4
out of 5
POSTED: | BY: Unhappy Customer
Denied claim was re-evaluated and paid
I submitted a claim that clearly stated the reason was Ear infection. Someone decided it was Environmental Allergy and denied it. I chatted online and he said send SOAP notes, which I did. Denied again and, per phone call, now they say it was denied due to a Preexisting condition. I've had insurance with them for more than a year. Are they saying she's had an ear infection that long? Really? Now I have to jump through hoops to appeal?? Unbelievable!! UPDATE: With the assistance of a very nice Customer Experience Rep, we were able to resolve this situation and the claim was paid.
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