Insurance lost appeal package/30 days up

[Guest guest]

Hi,

I sent in my appeals package (2 lbs) via federal express priority to

my insurance carrier Horizon BCBS of NJ. They signed for it on 8-22-

02 and I have called back once each week after that to check the

status of our appeal. Each week I was told that it wasn't updated in

their system yet and to call back the following week. Well, today

makes it 30 days since they received my appeal. My contract with

them says they will respond to appeals in 30 days from receipt of

paperwork. I have left 5 messages for the manager and he has not

returned my calls. I am faxing him a letter now (it took forever to

get his fax number - they did not want to give it to me).

I filed a complaint with the Dept. of Managed Care of NJ last week

and they assigned a complaint investigator to our case.

Today when I called BCBS they asked me if I had another package I

could send them. I told them I had copies of everything. Apparently

my package has gone to 4 different people but nobody knows where it

is. Now they are walking around to all the desks to try and find my

appeal.

Is there anything else I can do?

Barbara (Sofia DOC Grad/Catalina)

[Guest guest]

Oh barbara I would be so mad- I hope Marci chimes in on this one. You have filed with the state so that is good- maybe it is time for a lawyer- or ask for an external review- that might be later in the appeals process though. hhhmmm keep us posted sorry I am not more help@

beck

[Guest guest]

Sorry to hear about your problems with getting your appeal taken care of....I wish you the best of luck in your fight and keep being persistent!!!

Taryn

's mom

Insurance lost appeal package/30 days up

Hi,I sent in my appeals package (2 lbs) via federal express priority to my insurance carrier Horizon BCBS of NJ. They signed for it on 8-22-02 and I have called back once each week after that to check the status of our appeal. Each week I was told that it wasn't updated in their system yet and to call back the following week. Well, today makes it 30 days since they received my appeal. My contract with them says they will respond to appeals in 30 days from receipt of paperwork. I have left 5 messages for the manager and he has not returned my calls. I am faxing him a letter now (it took forever to get his fax number - they did not want to give it to me). I filed a complaint with the Dept. of Managed Care of NJ last week and they assigned a complaint investigator to our case.Today when I called BCBS they asked me if I had another package I could send them. I told them I had copies of everything. Apparently my package has gone to 4 different people but nobody knows where it is. Now they are walking around to all the desks to try and find my appeal.Is there anything else I can do?Barbara (Sofia DOC Grad/Catalina) For more plagio info