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 Find Local Branches.

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  Anthem Blue Cross And Blue Shield

  700 Broadway Denver, CO 80273-0001

• 

  Anthem Blue Cross And Blue Shield

  P.O. Box 173681 Denver, CO 80217

The 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:09/29/2022

  Type:Service or Repair Issues
  Status:

  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 filed a claim for services received on 2.1.22 on a cruise ship due to illness while on a cruise. I had to pay out of pocket to get off board to be flown home to my local hospital. The amount was $3,605.67. I have called Anthem 21 times and spoken to reps that do not have any clue about my claim. My claim was mailed in on **** and again on 3.23.22. When I call no one can help. Half of the time, they can't even find my claim. I spoke to "supervisors" and they say they are going to research it and call me back. I have left my name and number 4 times in the past 2 months and NO ONE has ever called me back. I don't care if you pay or deny my claim, I just need a claim letter to give to my ************************ (which I have 100% insurance with). They are not paying my claim ($12,386.00) until I have a letter from my insurance company saying they are going to pay it or deny it. PLEASE PLEASE pay or DENY this claim. Thank you

• Initial Complaint

  Date:09/21/2022

  Type:Customer Service Issues
  Status:

  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.

  Below is the complaint sent to anthem and vita cobra benefits administrator:I am the member. See member information below. My employer was Heron Therapeutics.My cobra benefits continuation is being handled through Vita COBRA.I signed up for cobra on 8/29. These benefits have been PAID since 9/1. It is now 9/21 and you STILL do not show that I have coverage, which is incorrect. You (anthem member services) are saying that you havent received anything from Vita. **** says that theyve sent the information and havent received anything from you, so Im at a loss here. I have TWO appointments on Friday 9/23 that are more than an hour away from my house including a very Important breast cancer screening, and more than $2400 in cobra payments later, you and vita are blaming each other like poorly behaved children. Someone needs to learn how to follow up appropriately, like true professionals, in the year 2022.Since payment for coverage was made almost a month ago, and it is now TWENTY-ONE days later, I assumed everyone had done their job, but I was wrong.Of course, anthem member services will not talk to members directly, as that is their protocol.***** from vita had already attempted to call anthem member services TODAY and was unable to get through. Huge surprise. Im connecting everyone here, since Ive now wasted an entire half day one the phone with all of you. For $2400 in payments, I would expect some follow up from AT LEtone of the professional organizations involved in this transaction. Vita customer ********************** people Ive talked to today: ***** and ***** Anthem customer ********************** person from today:Padma Vita contact information:Email us at: ***************** Call us at: **************

• Initial Complaint

  Date:09/02/2022

  Type:Service or Repair Issues
  Status:

  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 has denied a claim in bad faith. On February 15, 2022 I received a letter from them in connection with prescription glasses I purchased. The letter confirms that of the $797 submitted for the claim $521.40 was allowed. When I went to pick up my glasses, the store told me they were out of stock, and to purchase them through a website (which the store provided). When I purchased the glasses through the website and submitted a new claim (as the original claim was retracted since the store couldn't perform), they denied my claim, paying only $85, asserting I "exhausted my benefits." I am merely asking for the difference between what they agreed to pay (i.e., $521.40) and what they paid ($85). While the organization it "strives for customer satisfaction," I tried resolving this with them and they refused to engage and denied the claim in bad faith.

• Initial Complaint

  Date:08/17/2022

  Type:Service or Repair Issues
  Status:

  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 enrolled in a ******** advantage plan through Anthem Blue Cross. They have me enrolled in a provider group named Imperial Health which DOES NOT EXIST in the county where I live. I have tried repeatedly to contact them to correct the provider group affiliated with my primary care physician (PCP) in the county WHERE I LIVE but they negligently refuse to do so. As a result, I am unable to get approval for any needed medical care as Anthem, for some bizarre reason, will NOT fix it. I have the correct PCP in the correct county where I live on my medical card but not the correct medical group. Therefore, despite multiple referrals from the **** I am unable to get further urgently needed medical care for the reasons mentioned above.

• Initial Complaint

  Date:07/26/2022

  Type:Sales and Advertising Issues
  Status:

  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 has refused to compensate my health care provider for services that are 100 percent covered by my plan. I had an encounter on 3/1/22 for routine preventative care that Anthem's employees have told me was covered and that Anthem had covered in previous years. They did not cover the full cost. When I asked them to review the decision, they said they would do so and contact me with an update, which they did not do. Now, 5 months later on 7/26/22, the provider has sent a bill for costs that Anthem should have paid. Anthem always fails to process claims correctly in order to squeeze unearned revenue out of their customers and shift the burden of fixing errors with claims from their staff who they have to pay to their customers who they force to perform unpaid labor in order to get claims processed correctly. Anthem has incorrectly billed the vast majority of my claims by dollar amount. The claim at question here is 2022066CH3714.