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Drew Schifle

3 years ago

The explanation of benefits and service I've recei...

The explanation of benefits and service I've received from Horizon BSBC has been completely uninformative. My wife was determined ineligible for a maternity program under our plan. Beyond being pregnant, I'm not sure what is required to be eligible. They provided no explanation. After two calls and much wasted time, they realized it was a mistake and corrected it. Other calls about improperly recorded items continue to be in vain. They state a standard line "it was determined the claim was processed correctly" and cannot answer any specific question regarding inaccurate statements they made such as this is non-routine or there was no referral for this service.

Aside from inaccurate claim processing and providing some comedic relief to my coworkers, I haven't seen anything this provider can do well.

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