- Report: #1178990
Complaint Review: Anthem - Connecticut
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Anthem
Connecticut, USA
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Anthem Reimbursed for allergy/sinus doctor visit and medication. C.G.S. states to reimburse within 30 days, and did not, to date have not received anything. I would like my money reimbursed approximately $150.00 to $190.00. I have documentation to add. Connecticut
Anthem did not reimburse me the approved doctor visit and medication for sinus/allergy. C.G.S. states to reimburse within 30 days. to date, have nothing and has been going on since 2012. I have documentation to add via e-mail, please forward an e-mail to help resolve this issue. Thank you.
1 Updates & Rebuttals
Susan
Salem,Connecticut,
Anthem - Letter of Evidence
#2Author of original report
Thu, October 02, 2014
After 6 letters to resolve the issue, below is the C.G.S. a legal statute that requests payment to me within 30 days. To date, it is not resolved. As a former state employee, when a visit to doctor is complete, the reimbursement is submitted by the doctor's office to reimburse me. I hope you can help me resolve it. Thank you. Susan Orlinski
July 2, 2013
Via first-class mail
FOURTH LETTER
Anthem Blue Cross and Blue Shield
370 Bassett Road
North Haven, CT 06473-4201
Attn: Claims Dept.
RE: Anthem Reimbursements
Dear Anthem:
Fourth letter your company has not responded to:
I am writing to you because I have not received my reimbursement for a doctor’s visit and medication for 2012 occurred on 10.31.12 with Marlborough Family Practice. My insurance expired on October 31, 2012. I have forwarded bills and receipt for payment and have not heard anything. The bills and receipt I sent reflect that I did still have insurance through my current employer, State of Connecticut, Dept. of Mental Health, Southeastern Mental Health Authority until October 31, 2012. I no longer have insurance after November 1, 2012. I would like reimbursement as this has been going on for quite some time.
Enclosed please find Connecticut General Statutes – Volume 11: Listed under “TIME OF PAYMENT OF CLAIMS: “payment will be paid immediately upon receipt of due written proof of such loss” which was provided within two weeks of the visit (letter sent 11.25.12). Please forward a check for reimbursement immediately as this has been going on for quite some time since last year. There is nothing to argue over, money is due to me and I would like a check immediately. This is a serious matter.
Thank you for your help.
Sincerely,
Susan Orlinski
60 Nelkin Road
Colchester, CT 06415
