I have been on the phone with at least 17 Agents for hours trying to get this claim fixed, I have provided everything that has been asked of me. I have had to send multiple items multiple times because someone hasn't attached them to the file. This Claim is from 10/18/2022. It has been 11 months I have been more than patient waiting for someone to do their job.
Calls place on
2/22 [protected]@humana confirmed receipt of email including corrected claim and paid receipt
3/15 Zairer
3/24
3/31 Kayla
5/10 ref #[protected]
6/6
6/22 hung up on
6/27 hung up on after being on hold for 20 minuets gretta helped [protected]
7/6 santa
7/8 called dental office to get info
7/10 Stacey transferred me wrong department, then Josie said she couldn't help me Keono was supposed to call me back Jenny helped and [protected]
7/19 called about letter for denial but letter had no body.
7/25 called pablo he said he was a supervisor and that you don't do foreign claims so that's why I was denied PMBI2720 his badge number.
7/31 nina argued with me that she couldn't talk about my claim because it was for my husband even though I am the policy holder, then got Ruel said he helped but never attached the files on to the claim another denial.
8/25 Joanna [protected] said claim was closed? ref [protected]
9/5
9/11 now on hold resent email for Ruel that never attached Kathy helped ref [protected]
emails sent
3/[protected]@humana all dental records for the last 15 years for Michael and paid receipt and corrected claim form
6/27 pd receipt and xrays to [protected]@humana.com
7/31 ruel.thomas @sagilityhealth.com paid receipt and corrected claim again
8/25 [protected]@humana,com paid receipt again
9/11 sent over corrected claim again to [protected]@humana.com
This is a brief description of the issues that have become my lengthy wait and unnecessary delay on paying a claim. The people I have talked to for the most part are all nice but no one seems to be able to actually help me. I have been a high priority for months and still am waiting again to reprocess a claim that is almost a year old. I am again being told this is ALL they need to process the claim but the last 10 people I have talked to have said the same thing...
Desired outcome: Need this claim processed and paid for. I have a second claim to also go through that needs to be a high priority, I can't do that until this first one goes through.