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Reply to "Carefirst claims not processing"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I’m reviving this thread. Is anybody having any luck? It is now 3/12 and we still haven’t had a single claim processed in 2026. Some exceed 60 days. We are sadly heavy users of healthcare and I’m worried what we are on the hook for if some of these end up being denials or require a deductible instead of copay (like labs/procedures) since our portal also doesn’t show our coverage details. [/quote] I have Anthem bcbs and 2 separate claims were denied and the reason code placed the onus on the providers. The billing manager at one provider was informed that there was a glitch between 2/2 and 2/25 where claims were denied, etc. They said all claims will be processed and it will take 45 days.[/quote] Same here for out of network BCBS claims with dates of service in January and February. I had the first claim readjusted successfully. Then 2 subsequent claims were denied with the same nonsensical reason code.[/quote]
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