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Fri, 5 Feb 2010 04:15:42 -0800
From: "Jeanette Jefferson \(Hotmail\)" <email @ redacted>
To: <email @ redacted>
References: <email @ redacted>
Subject: [IP] Re: insulin-pumpers-digest V11 #730
Date: Fri, 5 Feb 2010 07:15:41 -0500
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Hi RoseLea and others,
My company just switched us to BCBS of KS I think it is (the company
is in MO, I live in PA! Go figure!)
Anyway...I've always heard terrible things about BCBS in general (my
Mom and Dad are on BCBS) and it's just started with me! They are
denying my Accu-chek strips as well for quantity. My doc has to "pre-
auth" the amount (I should be getting around 900 per 90 days as you
mentioned) and faxing back-and-forth forms, etc. You'd think that if
the doc wrote the script a certain way, that would mean he authorizes
it to be filled that way! Ugh! That would be too logical and
efficient I guess? :-\
So, we'll see how this goes. I haven't yet seen what they are going
to do about my MM pump supplies - tubing and sensors. I can only
pray that they don't hold that stuff up too! I've had lots of
insurance companies over the years (company changes, job changes) and
this is the first time I've run into this, so I guess I should count
myself lucky.
Good luck to you! JJ
> Date: Thu, 04 Feb 2010 16:28:02 -0500
> From: RoseLea <email @ redacted>
> Subject: [IP] I hate insurance companies
>
> Most of you may know of my trials and tribulations with my insurance
> company, BCBS of Michigan. I received a quarterly shipment of test
> strips (900) December 1, 2009. They rejected the claim totally
> saying I had already received the maximum allowed. Huh? This was
> the first shipment covering December, January and February. So, I
> contacted the insurance company and they recommended that the
> supplier put a range of dates on the claim. So, I called the
> supplier and relayed this info to them. The supplier said that they
> would resubmit the claim with that info, that the strips were for
> December, January and February. Needless to say, the insurance
> company rejected the claim a second time for the same reason. I
> finally got the stuff together to send the claim in to appeals. I
> got a letter from the insurance appeals department dated January 25,
> 2010 saying that they were looking into it. They paid the claim in
> full on January 29th, 2010. Only 4 DAYS! Guess they didn't have to
> look real far to see that they should have paid this claim in the
> first place! I think they should have to pay ME a penalty for
> submitting me to their harassment in refusing to pay my claims
> correctly in a timely manner.
>
> I hate insurance companies. They are all looking for ways to cheat
> us out of what they should be paying. Thanks for letting me vent. I
> can't wait for my March shipment of strips to come and I have to go
> through this all over again. *sigh*
>
> RoseLea
.
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