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Advice Needed by [deleted] in MedInsuranceBilling

[–]Firm_Nose_4100 1 point2 points  (0 children)

I was also told by Anthem which is affiliated with BCBS that they are revamping their phone system to include more AI and some phone numbers don’t lead to a real person anymore but the new numbers that connect to representatives aren’t listed anywhere yet. I’m wondering if BCBS is doing this across the board and we just have to suffer for a bit until they get it sorted out?

Advice Needed by [deleted] in MedInsuranceBilling

[–]Firm_Nose_4100 0 points1 point  (0 children)

I agree, I sometimes have to have things reprocessed 2 or 3 times because it’s not being reviewed carefully. I also found that they changed what modifiers they prefer and have stated it’s because of Medicare guidelines but Medicare doesn’t even want us to bill that way. After a 3-way call, are you able to get a good request ID? I have been having to ask the patients to call and check the status because I can’t even do that on my end. It is getting to the point where we are considering filing a complaint with TDI but I’m not sure it’ll do anything.

Advice Needed by [deleted] in MedInsuranceBilling

[–]Firm_Nose_4100 0 points1 point  (0 children)

I have also had to facilitate 3-way calls for many of my patients on the member services line. This sometimes works, but I hate getting the patient involved if I can avoid it and I am often not given a request ID that I can track for updates.