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Business Profile

Insurance Companies

Anthem, Inc.

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Insurance Companies.

Complaints

This profile includes complaints for Anthem, Inc.'s headquarters and its corporate-owned locations. To view all corporate locations, see

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Anthem, Inc. has 28 locations, listed below.

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    Customer Complaints Summary

    • 360 total complaints in the last 3 years.
    • 118 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    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.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:09/30/2022

      Type:Product Issues
      Status:
      Unanswered
      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.
      Recently, Anthem BlueCross BlueShield was told by a vendor they interact with about a data breach. Due to a ransomware attack on April 27, 2022, OTP (the vendor), there was a risk of unauthorized access to Anthem customer information.As a customer of **********************, I was contacted about the possible data breach and that further information would be sent to me. I received this letter a few days ago (09/27/22), and have now attempted to accept the free offer for identity monitoring. The offer in the letter says that free identity monitoring is provided because of the breach. In order to claim it, they provide the link of "https://anthemcares.alclearid.com", which is a website that is not a valid website. I also tried one with spelling that *** be correct "https://anthemcares.allclearid.com", which yielded the same results of an error page.At this point, if they offer the service, I want to be able to access it with the link they provide, as it's difficult to contact them during business hours (I work during regular business hours).

    • Initial Complaint

      Date:09/23/2022

      Type:Service or Repair Issues
      Status:
      Unanswered
      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.
      Between myself, my wife, and our daughter, we have had several cases/medical visits over the past 12 months that have been denied and Anthem refuses to resolve this issue. Every time we call in to get this resolved, they continuously tell us to have the facility resubmit the claim and everything should go through as they see no issues on their end for why it would be denied. One of the appointments that is being denied is a WELL EXAM for our 4 year old, which under federal insurance law, is covered by all insurance carriers at no cost, yet the claim continues to go unpaid. I have one preauthorization for an appt in my file right now yet Anthem claims we didn't have insurance at that time, which we did, but to counter their claim, if we didn't have insurance when the preauthorization was approved, why was the preauthorization approved?!?! We are having multiple billing issues including visits to Aspirus and ********************************... BBB is my last resort. If this is not resolved by October 1, 2022, I will begin to pursue legal action as the denial of our claims is blatant fraud. I authorize a department from Anthem that has the ACTUAL ability to resolve this issue to call me AS SOON AS POSSIBLE, as I am done fighting this on my own after October 1, 2022.

    • Initial Complaint

      Date:08/31/2022

      Type:Service or Repair Issues
      Status:
      Unanswered
      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.
      As of August 1, 2022, I am no longer covered under my wife's health insurance. Premium for family coverage is coming out of my wife's pay, but I am not receiving coverage. My wife's human resources officer claims that I am covered, but Anthem is stating that I am not, so I am now without coverage.

    • Initial Complaint

      Date:08/26/2022

      Type:Customer Service Issues
      Status:
      Unanswered
      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.
      On August 2, 2022, my premium payment for Anthem Blue Cross became $643.29. Immediately, that morning, I called Anthem Blue Cross. The representative connected me to Covered CA. Both of the representatives stated this premium amount was incorrect based on my income. Due to the correction going to take some time, the Anthem Blue Cross representative logged off the call. The Covered CA representative made the change. Effective immediately, per the representative, my premium was corrected too $198.04. I called Anthem Blue Cross, and the representative confirmed the change and new amount. However, that evening, Anthem Blue Cross charged my account $643.29. I called, and the representative said the charge cannot be cancelled. The representative stated that the extra amount will be applied to future payments. The next day, I called Anthem Blue Cross, they confirmed the same. I asked to be transferred to a Supervisor. They put me on the waitlist. I was never contacted.On August 22, I emailed the *** of Anthem Blue Cross. After an evaluation, *****************************, responded that I would not receive a refund, as the new amount does not take effect till September. However, the Covered CA phone call, letter, and Anthem Blue Cross phone call confirmed the change became effective August 2. Because of the statements and letters stating the $198 became effective August 2, 2022, I am asking for the promised refund: the extra amount of the $643 be applied towards my account.

    • Initial Complaint

      Date:08/26/2022

      Type:Customer Service Issues
      Status:
      Unanswered
      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.
      My name is *********************, member of Anthem BCBSWI insurance. There has been communication and payment discrepancy that is going on between *********************(***) and my insurance company(Anthem). It has been over a month but when I talk to insurance on the phone I am not getting any correct answers and just making me move in circles. I was admitted to *** from May 7 to May 13 and there has been some problems with the insurnace company and according to my claim - that is supposed to pay 90% of the charges they are saying they are unable to locate the billing statement. I talked with ************************** and he told me that there has been a miscalculation with regards to the payment and insurance is denying to pay the 90% of the charges according to the claim I have. *** charged insurance $1810 for in-patient observation care management. Insurance only paid $1,318.13 instead of $1,629. One customer service person- ************************** told me that insurance has made a miscalculation and it should be $59.60 which I have to pay out of pocket instead of $491.87. I have attached the receipt to this complaint. For the resolution I want insurance to pay the full 90% charges off of the $1810 and I should get an updated bill of $717.87 from the *** in total instead of $1,150.14. The receipt is attached to the complaint.

    • Initial Complaint

      Date:08/23/2022

      Type:Customer Service Issues
      Status:
      Unanswered
      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.
      Submitting this in regards to a bill I received from a hospital visit. After speaking with representative from Anthem, was given that both hospital and anthem had no communication with one another. But in the end billed me, not 1 month later, but 14 months after the visit that we received the bill. No one is taking accountability. Both parties blaming one another and only information they are willing to give is "you will have to pay the bill." *** is that possible when in 2020 i was at the hospital for same issue with same insurance and only had to pay the 100$ copay and now this visit is 5400$. Admitted to hospital both for the same medical emergency. Anthem is unwilling to talk with not only the hospital but with me. Anthem is stating the hospital did not send medical records over to them and because its past the 12 months since day of services they are unwilling to send payment to hospital. After explaining this is the first bill i have received all i get are excuses of covid, but when asked why did they not just call since the have my phone number on file and they confirmed my number did not change, there was no answer. Your communication problem and missing file is not my wrong doing. It is between them and the hospital. But instead of reaching out to the hospital i just get sent the hill.

    • Initial Complaint

      Date:08/18/2022

      Type:Order Issues
      Status:
      Unanswered
      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.
      My spouse has to have surgery and the people in charge of pushing through the paperwork for the surgery that it is approved are failing to do their jobs even though the doctors office has submitted documentation that it is time sensitive and the procedure is scheduled for today 8/18/2022 they have not even opened up the file to send the paperwork because they have until 8/19/2022 to look at it. when speaking to the department they stated well we are short staffed.

    • Initial Complaint

      Date:08/09/2022

      Type:Customer Service Issues
      Status:
      Unanswered
      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'm filing a complaint on behalf of *********************. Please see attachments below of a timeline of events and supporting documents.

      Customer Answer

      Date: 08/10/2022

      ********************* is looking to have the clients refunded their full reimbursements to them directly ASAP.  As well as having a formal complaint against BCBS for their mishandling and misinforming both clients and TFC on record to resolve this matter. All reference # included in the complaint letter I submitted previously will have the client's information for BCBS to look up and reimburse. TFC asks that this is taken care of **** given the nature of the time that has been taken on this matter. I'd like to add more attachments of conversations and email replies, but I am only able to upload 4 attachments at a time. 

    • Initial Complaint

      Date:08/03/2022

      Type:Service or Repair Issues
      Status:
      Unanswered
      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 a psychologist in **********. I am receiving PHI from anthem for patients I have not heard of. As well as reimbursement checks. I have been unable to speak with anyone at anthem abt this issue despite being on the phone over an hour today. This is a major hipaa violation for the pts involved and Im not sure why I am receiving this info as I do not even take anthem.

    Anthem, Inc. is NOT a BBB Accredited Business.

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