******* Per Sharon the claim was opened, and the one with manuf invoice is there and th...

GetHuman4940349's Make/Chase a claim issue with WellPoint from June 2020

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The issue in GetHuman4940349's own words
******* Per Sharon the claim was opened, and the one with manuf invoice is there and they are still having issues with their pricing ....dont send claim in anymore...they have everything...ref* *************...all we can do is keep calling back every couple weeks...Message resent to our anthem rep*Brenda today as well...********: Hello Brenda:*David F Boyd*ID* STM**************Date of Service **********Price: $****.***claim* is possibly: *******R*************: Pricing Issue at Anthem, once the issue has been fixed the claim will process thru the system...ref************** Shannon...******** sending all unpaid claims to mareen vacarro on her spreadsheet******** Per Sharon: anthem had switched to new system and they had issues with processing as the system didn't process the pricing part and claims didn't get paid...she is forwarding to co-ord to Manually Process this claim ref *************...********* per anthem mail new claim with manuf inv to WEllpoint Health Networks PO Box ***** Richmond VA *****...i also included the primary and *ndry eob's because they may not have the previous ones that I have mailed and faxed to them********** claim* *******R*****...Alexis says claim is in processing...ref* ********************* cant view in availity******* Per Cynthia they did received the faxed clean claim on ******* and it is now in processing....ref********************** Per Alexis ref* ************* is in processing and they received the clean claim *******...********: Per Kinique and she states claim is open and still being processed..**-** business days...ref***************Per Kiana ref*.*************......................dcn********RA****....***-***-************** States she sees the claim for ****.** in system but it is in processing per supervisor it needs not to have corrected claim on it...refax as clean claim******* Called the state plan and they can't help because our local has to process the claim and send to the state plan for the benefits...state plan says they have nothing...I try to call local and keep getting forwarded to the state plan...I did do what they requested on ******* resubmitted claim with just the hearing aid and GY modifier and both eobs...******** PER ANTHEM since orig claim submitted with audio and it does not require GY in the modifier and the hearing aid does then anthem denied stating that I need to split the claim...Anthem is the one that combined the claim since same date of service..I have to submit corrected claim and *** form and I will send the medicare and nalc eob's along as well********* - Adjudication Transfer - Status:AE

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Make/Chase a claim issue
Reported by GetHuman4940349
Jun 11th, 2020 - 2 years ago
Not resolved
Seen by 19 customers so far
Similar issue to 8 others
0 customers following this


GetHuman4940349 started working on this issue
Jun 11th, 2020 3:27pm

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