Anthem Reimbursed for allergy/sinus doctor visit and medication. C.G.S. states to reimburse within 30 days, and did not, to date have not received anything. I would like my money reimbursed approximately $150.00 to $190.00. I have documentation to add. Connecticut

 After 6 letters to resolve the issue, below is the C.G.S. a legal statute that requests payment to me within 30 days.  To date, it is not resolved.  As a former state employee, when a visit to doctor is complete, the reimbursement is submitted by the doctor's office to reimburse me.  I hope you can help me resolve it.  Thank you.  Susan Orlinski

July 2, 2013

Via first-class mail

FOURTH LETTER

Anthem Blue Cross and Blue Shield

370 Bassett Road

North Haven, CT  06473-4201

Attn: Claims Dept.

RE:  Anthem Reimbursements

Dear Anthem:

Fourth letter your company has not responded to:

I am writing to you because I have not received my reimbursement for a doctor’s visit and medication for 2012 occurred on 10.31.12 with Marlborough Family Practice.  My insurance expired on October 31, 2012.  I have forwarded bills and receipt for payment and have not heard anything.  The bills and receipt I sent reflect that I did still have insurance through my current employer, State of Connecticut, Dept. of Mental Health, Southeastern Mental Health Authority until October 31, 2012.   I no longer have insurance after November 1, 2012.  I would like reimbursement as this has been going on for quite some time.

Enclosed please find Connecticut General Statutes – Volume 11: Listed under “TIME OF PAYMENT OF CLAIMS:  “payment will be paid immediately upon receipt of due written proof of such loss” which was provided within two weeks of the visit (letter sent 11.25.12).  Please forward a check for reimbursement immediately as this has been going on for quite some time since last year.  There is nothing to argue over, money is due to me and I would like a check immediately. This is a serious matter.

Thank you for your help.

Sincerely,

Susan Orlinski

60 Nelkin Road

Colchester, CT  06415