September 2014 DME claim for insulin pump supplies still not resolved. Cigna is stating that Carecentrixs did not send a claim for them to process as secondary.
Every quarter I have to be the middle man getting issues resolved between CareCentrixs and Cigna. Carecentrixs for whatever reason, only submits the coinsurance that my primary states I am liable for. Why are you not submitting the claim to show the full bill chare that's reflected on the primary EOB?? Like I said each quarter I go through this and it takes a while to get the claim paid.
When I call there is always an extended hold time, the reps are not very knowledgeable. I basically end up telling them how to do their jobs and I do not wokr for them. I am very knowledgable about insurance as I have been working in this field for quite some time.
Come on Carecentrixs and get it together. This is so frustrating.
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