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Emblemhealth - Incompetent staff

Since november 2018, i and my representative who helped me at my apartment apply for ins. Has not sent my I.D. CARD. I CALLED TOTAL, 5 TIMES INCLUDING JAN 12 2018 AND ALL 5 TIMES I STILL HAVE NO CARD FOR INS. EVEN A SUPERVISOR SAID HE WOULD SEND IT PRIORITY MAIL EHICH DID NOT HAPPEN AND SEND ME TEMP CARDS VIA EMAIL WHICH NEVER HAPPENED EITHER IN 2ND WEEK IN JAN 2018. HE SAID 72HRS. HOW DO YOU HAVE PEOPLE WORKING FOR THIS COMPANY THAT DONT DO THEIR JOB. IM STILL WITHOUT I.D. CARD AND THE SUPERVISOR IS JUST AS BSD AS YOUR TELEPHONE REPS. WHSTS THE PROBLEM? ???? 5 CALLS ALREADY AND 2 MONTHS, NO I.D. CARD AND NO TEMP CARD
#1453000
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The member section of the website is useless. Contact information for doctors listed on the site is often outdated or just plain incorrect. Several doctors on the list don't even accept Emblem. They routinely deny just about every claim that is sent, even for things...
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1.0
#1401741
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Their communication is terrible at best. Hours of being on hold. Each call ends with a different answer and different solution to my denials. I do what they recommend and still being denied. I work for a specialist and obtaining a referral or authoriztion is almost...
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Anonymous
Thomas

You can filed complaints for unpaid claims with the NY insurance dept.

#1394393
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Emblemhealth - No rx filling

Nothing good to review. Jgoing back to my former health care provider .
1.1
Details
Customer service
Facilities and Services
Privacy and Data Security
Product or Service Quality
Service Scheduling
Staff
Website
#1367237
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Emblemhealth - Won’t pay for prescriptions

They wouldn’t fill two prescriptions that i needed badely. I had to lay out seven hundred dollars to get them. I’m going back to empire blue cross / blue shield. The tv ad is misleading and prays on the elderly. The pharmacist said there not a good plain and he only gets complaints.
1.0
Details
Customer service
Privacy and Data Security
Product or Service Quality
Reliability
Staff
#1367231
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I recently received a solicitation mailing from EmblemHealth. I was livid when I opened it and found that it was in Spanish. No English version -- only Spanish. I checked the back thinking I missed it -- nope ... nothing. What the..... I will never buy insurance from...
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#1360225
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This is the latest manifestation of my ongoing problems with Advantage Care Physicians / Emblem Health. All the permanent PCP doctors, including my previous doctor, left their facility in Lake Success, NY, leaving nothing there but temporary doctors and autocratic,...
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#1345584
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After falling behind on paying my premiums, I was finally able to get caught up and make a payment so that my insurance would be active for a CT SCAN I needed. Not only did the company on several occasions tell me they would contact me when it was approved (it was),...
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1.0
I didn't like
  • Customer service
#1340920
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Emblem Health (HIP, GHI) has become a disaster for professional providers billing departments. The excessive hold (1-3 hours) is inexcusable. The EOB's (explanation of benefits) does not give a clear cut reason for the decision regarding your claim. The "codes" have no...
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Anonymous
Marie J

I am in the middle of a nightmare with them as well trying to obtain a pre-authorization request for a potential patient. I can't tell you how many calls, holds, faxes and STI...

1.0
I didn't like
  • Treatment of the professional providers claims
#1302637
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Emblem Health uses all sorts of pretexts to avoid members to receive the reimbursement for medical claims they are contractually entitled to get. While other insurance companies post online claims received within 48 hours, Emblem takes one month to process them. They...
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1.0
#1297406
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