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    ComplaintsforAnthem California

    Health Insurance
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    Complaint Details

    Note that complaint text that is displayed might not represent all complaints filed with BBB. See details.

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    Complaint Status
    Complaint Type
    • Complaint Type:
      Service or Repair Issues
      Status:
      Unanswered
      I've been working since June of 2023 to get reimbursed for my son's five therapy sessions. After numerous calls and hours on the phone where I was told the details were keyed in incorrectly or not at all over and over, nothing was moving forward. Among these issues is that only originally only 4 out of the 5 therapy sessions were in the system to this date, despite that I have ensured that the receipt for the 5th session was sent to Anthem in October 2023. I filed a grievance with Anthem for the postponed reimbursement in November of 2023. After additionally submitting a claim form at the end of November, I was finally given an update on January 29, 2024 that the claim was finally keyed. I have followed up with an email and a voicemail but received no further information. February 16, 2024 I called again and was told that the check was issued and sent accidentally to the provider, who chose to cash the check meant for me rather than returning it to Anthem. Anthem will not take responsibility to reissue to the check to me and I am being penalized for their grave error. I am still missing the second reimbursement check for the remaining amount, for a total of $700.
    • Complaint Type:
      Order Issues
      Status:
      Resolved
      I signed up for Anthem ** with an employer, coverage started on July 1st and ended August 31 when we had to switch to United Healthcare.On August 14 I got lab tests done with Sonora Question Laboratories and on August 17 I got a mammogram and *************** Anthem denied the claims, claiming that I had insurance with another carrier. Which I DID not have. I've spend two hours on the phone with them in mid September and now again today. They told me they would figure it out and I didn't have to do anything. But Sonora Quest Laboratories are about to send my bill to collections and I don't have the money to pay for it.

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