helpful hint. If you are trying to reach an actually person at any insurance company and only get the machine run around, try hitting 0 over and over again. Or my favorite evertime they ask for info say supercalifragilisticexpialidocious. The computer wil become confused and say. I'm sorry I cannot understand you and transfer you to a person..added bonus. people walking by your office will think you finally had on claim to many to deal with
Here's the latest episode in my saga.I had an Cigna claim, administered by APWU. I looked up the claim on the CIGNA site, a note popped up that this patient's claims were administered by APWU and to call them with questions at 800 xxxxxxxx. I called APWU, got a really nice lady, she says "We don't have any claims on record for this patient, from this provider". I've sent the claim electronically 3 times (I have the e-claim acceptance receipt from CIGNA) and 1 time on paper. She says "Well let's get CIGNA on the line and we'll find the claims." She sets up a 3 way conference call with me and CIGNA. The claim rep at CIGNA says "Yes, here are the claims, the provider has to send the claims to ASHN for pricing. They should have known that." So I say "There's been NO notification to APWU, NO notification to us, there is NO note on the site that they ask us to use instead of calling, how am I supposed to know there's anything amiss with the claim?" She says, "I can't answer that." The APWU rep says "Why weren't we informed that you were requiring the claims to go to another party other than CIGNA?" The CIGNA rep can't answer that either. So an investigation is underway. Wow. How hard would it be to put on the CIGNA site (that they would really appreciate the providers using) where to send claims? I am logging in with a tax ID so they know who I am, and what our contract is. I guess it's just another crack in the system! Hopefully other providers will benefit in the future by having the CORRECT information on the site they would like us to use to reduce call volume.So, I'm billing a 5th time to the 4th party for pricing. I may get paid before a year is up!
When calling for benefits, do you ask for the claims address??