HMOs
Anthem Blue Cross And Blue ShieldThis business is NOT BBB Accredited.
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Complaints
This profile includes complaints for Anthem Blue Cross And Blue Shield's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 46 total complaints in the last 3 years.
- 12 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.
Initial Complaint
Date:01/05/2024
Type:Order IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Billing adjustment for the contract that ***************************** is approved with under Anthem's contracted rates.Initial Complaint
Date:12/27/2023
Type:Customer Service IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
December 11th is the date of the letter received. Letter was received near the end of December 2023. I have signed up for automatic payment via a credit card. This payment option was offered and accepted. Now Anthem is saying they are going to change the payment option through my bank. Calling Anthem to discuss wastes a lot of time. The automated system takes a very long time to try and speak to a real person instead of the automated assumptions.Initial Complaint
Date:11/07/2023
Type:Billing IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I have contacted anthem for over a month. I have received incorrect and conflicting information from all of their reps. All they have to do is offset my account. For thr expense I have uploaded. However, they are refusing to do so.Initial Complaint
Date:11/06/2023
Type:Product IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
This company did not do the industry standard of verifying their client owned the email the client provided. Because of this I'm getting emails relating to "*******" because she used my email to sign up with them.This is a health insurance company so letting me see sensitive healthcare information is a violation of HIPPA and it's clogging my Inbox. They have no mechanism to contact them without being signed into their website.I want my email address removed from *******'s account with ************************ attempted to call them but I just get a 'call can not be completed' error.Initial Complaint
Date:11/01/2023
Type:Service or Repair IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I am concerned that the individuals working for this business are unfit. This is the business my health insurance policy is through, and I have had nothing but issues. I have anaphylactic allergies, and if you're familiar, this is a life threatening allergic reaction that requires immediate medical attention. I recently had an episode where I had to be admitted to the hospital. I am being told by my insurance (the business who is the subject of this complaint) that I will owe $32,000 due to my claim being denied for the reason "Not Medically Necessary". I am a pharmacist myself, and I have 10 years of medical billing experience. I know for a fact anaphylaxis treatment is medically necessary and have the documentation to prove my claim. I have tried to contact my insurance regarding this matter multiple times using several different methods to rectify the situation to no avail. I am concerned about the level of negligence and incompetence from the employees of this company. I am concerned that insurance representatives with this company are not properly reviewing claims and assigning them declined statuses without doing any proper research. The representatives I speak with from this company have grammar skills of an elementary student, but they are somehow qualified to review medical claims? They are unable to answer even the simplest questions I have regarding my insurance coverage. Luckily, I have a doctorate degree and I am a health care provider myself so I can usually resolve insurance issues on my own. However, I am concerned that I know more about doing their job than Anthem employees do. I am concerned about the qualifications (or lack of) for these employees. I am concerned for others in my community with these issues who do not have the healthcare background I do and do not have the tools to resolve issues like these on their own. I believe the company is operating fraudulently and deceptively to obtain higher payment amounts from their patients.Initial Complaint
Date:08/31/2023
Type:Billing IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
In October 2023, I received dental treatment. The procedure was to address pain, significant tooth degradation, and followed the professional recommendation of my dentist (*****************************). The claim was denied was denied by my insurer, Anthem **/BS. I asked my ************** to verify the claim was legitimate and resubmit, which they did. There was no communication from Anthem since, despite repeated attempts from the dentist office. I spoke with an Anthem rep in May 2023, and they said that criteria #2 was not met. I subsequently contacted my dentist office again, asked them specifically about this criteria, and they confirmed that the criteria was easily met and cannot understand why the claim is being denied. On May 31, I provided the supporting paperwork/documentation to Anthem using their online appeals process. I was told I would receive a written response, which never came. To date, no one from Anthem has contact me or my dentist even once and the claim remains denied and situation unresolved.Initial Complaint
Date:08/29/2023
Type:Billing IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
The insurance company provided many false and inaccurate information. This has lead to financial difficulties due to cryptic and false messaging from the insurance company. It has take 11 months to finally get our claims denied, even though we were told multiple times that they would be approved and that we were following the proper instructions.Business Response
Date: 09/25/2023
We were unable to locate Anthem enrollment with the limited information supplied. In order for us to review this inquiry further we would require the members identification and a completed DOR
Thanks
Business Response
Date: 09/26/2023
Dear *******************:
We have reviewed your follow-up complaint, dated August 29, 2023, filed on behalf of *************************. The complaint regards delays in the processing of claims.
A review of this complaint indicates the members home plan is Anthem Blue Cross of **********. In an effort to have the complaint reviewed,please forward the complaint to the home plan at:
Anthem Blue Cross of **********
P.O. Box 60007
***********, ** 95670
Thank you for bringing your concerns to our attention. Please contact me directly if you have any additional questions or concerns.Initial Complaint
Date:08/15/2023
Type:Service or Repair IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Anthem Blue Cross Blue Shield paid my 401k to someone other than me. They have refused to replace my funds or issue them to me. They have also refused to assist in retrieving my funds. Please see the attached documents.Initial Complaint
Date:07/21/2023
Type:Service or Repair IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Anthem denied 3 of my claims, all of which were for expressly covered care. One had a referral and 2 were for urgent care, which is explicitly covered. However that is not my present complaint. In the course of contacting anthem, Ive contacted or been contacted 5 times since 7/12. Twice anthems live chat system (to which I was direct) dropped mid conversation and I had to start over with a new agent and then give up. Last night, 7/20 I was called by a rep outside of office hours who said my appealed claim had been redenied. She promised me a supervisor would speak with me and then placed me on hold for 17 minutes without a word, so long I worried shed dropped my call. She then said due to technical difficulties I should hang up and she would have the supervisor call me immediately. I did so and received no call. I called back and was sent to a message saying it was out of office hours. Again she called me. I have received no call as of noon 7/21. Today I used live chat to request the call happen. A rep spoke with me and claimed he was a supervisor but said he could not call because he was on an internal call. I expressed that I had been promised a phone call, which I wanted, and that he would not be able to help me while engaged in a second conversation. He said he would continue both conversations and I asked him if it was anthem policy to refuse to call in order to multi task conversations. He accused me of baiting him and stopped replying to the conversation, essentially hanging up on me. This is unacceptable.Initial Complaint
Date:07/18/2023
Type:Service or Repair IssuesStatus:UnansweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Filed for a medication ,much needed ,approval 4 weeks ago and never got a call from this insurance. Called 2 weeks ago, and insurance said that we got denied and all you need is a bmi. Apparently my doctor faxed all the info but they didnt receive page 2 and never bothered to call me. My doctor resent the document and not even 2 hours later, I got denied again because it needs more info. I dont know why we are paying high dollar a month and when we need the insurance, they give excuses not to approve you. This insurance is worse than ********
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