SRC, An Aetna Company Failure to pay clames or address appeals ripoff Columbia South Carolina

I do not know if it is stupidity, incompetence, or chicanery but SRC, An AETNA company has screwed up again. They refused to pay my doctor for a claim for an injured finger. The reason subscriber didnt submit the requested accident report.

Actually I had submitted the report the day after I received it in the mail.

When I called SRC, An AETNA companies customer service I assured the woman in customer service that I had submitted the accident report.

She put me on hold and about two minutes came back and said Here is the report we must have overlooked it, I will re-submit.

So since April 2007 until November 2007 my doctor wasnt paid and I have a record of unpaid bills.

Just love that company.

After 6 months and much haggling AETNA, SRC reversed their decision and paid their part of my wifes dental bills. I had to go through their appeals process and wait another 30 days before action was taken. I get the distinct feeling that they deny many claims hoping you will get tired and just pay the bill. However even though it was three months late their portion of the bill was paid by them.

SRC - An Aetna Company finally paid their share of my wifes lab fees, however nothing has been said about her dental fees. In fact they have never told me the results of anything I found out about the lab fees being paid when I received a bill for the co-payments due.

A side note the bill to me from LabCorp was $168.77 Aetna paid them $16.88 + my $39.00 co-payment the remainder was listed as "discount". God help you if you don't have some kind of insurance.

I think SRC has communications problem between it's sections which they seem incapable or unwilling to fix. Beside that if you arent persistent their denial stands and they save money.