You get a letter stating that the claim needs to go to the proper payer; but, there is no indication on the letter as to who the patient is. I have sent these back many times and it is still not corrected. These claims were never returned with the proper information on them either. Provider should not have to call & wait 45 minutes to an hour to get this information. It is NOT a HIPPA violation if we are the billing agent that submitted the claim.
Good luck with this company. The company I work for contracted with them and the process went anything but smoothly.
Good luck reaching anyone in provider services. Unfortunately providers just won't take on clients with Health Plans for reasons such as this.
I can't speak for all departments but the customer service department was awful. Henry is a very bad supervisor with no personality, no work ethic and will never appreciate the work you do. Your work gets micromanaged.