Going for BrokeImportant Stuff

Another epic struggle against the forces of evil

Health insurance, billing departments, complaint resolution offices, and the automated phone answering system… horsemen of the apocalypse or God’s warning shot across the bow of today’s later day ark of bureaucracy and civilization?

All I know is that I don’t want to pay $800 for services that were supposed to be covered by my health insurance provider.

See if this sounds eerily familiar… your doctor sends you a bill for services your health insurance provider (HIP) denied coverage. You call your HIP and verify that these kinds of services are normally covered; but, they tell you your doctor never submitted the claim. You call your doctor and they tell you they did. You call back your HIP and they tell you your doctor didn’t. You call back your doctor for proof they submitted the claim, and they tell you it was submitted electronically… or in other words, fat chance getting your proof. You ask to speak to a supervisor, and they tell you she’ll call you back. A week later you get that call in the evening, at dinner time, at the precise moment your one year old son starts tossing a grand fit, whilst in the throes of hunger. The supervisor assures you she will have someone call your HIP and get things all straightened out… and that if she has any problems she’ll be back in touch. When she doesn’t get back in touch in two weeks, you become hopeful… until you get another bill in the mail for $800. So you call your HIP with the specifics of the bill (again), and they advise you they’ll forward the information to their complaint resolution office, who will respond in two weeks with their results.

My guess is there’s some research out there which suggests “two weeks” is the optimum answer to give to a complaining customer. It’s not enough time to seem like NEVER to the customer (like three months would), while still giving a fair chunk of time to actually do something; and, (most importantly) it gives the customer plenty of time to forget the complaint in the first place. What I’d like to know is if they actually intend to be DONE in two weeks, or if they’re giving a research based answer of placation. In either case, I’ve got my calendar marked. Maybe this is one case where business should run more like a government?

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