We have been an in-network provider for Cigna for over 20 years and in the last few months there has been numerous issues in obtaining payment and pre-treatment estimates on behalf of our patients. The
back log for some is now over 6 months and the issues range from
1- misrepresentation of contract benefits for the insured
2- claims being stalled in their system for no reason
3 - request of information even though it was already sent and we have verification by electronic claim receipt.
4- denial of claims ( for covered services ) with no explanation.
5 - different explanations of claim status and or denials on our EOB's (explanation of benefits ) vs. what the insureds EOB's state.
6 - no follow up as promised by supervisors in Dental Claim Depts.
Product or Service Mentioned: Cigna Health Insurance.
Reason of review: Problems with payment.
Preferred solution: Deliver product or service ordered.
I didn't like: No accountability.