Anna Coleman

Review of Blue Cross and Blue Shield of ...

I've been in charge of appeals at a joint commissi...

I've been in charge of appeals at a joint commission accredited facility for almost 5 years and I've never been so frustrated with an insurance company in my career.

Long story short, I've submitted a total of 28 appeals (7 appeals, each submitted 4 times) and all but 2 have been completely rejected, not even reviewed. The two that were accepted and reviewed were denied for no reason. I've spoken to the appeals department and the only thing they can tell me is that they've never received the other appeals, which is a lie because we've gotten dozens of form letters stating that the appeals are rejected, with no contact information on the letter so I can't even call to ask what's going on.

It's hard to operate as a provider when the insurer just keeps throwing your documentation in the trash. One star.