Reply to Carefirst claims not processing

Forum Index » Health and Medicine

Reply to "Carefirst claims not processing"

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]This thread had me very worried, since our first OON reimbursement claim was submitted on 4/20.  They processed it on 4/24 and I received a check in the mail today. [/quote]

From our experience it seems that as of mid April Carefirst is back to processing newly submitted OON claims efficiently, but still severely delayed on processing backlogged OON claims filed January through March 2026. With those earlier claims, there seems to be no pattern on how Carefirst is addressing them (chronologically, by family member, by provider, etc.). This seems in line with reports of Carefirst having a claim processing platform transition integration malfunction that is being addressed with manual entry. [/quote]

Who are all these fancy rich people seeing doctors Out Of Network? I don't get it. How much money do you have?[/quote]

I will take your comment as made out of frustration with the overall healthcare environment, which I get. So I’ll give you the benefit of a doubt.

For many carriers, in network provider options are too limited - especially for those addressing chronic conditions. There is no other choice than take on the financial burden of paying for treatment out of pocket with OON providers. The current problems with Carefirst OON claim processing makes an already difficult situation much worse.[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics