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[quote=Anonymous]Re-upping this, as I am the person who had this interaction with the Carefirst rep and I think the explanation he gave me (esp. the bold) was accurate.

I did, nevertheless, subsequently submit a complaint to the Maryland Insurance Administration, because I think what the Carefirst rep said could be true and the company could still be opportunistically using it as a means of discouraging OON claims, which is BS.

https://insurance.maryland.gov/Pages/default.aspx

[quote=Anonymous]Update to anyone dealing with this.

I am on the phone with a Carefirst rep now (it was a 30-minute wait). He has explained, clearly reading a script that he has read many times already, that on January 1, Carefirst changed systems and this added 2-3 minutes to every single transaction they perform. Allegedly the system change was needed because they are so frequently the victims of cyberattacks.

According to this CSR, [b]OON claims are massively backed up because the providers have to be re-entered into the system one by one before any claims pertaining to them can be adjusted. [/b]

He is unaware of any process via which that can be expedited, and has no ETA to completion.

The script said to expect 45-60 days instead of 30-60. My claims are already three months old. [/quote][/quote]

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