Refund help,Florida
We have received a refund request from BCBS of Florida for an out of state bcbs claim. They are requesting the refund because of cob info. After calling BCBs of Fl numerous of times to find out who...
View ArticleRe: Refund help,Florida
rather than use the phone, I would contact Robert Lufrano, CEO of BCBSFL, in writing. YOU may be limited on your time to dispute per FS 627.6131 or FS 641.3155 if the benefit falls under State Law...
View ArticleRe: Refund help,Florida
I'm interested in the outcome of this as this is something I have NEVER heard of. I've never heard of a spouse being required to participate in their own employer plan, and I've never heard of a...
View ArticleRe: Refund help,Florida
I've seen this a few times. The patient became eligible for, but declined, Medicare coverage and kept the plan from their former employer. The former employer plan processes the claim as if they were...
View ArticleRe: Refund help,Florida
Final Outcome: We had to payback the ins com. This patient's husband has a policy under BCBS Ga which is self-funded by his employer. A stipulation in their policy states that if the employee has a...
View ArticleRe: Refund help,Florida
To me, this is an ERISA issue. BCBS is being sued in Federal court regarding their refund demands. This should be denied by you with BCBS being informed to contact the employee so the employee can...
View Article
