t fix it. I will try to call back again after the holidays and then file an appeal”
I had a similar thing happen to me. In my experience the folks that you get when you call will sound helpful, but will never do anything. Every time you call you get a different explanation of how they are going to fix things, but they never get fixed. This strings things along until the time limit to file an appeal has expired. Then you are out of luck.
You need to either file the appeal ASAP, or complain to the company through which you get your insurance (probably an employer), or both.
I have called my BCBS many times when they rejected claims so it would be reprocessed. Eventually they always did reprocess. I’d always get the name and contact info of anyone who was helpful and escalate to a supervisor as needed. When that didn’t work, I’d appeal. We never did ask H’s HR to help, but that may be another option.
Generally we get s paper from insurer telling us how long we have to appeal and where the appeal needs to be filed.
They wont give their contact info- just the generic customer service #.
And I dont think I can appeal until they deny- but they have just gone dark.
If you can at least get their name so you can reference them and the date in the next phone call it sometimes MAY be helpful. At my BCBS, they do write notes into the file and look it up when I call about an issue.
I’ve been having billing due to a company that is providing me medical equipment not giving insurers the paperwork they wanted since July now and have spoken with several st BCBS who have escalated the issue and repeatedly told me NOT to pay. They call the company who is sending the bills telling them to stop sending me bills.
In the past we were getting H’s bills incorrectly processed because BCBS insisted that since H had Medicare A, he must also have B and therefore their policy was secondary. That took months to straighten out, but I persisted and BCBS did pay and we only paid our small copays.
Aetna did process our claims outside of HI when we have service outside of our state and generally they process the claims correctly for us. They will resubmit and reprocess as needed. I do call providers to advise the billing dept when there is a delay due to coverage or other issues that resolve.
I have the names, but ironically the previous person’s name didnt even show up in their employee log! I have the last persons name and ID and was clever enough to get her to give me the name and phone # of her supervisor, so I can go that route if necessary.
I am both a customer and provider for BCBS, so am trying to work several options.
I once had to fight for 2 years to get some preauthorized evaluations I did for UHC paid. After finally succeeding, I resigned form their panel.
@TatinG : I’m not very good at fixing photos, but I bet even I could handle that one in about 10 seconds. “What sharp eyes you have,” said the wolf.
Question:
We are having a brunch at our home to celebrate 2 occasions. We want people to drop by between the times we post.
The rest of the invitation is already worded, but I am struggling with this.What sounds best? “Stop by between… Stop in between… Drop by between… drop in between… Come by between…” or do you have other suggestions? I prefer not to to use “open house” ,but if we called it an open house brunch, would we still need to say "drop by between… " TIA.
I’d write drop by between x and y because that’s what you want. Clarity is a virtue.
Thanks. Is it weird to call it an open house brunch? And if we call it an open house brunch and then say its between x and y time, is that clear?
Friends of ours did an invitation which said (basically) "We’re having a party on “insert date” from “insert time hours”. Love to see you!–no need to RSVP.
Thanks. But its being catered so we do need a head count. I plan to ask for RSVPs but would like people to spread out when they come, so we can accommodate everyone.
What about:
Open House Brunch
11am - 2pm.
Come anytime.
Somehow, you want them out by a certain time?
Thats a good idea. There will be a baby that needs to nap. Open house is for the engaged couple and the new baby/parents. (sort of a “the family is in-- come spend time with us”)
Hope they don’t come “anytime”!!
The brunch we gave he day after DS’s wedding was supposed to be 11:00 AM until 2:00 PM. Some of them stayed until 5:00 PM. :((
OH my. Well, we’ll let the hanger’s on change the baby’s diapers 
"Some of them stayed until 5:00 PM. "
I would actually expect this–the closer the friends, the longer they linger. But it doesn’t mean you need to entertain them or keep from “cleaning up” and attending to business. Put them to work. Friends offer.
Or if you desire, just tell them gently you have plans soon that don’t include them–send them home. It’s okay!
Actually I don’t mind if people stay- Its the crowd all being here at once that poses the challenge. And the caterers will be cleaning up at the end too.