dogwhisperer36
Contributor
Hi There,
Has anyone filed a complaint against an insurance company with your state insurance board? Did it help, or did it make things worse? Without naming any names, this is our situation.
We are having problems with one particular insurance company who is refusing to process our claims as an out of network provider. We have prior authorization to bill as an out of network provider. We are totally prepared for this particular insurance company to pay the patient directly since we are out of network. Unfortunately, they are refusing to even process our claims. They say that once we are enrolled, we should rebill. Customer service is less than helpful, and the provider rep is even less helpful, so our thoughts are to either file a complaint with our state, or charge the patient directly and let them try to get their insurance to pay.
Any insight you can provide would be helpful.
Thank you,
Tara
Has anyone filed a complaint against an insurance company with your state insurance board? Did it help, or did it make things worse? Without naming any names, this is our situation.
We are having problems with one particular insurance company who is refusing to process our claims as an out of network provider. We have prior authorization to bill as an out of network provider. We are totally prepared for this particular insurance company to pay the patient directly since we are out of network. Unfortunately, they are refusing to even process our claims. They say that once we are enrolled, we should rebill. Customer service is less than helpful, and the provider rep is even less helpful, so our thoughts are to either file a complaint with our state, or charge the patient directly and let them try to get their insurance to pay.
Any insight you can provide would be helpful.
Thank you,
Tara