Complaint Review: Great-West Insurance - Kennett Missouri
- Great-West Insurance 1000 Great-West Drive Kennett, Missouri U.S.A.
- Phone: 800-663-8081
- Web:
- Category: Health Insurance
Great-West Healthcare Refuses to properly handle claim for seven months. Kennett Missouri
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If you have ever considered getting a policy with Great West medical, hopefully the following will change your mind. Great West will do everything possible to make your life miserable before they will make payment on a claim.
I received medical services on 2/26 for treatment with doctor who didn't file claims. As a result, I had to file the claim myself. It's been over seven months now, Great West still hasn't paid the claim, and every time I call, I get another excuse
from their CSR's.
March 2007 - I file the claim, with the doctor's bill for services.
April 2007 - Claim is denied, I'm told that they need more information than the doctor's invoice.
April 2007 - I send them the complete doctor's notes regarding the visit.
May 2007 - I hear nothing from Great West, and the clicking on claim on my online claim management starts returning an error.
May 2007 - I call and report the problem with the online claim management, but I'm assured it will be fixed.
May 2007 - The claim vanishes from my online claim management, I call and report the problem, nobody is aware of the claim.I resubmit the claim, with the full doctor's notes.
June 2007 - No correspondence from Great West, but the original 2/26 claim appears on my online claim management.
At this point, my employer decides to go with a new insurance carrier.
July 2007 - I call Great West, and I'm told it should be a couple of days at the most, and I'll receive information on the claim.
July 2007 - Two weeks pass with no correspondence. But now a completely two claims appear on my account page, the original, and a new one, which has been automatically denied. I call back, and I'm told that the doctor's notes were submitted under the wrong claim, and they will take care of the problem.
August 2007 - Week 1 -Still no correspondence, I call back speak to Megan and Shea, and I'm told that they need the doctors
notes, but promise a response within 48 hours. For the third time, I fax them the doctors notes, but finally, it seems like this is getting resolved.
August 2007 - Week 2 - Still no correspondence. I call, ask to speak to Shea, told the examiners haven't responded.
August 2007 - week 3 - - Still no correspondence. I call, told the examiners haven't responded.
September 2007 - Week 1 - Still no correspondence. I call, and I'm told the examiners haven't responded.
September 2007 - Week 2 - Still no correspondence. I call and I'm told the claim wasn't processed.
September 2007 - Week 3 - Still no correspondence, I ask to speak to Shea or Megan, the CSR "doesn't know who that is"
Finally, I'm fed up with dealing with customer services ever-changing excuses, so I ask to speak to a supervisor.
I'm finally transferred to the customer service supervisor's voice mail, and explain the situation, asking her to please call me, As of today, nobody has returned my call.
All this for a measly 500.00 claim. I'm thoroughly convinced that Great West would rather see their policy holders die than pay a claim to them.
I recently suffered a life threatening heart problem, and fortunately I'm no longer with Great West, because would I hate to be going through this for 110K in hospital bills.
Marc
Ft. Myers, Florida
U.S.A.
This report was posted on Ripoff Report on 09/25/2007 05:10 PM and is a permanent record located here: https://www.ripoffreport.com/reports/great-west-insurance/kennett-missouri-63857/great-west-healthcare-refuses-to-properly-handle-claim-for-seven-months-kennett-missouri-276005. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year. Ripoff Report has an exclusive license to this report. It may not be copied without the written permission of Ripoff Report. READ: Foreign websites steal our content
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