ComplaintsforCambia
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Complaint Details
Note that complaint text that is displayed might not represent all complaints filed with BBB. See details.
Initial Complaint
10/15/2022
- Complaint Type:
- Sales and Advertising Issues
- Status:
- Answered
Our company was switching to Regence for our health insurance provider and they waited until the day after our new coverage was supposed to start to request more documentation and then told us that they would not be covering us for the month of August due to this. I had already signed the documents agreeing to start on 8/1/22 and they last minute changed this without any written notice.Business response
10/21/2022
Please see our attached response.Initial Complaint
07/11/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
I had Regence as my healthcare provider / carrier , I change healthcare carrier but Regence billed me for two month for services for a planned that was never effective/ active . ********** healthcare finder whom I call to inquired why I was billed by Regence cascade ********** /blue shield they claim my planned was been cxl and they forward the docs to regence for a refund that was in january of this year , when I contacted regence was told they send a check and it was returned in march my address was updated , call back again yet it hasnt been updated , call back June 16 address was updated again was told it will take **** days ,had a conference call with ********** healthcare finder and Regence today the addressed wasnt updated again after waiting per their time frame which was 7 -10 business day . nothing has been done about the refund $1030, 28 they keep lying that the address hasnt been updated .. today I spoke ****** at Regence and piayla still no resolution.. ****** at Regence ****************************************************** ************ Piayla ********** healthcare finder ***************************************** ************** *********************Business response
07/21/2022
Please see our attached response.Initial Complaint
07/05/2022
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
This is in regard of customer service and claim processing of ********************** BCBS of Oregon. On March 21st 2022, I had a biopsy procedure at NW *************** On June 18th, I looked up the claim on Regence website and found the claim (attached) for the procedure. I was confused by the detail explanation. The claim seems to be unprocessed and yet, it is stated as completed. I, then, emailed customer service explaining the situation. I attached a copy of the email conversion. As you can see that the customer service representative, ***************************, tried to deny any responsibility of the company by blaming it on me and provided no explanation of the numbers. However, she finally agreed that the claim needed to be reprocessed. Since then, I have not heard anything back. Now NW Urology is coming after me for payment.Business response
07/06/2022
Please see our attached response concerning *** Sinit. If you have any further questions, please let me know. -******************Customer response
07/06/2022
Complaint: 17523607
I am rejecting this response because: waiting for response after uploaded the signed authorization form
Sincerely,
*** SinitBusiness response
07/15/2022
Please see our attached response concerning *** Sinit.Initial Complaint
04/19/2022
- Complaint Type:
- Order Issues
- Status:
- Answered
My employer changed insurance providers, from Regence to Etna last fall. The effective date of the new insurance with Etna was October 1st, 2021. Our engagement with Regence ended September 30, 2021. On October 25, 2021 I had a prescription filled with Amazon Pharmacy. For some reason beyond my control, Regence paid this insurance claim. I was aware of this payment from Regence as I knew that on October 1st, 2021 our employer had changed providers to Etna. In December I received a notice from Regence stating that they filled a prescription after the last date of coverage, which was September 30, 2021. They are now asking me to pay them $259.98 to reimburse them for their payment to Amazon.When I asked them why they paid it they stated that the typically cover claims after a policy has ended to ensure that the bills get paid. The problem with this is that the service they paid for was well after the contract termination of September 30, 2021.I fully understand that they would cover a **** that was delivered after the service termination but only for services that were rendered when the policy was active.I believe that this is illegal and I have do not believe I am liable for a mistake that they made by paying the above mentioned ****.Please help as they are attempting to send this balance to collections. Again, I would have no problem resolving this issue if they services in question were actually done when the policy was active. They, on their on behalf, not mine paid a claim 25 days after our coverage had expired. I have tried multiple times to explain the situation to them and they continue to state that I am responsible for the payment.Business response
04/25/2022
Please see enclosed response.Customer response
04/25/2022
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, Attached is requested document.
Sincerely,
*********************Business response
05/04/2022
Please see our attached response.Customer response
05/05/2022
Complaint: 17062884
I am rejecting this response because:The most recent response and justification from Regence sent on May 4, 2022 is not acceptable and is an abuse of large insurance companies.I, as an employee of a company or a customer of a ********************** insurance provider have no control over such matters that occurred which Regence. I have no control of a company making payment to Regence, nor do I have control of an incorrect billing made by Regence.The fact of the matter is this. I paid monthly insurance payments with Regence to provide coverage for me through September 30, 2021. No where is it stated I am responsible for Regence decisions on health services on my account that were rendered in October of 2021 after my coverage expired. They have a broken billing system. Their system should not provide settlement on claims for services provided outside of their coverage dates.It was communicated to my by other employees that Regence had billed for services clear out into November for services that were will outside of the September 30, 2021 contract termination.
Sincerely,
*********************Initial Complaint
03/30/2022
- Complaint Type:
- Product Issues
- Status:
- Answered
I have bcbs. They have refused to pay a quest **** in network claiming the doctor doesn't practice in **. However I saw the Dr in **.Business response
03/21/2022
BBB,
We are unable to locate this member based on the name along. There is no identifier that this member is with BCBS-MA. Please ask the member to provide their identification # as we cannot determine if they have a Blue Cross plan in another state or they are with BCBS-MA.
Thank you
Customer response
03/21/2022
Better Business Bureau:I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # ********. Please add your rejection comments below; if you do not provide any details, your complaint will be closed as Answered.
Here is the information they are requesting
BCBS Regence VPC160234625
Businesses and Customers should be civil, courteous and polite in their responses to complaints. It is important to remain professional and productive when participating in the BBB complaint process.
FAQ
Regards,*******
Business response
03/24/2022
Hello BBB,
This member is not a ********** Blue Shield of Massachusetts member. BCBS Regence VPC160234625. This prefix belongs to Regence BCBS or Oregon - not BCBSMA. As we do not have his member's information we will not be responding further to this complaint.
Thank you
Customer response
03/25/2022
Better Business Bureau:I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # ********. Please add your rejection comments below; if you do not provide any details, your complaint will be closed as Answered.
I live in MA. All claims are processed through MA. This BCBS entity processed the claim. Please don't pass the buck. ****
Businesses and Customers should be civil, courteous and polite in their responses to complaints. It is important to remain professional and productive when participating in the BBB complaint process.
FAQ
Regards,*******
Business response
03/29/2022
BBB, this is not a BCBS MA plan and we do not have an option to review this member's claims. The member's ID# reflects a ********************** BCBS plan out of Oregon. We will be unable to review and respond to this complaint and the BBB should approach Regence BCBS Oregon for a review and response as this is their member.Customer response
03/29/2022
Better Business Bureau:I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # ********. Please add your rejection comments below; if you do not provide any details, your complaint will be closed as Answered.
The response is not factually correct. MA ********** processed this claim.
Businesses and Customers should be civil, courteous and polite in their responses to complaints. It is important to remain professional and productive when participating in the BBB complaint process.
FAQ
Regards,*******
Business response
04/01/2022
Please see our attached response concerning *******************************. If you have any further questions, please let me know. -*******************************
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Customer Complaints Summary
18 total complaints in the last 3 years.
5 complaints closed in the last 12 months.