CareCentrix had the AUDACITY to..........

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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chunkyfrog
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Re: CareCentrix had the AUDACITY to..........

Post by chunkyfrog » Fri Jul 27, 2012 3:52 pm

BCBSNE took over 4 months to process a claim for stuff I bought from cpap.com.
I say to hell with them and their DME minions!
No more DME business for me until Medicare FORCES me to deal with them.

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Re: CareCentrix had the AUDACITY to..........

Post by Guest » Mon Oct 01, 2012 7:42 am

It is my opinion that Carecentrix is the answer to a non existant problem. They are just another level of health care responsible for our escalating health care costs.

I found them to be incompetent at best.

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Tino2You
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Re: CareCentrix had the AUDACITY to..........

Post by Tino2You » Mon Oct 01, 2012 8:25 am

Maybe someone from CIGNA that monitors this web site would care to provide some advice to Fireman. I have seen replies in the past from CIGNA reps in this forum so I know we are on their radar. This is a case where companies Cigna choose to have represent you are frankly, giving you a bad rep.

byw, in my case BOTH CareCentrix and Apria mishandled my prescription for my CPAP. I had to FAX the script to CareCentrix three times and Apria twice (both companies later acknowledged that they had the original FAX).

-tino

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Tino

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chunkyfrog
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Re: CareCentrix had the AUDACITY to..........

Post by chunkyfrog » Mon Oct 01, 2012 9:04 am

Zuul is looking for her gatekeeper!

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Pokezy

Re: CareCentrix had the AUDACITY to..........

Post by Pokezy » Sun Oct 07, 2012 3:28 pm

CareCentrix sent me a bill that was a year old. They admitted that it was not submitted to Cigna, but if I did not pay the $400.00 + bill in 15 days they would tun it over to a Collection Agency. I contacted Cigna by email, and they emailed back and told me who they talked to, and it would be processed and paid for by Cigna. Carecentrix emailed me and said Cigna agreed to pay it, but they wanted me to pay now, and they would refund my part when Cigna paid them. I forwarded the emil to Cigna, who got in touch with Carecentrix again, and Cigna told me they would not bother me again. I ended up paying $11.00. They were calling all the time wanting me to pay by credit card. Cigna told them not to get in touch with me again, if they had a problem, call Cigna. That was about8 months ago, and I have not been bothered any more, They should take the Care part off their name.

David

Clyde Carter

Re: CareCentrix had the AUDACITY to..........

Post by Clyde Carter » Thu Dec 27, 2012 12:17 pm

CareCentrix is a cabal of thieves and exploiter of the elderly and government and insurance assistance programs. Their business model is to foist unneeded supplies on unsuspecting people who may get stuck with the bill -- or it may get passed on to taxpayers. I have already been taken to collection for a CPAP I received last January that I paid for in full, by check (they were a month late getting it to me so it wasn't covered by my 2011 deductible!). Now these reprobates have taken me BACK to collection for two charges, totaling $30.91, dated 1/5/2012 -- weeks before they even delivered my CPAP -- that I was never even notified about (which makes sense, since they predate my relationship with the company). If you have ANY other option for home health services take it -- and if you get a chance, strongly suggest to your Congressman that someone take a hard, long look into the at-best shady business practices of these charlatans.

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chunkyfrog
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Re: CareCentrix had the AUDACITY to..........

Post by chunkyfrog » Thu Dec 27, 2012 2:53 pm


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johnthomasmacdonald
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Re: CareCentrix had the AUDACITY to..........

Post by johnthomasmacdonald » Thu Dec 27, 2012 5:09 pm

my sister has been in and out of hospitals and nursing homes for the last two years - we get somewhere between 5-10 bills a days and about 10 calls a day from 1-800 numbers of the hospitals and/or collection agencies. She has medicare and great insurance ( she worked as a director for NYC for 40 years ) yet the system is set up to endlessly scam for more money - they take money from medicare, her insurance company and then go after her to try to get some more ( even though she always tells them: " I don't want ANYTHING if it isn't covered by my insurance, even if i'm going to die, let me die). Her total billing has already paid over a million dollars for the extremely complex disorder of bedsores, and it still isn't enough for them - they want MORE. She's been sued several times - they endlessly try to get the court to rule by default hoping we won't respond to the paperwork - we always respond. They let the case go right up to the day before the court date and then they drop the case pretending that they are doing it out of compassion - yeah right.

My own experience was having a colonoscopy at the hospital - st. claire's - in network for my insurance company ( horizon blue cross/blue shield). I called ahead of time and confirmed with my doctor, the hospital and the insurance company that it was fully covered except for my co-pay. I paid the $200 co-pay the day of the procedure and then after about 6 months they sent me a bill for $853. I called insurance company and they say i owe nothing. Yet the hospital calls me once a week and bills me every month. When I tell them that the insurance company has said that as they are IN NETWORK and have been paid, if they have a problem they should take it up with the insurance company not with me. The hospital billing department say: " we looked into it but decided you owe us $853. I reply that I looked into it and determined that i owe them nothing - I've sent them my correspondence from the insurance company showing in about 6 places that I owe $0.00. It doesn't matter - they continue to harass me. I guess some people just break down and pay them - i know my mother would have under the thinking that no hospital would act unethically so they must be in the right (but she was born on what was basically another planet when it came to business ethics)

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chunkyfrog
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Re: CareCentrix had the AUDACITY to..........

Post by chunkyfrog » Thu Dec 27, 2012 6:05 pm

John, have you ever considered suing them for harassment?
If you can claim their actions have had a negative effect on your health, it qualifies as a tort.

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Re: CareCentrix had the AUDACITY to..........

Post by johnthomasmacdonald » Thu Dec 27, 2012 6:37 pm

chunkyfrog: "John, have you ever considered suing them for harassment?
If you can claim their actions have had a negative effect on your health, it qualifies as a tort."

Mainly we've been just trying to survive - I came back from england to try to keep my sister out of bankruptcy, and then medicaid which is the only US model for extended nursing home care. Then in the midsts of all this, we got hit with hurricane irene ( which flooded the basement with 3 feet of water even though we had a back up emergency sump pump on a battery that was installed 6 months before-when they installed it they left some plastic bits in the pit which jammed the pump) - basement was finished with a huge library

then we got hit -literally - by Five trees from Sandy - crumbling parts of the roof, taking down all the gutters and wiping out the backup automatic propane generator that we had installed in the backyard (required when my sister was on a home respirator) - now i've got TWO backup generators - that one and a portable gasoline one

last week another tree ( a huge pine) from my neighbor fell down and missed where my sister was sleeping by about 5 feet

Realize we've owned this house for 55 years and in that time never had ANYTHING happen - no trees falling, no floods, nothing (we're on the top of a hill)

In the midst - in august -of this i got my sleep apnea diagnosis which my insurance refused to pay for a sleep test - so i paid for a home test which diagnosed moderate ahi 21 apnea - then when i used that to see a sleep doctor my insurance refused to pay her as a "pre-existing condition"

then i fell on our wheelchair ramp while pushing my sister and thought i broke my hip since the pain was amazing ( i played US college football and rugby in England and have broken everything from my nose to my toes but this hurt worse than anything i've ever experienced) - turned out to be severe osteoarthritis in my hip which will require a hip replacement but i can't do it until i get my sister stabilized since i'll need to be out of action for 8 weeks - and even though i've upped my insurance to $1800 a month since my previous insurance of $800 a month covers nothing, I'd prefer to wait to have it done in England since i trust the doctors there far more than i do here

so before suing anyone, i first need to stop the bleeding

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Re: CareCentrix had the AUDACITY to..........

Post by deerhound » Thu Dec 27, 2012 7:10 pm

I'm fighting Carecentrix over a bill on my swift fx mask. They bill our insurance 86.00 for my wife's bella fx and 332.00 for my swift fx. They called my mask a Breeze Nasal mask. I told them I would pay 8.60 to them for my mask but they can wait until the next Mayan calendar ends before they will get 33.20 from me. I've got letters going to VPs of my former employer and the CEO of the insurance company complaining how inept Carecentrix is. I have been on the phone all month fighting this. I will win!

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Dee02

Re: CareCentrix had the AUDACITY to..........

Post by Dee02 » Tue May 20, 2014 10:21 am

Daughter has been on Rx formula since 8/2013. Formula shipped via Corum, Billed via CareCentrix and Insurance is Cigna. 1/2014 Corum informed that formula needed re-approved for year. Supervisor at cigna called Corum with me on phone and approved the formula and authorized release. Fast forward 5/2014. All formula claims since 8/2013 to date have been reversed or denied (cigna and corum offer different versions). Cigna stating that their supervisors do not have authority to approve anything. Cigna also stating received a denial notice from Carecentrix....lie never heard of them till bills started coming from Corum. As a consumer I should know Cigna internal policies on what a supervisor can or cant approve??!! Really? Corum/Carecentrix is charging me 100% mark up on formula based on what I could have paid for it direct from manufacture as consumer. Now my $5K formula bill is $10K! Neither will take responsibility. Both elevated to Executive offices. I come to find I am 1 of many that are having this issue. Including a coworker. Feel scammed into paying an exorbitant markup and not being notified of denials.
I'm at point of finding an attorney....
Doesn't matter Insurance Carrier...Company is a Scam.