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I'm currently fighting this exact fight with Blue Shield I was getting nowhere until I started connecting with and then publicly shaming their executive leader

I'm currently fighting this exact fight with Blue Shield I was getting nowhere until I started connecting with and then publicly shaming their executive leadership on LinkedIn. If you do that, you get transfered to their "executive relations team" who still are unable to get things done, but it's at least a different department you can file grievances that go nowhere with.

InCityDreams 3y ago
Thanks for the heads up. Time to give my money to someone else...that is probably just as bad, but hey "I'm doing my part".
- iancmceachern 3y ago
  Gladly! Another funny anecdote. They have a 1.1 star yelp review. The San Francisco DMV has 1.8. 1.1 is a statistically significant difference thsn 1.8. They have almost 800 1 star reviews on yelp, as a non profit!
mlrtime 3y ago
My wife is very effective contacting insurance companies and getting our claims approved. She spends hours on the phone but we usually get our way. This requires understanding our benefts, the CPT codes and denial reasons. She used to do this working for a high net wealth family office for the entire family's medical expenses. We were trying to think of a way that she could offer this skill as a service for people. It would require some difficulties with HIPAA, but I think there is a opportunity here to help people.
- iancmceachern 3y ago
  This is awesome. Totally understand the HIPPA challenges. I'd totally pay her to teach me how to do it for myself. Perhaps she could do it as a coaching or online course type model? I need this skillset in my life and don't know how to acquire it. I would pay someone to teach me how to acquire it.
  - mlrtime 3y ago
    Unfortunately it requires extreme patience, the ability to calmly never take no as an answer and a lot of spare time available to stay on hold (hours a day). It would never scale to a full time business, but she got paid well to do this for two very rich people. (Who want to keep as much money as possible).

InCityDreams 3y ago

Thanks for the heads up. Time to give my money to someone else...that is probably just as bad, but hey "I'm doing my part".

iancmceachern 3y ago
Gladly! Another funny anecdote. They have a 1.1 star yelp review. The San Francisco DMV has 1.8. 1.1 is a statistically significant difference thsn 1.8. They have almost 800 1 star reviews on yelp, as a non profit!

mlrtime 3y ago

My wife is very effective contacting insurance companies and getting our claims approved. She spends hours on the phone but we usually get our way. This requires understanding our benefts, the CPT codes and denial reasons. She used to do this working for a high net wealth family office for the entire family's medical expenses. We were trying to think of a way that she could offer this skill as a service for people. It would require some difficulties with HIPAA, but I think there is a opportunity here to help people.

iancmceachern 3y ago
This is awesome. Totally understand the HIPPA challenges. I'd totally pay her to teach me how to do it for myself. Perhaps she could do it as a coaching or online course type model? I need this skillset in my life and don't know how to acquire it. I would pay someone to teach me how to acquire it.
- mlrtime 3y ago
  Unfortunately it requires extreme patience, the ability to calmly never take no as an answer and a lot of spare time available to stay on hold (hours a day). It would never scale to a full time business, but she got paid well to do this for two very rich people. (Who want to keep as much money as possible).