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Reply to "Carefirst claims not processing"
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[quote=Anonymous]I’ve had Carefirst coverage for MANY years and never experienced anything like this. All of the theories presented above for delays may be accurate at some level (trying to discourage use of OON, force appeals, and the like). But I also think the pattern seen - timely professing of OON claims through 12/31/25 and then complete lack of OON claim processing and intermittent processing of in-network claims since 1/1/26 tells me they are having a system wide update/integration disaster. Both Carefirst and my employer HR office have been completely in ineffective at communicating on this. In the meantime I am many $1,000’s of dollars out of pocket on OON medical expenses and struggling to pay my day to day bills. Just like that I’ve gone from feeling insurance blessed to cursed….[/quote]
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