Medical Billing Forum

General Category => General Questions => : ste February 27, 2010, 12:47:07 AM

: Insurance Benefits Verification
: ste February 27, 2010, 12:47:07 AM
BCBS makes it difficult, if not impossible, to speak with a benefits representative. Providence prompts for a patient ID number, but once it’s typed into the phone key pad a human voice answers. Type an ID number into the phone key pad with BCBS at the other end leads to another prompt, and then another until finally a measly bit of information barely audible jets through the speaker. It’s adequate for general information like deductibles, but the real stuff like the amount remaining on a deductible seems out of reach. BCBS encourages on-line viewing of benefits and the information, at least from what I have seen, equally lacks substance. How does one obtain the information from BCBS? Is it best pursued on-line or over the phone? I’ve tried pushing zero at various points during the call and it doesn’t work.
: Re: Insurance Benefits Verification
: Pay_My_Claims February 27, 2010, 11:03:53 AM
which BCBS are you calling?
: Re: Insurance Benefits Verification
: ste February 27, 2010, 05:33:42 PM
Regence BCBS of Oregon, BCBS of Mass. Infodial is the name of the recording or company that makes the recording which answers the call, if this helps. 
: Re: Insurance Benefits Verification
: Michele March 01, 2010, 10:30:15 AM
Wow, very different from our BC.  We can get a person pretty quickly and the online web stuff is also quite helpful.  I haven't experienced what you have described, even for the out of state BC's I've dealt with.

Sorry!  :(

Michele
: Re: Insurance Benefits Verification
: kwardbilling March 01, 2010, 03:40:58 PM
I've found BCBS of MA to be pretty good to deal with.  They like you to do an online check first but then they will help you......are you signed up for bluelinks on line web tool?
: Re: Insurance Benefits Verification
: PMRNC March 01, 2010, 07:02:35 PM
I would contact BCBS provider relations and ask them what the standard protocol is for them. Sometimes if you do get one of those automated services where you are thrown in a loop.. pressing 0 several times might be the ticket, however I recommend finding out from provider relations how they want you to do your verifications. I've never had a problem with any of the BCBS I have had to deal with.