amybenson 4 years ago in Payments/ERA Modules • updated by Shauna Dall 4 years ago • 8
Is anyone else still receiving a short pay on claims from BCBS PMAP? I bill for H2012 UA HK and the DHS rate for 1 hour is $65.26. BCBS PMAP prior to January 2019 paid $67.21 a hour. Now I am receiving $32.39/$32.38 a hour across the board. I have asked for "Project" to be opened to capture my incorrectly paid claims and have not been successful with customer service at Amerigroup. Our Provider Rep doesn't respond back to any emails or phone calls. Any advice or what is everyone else doing?
Customer support service by UserEcho
We cant even find out who our rep is as no one will tell us/give us any answers . We are still fighting with the April auths for the H2014 and now travel time. They are supposed to follow DHS standards and they are definitely doing that
T, were you on the conference call?
Current update from the Aspire call -
Hope this helps! :)
I missed getting on the conference call yesterday. THANK YOU so much for posting the above information!
no problem! :)
I have a email for the Research@anthem.com that I will contact and see how to proceed. See if I can send a spreadsheet for appeals since the Provider Rep doesn't respond back to any inquiries.
and this email is not good...:( back to calling amerigroup, wish bcbs pmap plans could just be processed the way they were in 2018!
Anthem seems to be the worst one to deal with. Amy, can you email me directly? I may have a person you could contact, but I don't want to blast that and lose the only person we have gotten ahold of in years.