Linda Spindler

Review of Wellmark

I have been working with BCBS of Iowa on a claim f...

I have been working with BCBS of Iowa on a claim from DECEMBER 2017!!! They are blaming the provider and the provider is blaming them. I just want the claim handled and any monies refunded I have paid the provider. As a prior claims processor for an insurance agency, this is UNACCEPTABLE!! I am now being told - for the first time - they requested an adjustment from the provider in 2017. I call BS! Never have I ever heard a word about this nor has the provider. The first time the provider received a request to refund the original payment was 4/23 and the amount they told me DOES NOT match what they asked back from the provider. SOMETHING IS FISHY!!! A common insured would not have gone to great lengths to insure that BCBS did not pay the provider that had already been paid. I know how it affects my employers claims ratios and rates. That is why I was adamant about helping get the claims processed correctly for my injuries. Now, I have been told they are still working on it. Researching it further. Blah, blah, blah!

Note to Self: In the future, if anything like this happens to you, do not try to help. Just let the providers get paid twice and walk away!!