Complaints

This profile includes complaints for Anthem Blue Cross and Blue Shield's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

close

Find a Location

Anthem Blue Cross and Blue Shield has 7 locations, listed below.

*This company may be headquartered in or have additional locations in another country. Please click on the country abbreviation in the search box below to change to a different country location.

BBB accredited

Near

Country

USUnited States

Please enter a valid location.

Filter

• 

  Anthem Blue Cross and Blue Shield

  One Liberty Plaza New York, NY 10006-1404

• 

  Anthem Blue Cross and Blue Shield

  11 West 42nd Street New York, NY 10036

• 

  Anthem Blue Cross and Blue Shield

  P.O. Box 5059 Middletown, NY 10940

• 

  Anthem Blue Cross and Blue Shield

  P. O. Box 11800, Mail Drop R5D Albany, NY 12211-0800

• 

  Empire Blue Cross & Blue Shield

  PO Box 11792 Newark, NJ 07101-4792

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

• Initial Complaint

  Date:05/24/2023

  Type:Service or Repair Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Good afternoon, We submitted a claim to b/c for procesisng. The benefits are 80/20 90% **********, the claim is not being processed according to that rate rather an unknown methodology. This is for ****************, ID ****************, 1 DATE OF SERVICE, 10/18/22 FOR BILLED AMOUNT ******* Kindly process claim according to the benefits ASAP. thanks VERIFICATION OF MEDICAL BENEFITS:According to ************** and ********, *************************** located in ******, *********** listed below are the individual and family out of network medical befor 2022:1.) Individual-Out of network deductible: $100.00 (met)2.) Individual-Out of pocket **** $2,000.00 (applied $1,050.30)3.) Family-Out of network deductible: $250.00 (applied $100.00)4.) Family-Out of pocket **** $5,000.00 (applied $1,050.30)5.) Life time **** ********* 6.) Annual **** N/A 7.) Benefits after individual/family deductible have been met: 80/20 8.) Out of network reimbursement is based on: 90 th Percentile of *********** National Aggregate

• Initial Complaint

  Date:05/15/2023

  Type:Product Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Date of Service March 5 and 6, 2023. Emergency ************ immediately after lunch on the Norwegian Encore ship, while still docked in ***** *******. I became very ill and required immediate emergency care aboard the ship. I mailed Empire all the medical paperwork, including procedure and diagnostic codes, with lab results, etc. The Total bill was placed on my credit card for $5,380.98. I could not leave the ship unless I put the full amount on my credit card. I was told to submit the bill to Empire after I arrived home. I submitted all paperwork twice by ** Mail with an Empire Claim Form. I have not yet received any response whatsoever from Empire; I have not even been assigned a claim number. My claim has been ignored. I have contacted NYSNA who handles the policy and whose number appears on my insurance card. I am not allowed to speak to Empire Directly; I must only speak to the ********************** who handles the medical benefits for the ************ employees. My contact at NYSNA is **** at ********************. My Empire Member ID number is ************. My name is ************************* and the policy holder's name is *******************, my legal spouse. I am being charged monthly high interest rates on top of the actual bill. Please look into this with Empire for me. I am 75 years old and on social security. I have been completely ignored by Empire. Thank you.

• Initial Complaint

  Date:04/13/2023

  Type:Service or Repair Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I am a representative at a provider's office and am very frustrated at the way a claim of ours is being processed. There were two surgeons on the same day (cosurgeons) and one of the surgeon's claims was sent to a third party pricing company and a payment of $175,000 was agreed on. However, the second surgeon's claim is being priced much lower and every time I call, no one can explain why. I have spoken to supervisors who are telling me that cosurgeons are not to be paid the same which is not true. Also, when I call, it is extremely difficult to get to the same supervisor i was working with. I get the excuse that they cannot internally transfer to a specific representative and can only offer call backs. This is frustrating because I am on the phone with other carriers or patients all day, and unless I know a time and date, I cannot guarantee I can pick up the phone. This is unprofessional and terrible customer service. I would like a direct contact of someone who can help me with these claims.

• Initial Complaint

  Date:03/31/2023

  Type:Product Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Dear BBB,We provide support to parents of disabled children with insurance coverage for ABA treatment. We're concerned about a customer with ********************** BCBS coverage whose policy may have ended on January 1st, 2023, due to an error in the Anthem system that confused the 2023 renewal for a new registration. This has resulted in the parents incurring hefty expenses from their providers due to a lack of coverage.We've contacted Anthem representatives several times to fix the issue, but we've received conflicting information and no solution. Despite the marketplace confirmation for the registration in January 2023, the Anthem representatives have offered various justifications for the policy's termination.The father entered an appeal to reinstate coverage, and we've also contacted Empire to confirm that the error was on Anthem's end. We've been asked to enter payments for two months, but the system didn't accept the January payment, only March. We've been asked to forward the January payment confirmation, but the Anthem representative did not respond.We are seeking your assistance to reinstate coverage starting from January 1st, 2023. We've exhausted all options to work this out with Anthem representatives.

  Customer Answer

  Date: 05/02/2023

  Better Business Bureau:
  
  At this time, I have not been contacted by Empire Blue Cross & Blue Shield regarding complaint ID ********.
  
  Sincerely,
  
  *********************************
  

• Initial Complaint

  Date:03/07/2023

  Type:Customer Service Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  EMPIRE BLUE CROSS / BLUE SHIELD Authorization Denial given 3/6/2023 for a One Touch Ultra Blood Glucose Meter Machine with lancets, test strips and needles. I have Diabetes and need to test my blood sugar in order to live. The EMPIRE Appeal Reference number is ********. I am strongly requesting your immediate attention to this matter as every day that passes without this machine is jeopardizing not only my health but my life. Thank you.

• Initial Complaint

  Date:02/28/2023

  Type:Product Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  As part of ****************** with Blue Cross Blue shield I get a $500 allowance for vision & hearing health each year. I requested this on December 7, 22. They said up to 10 days for the Master Card to arrive in mail.An employee of Empire mistakenly reported my card lost, hence they invalidated the card, and issued another card.Empire reps admitted they are at fault, but can't fix it.After 30 days I received 2 cards both inactive. Another card was mailed on ******* 18 which I did not receive and when I called empire card services they said to request another card. I lost $500 in Cash benefit for 2022 and still don't have my 2023 card. They won't expedite mailing these cards either. They print them same day and they hold them for weeks. It's crazy. I filed multiple complaints in December and I found out none them were on their computers. I filed a complaint again yesterday about them losing all my December Complaints and lack of service. These funds are health related care, and they don't want you to get it timely. I'm now waiting for 68 days. They have no system that can expedite the Flex Cards. The **************** has no power to help patients. To make matters worse now you can't get your monthly groceries without the Flex Card. Another $100 for ******* *************** stopped using ******* too, now very limited choices. You can't even register online since it's new and keeps rejecting you.How can a ************************* not express mail these Health Flex Master Cards?How can they have NO system in place to resend a replacement CARD?The **************** reps are under trained and each give you false information. One says, 3-5 days, another says ****, another said up to 30 days!They don't even provide tracking for mailing these cards.There's no one with authority to listen and make a decision. No One?One supervisor said you can pay $500 cash for your Prescription glasses and then file for reimbursement. I can't afford to layout cash & wait months

• Initial Complaint

  Date:02/28/2023

  Type:Service or Repair Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Provider for BCBS. I have spent HOURS on the phone and email trying to get paid for claims that were not paid or paid incorrectly. It's been over a year and BCBS still has not paid. They keep giving me different reasons for claims being paid incorrectly and not being able to pay me for incorrectly paid claims. I will be teaming up with a number of other therapists to bring a lawsuit against BCBS since this seems to be a common practice - giving providers the run around until it ends up costing us money to keep emailing and calling only to be transferred from person to person with no answer or varying answers to our questions about unpaid or incorrectly paid claims.

  Customer Answer

  Date: 03/27/2023

  At this time, I have been contacted directly by Empire Blue Cross & Blue Shield regarding complaint ID ********, however my complaint has NOT been resolved because:

  [Your Answer Here]

   

   

   

   

  In order for the BBB to appropriately process your response, you MUST answer the question above.

  Sincerely,

  *************************

• Initial Complaint

  Date:02/21/2023

  Type:Billing Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Emergency room visit 9/14/21. BCBS was billed from the hospital and was paid accordingly.In June2022 ******************************* began sending bills for this incident to BCBS. She was denied as per BCBS for "late billing". This bill/denial happened approx. 3 times. ****** ***************** located in ********* ** began sending bills directly to us. Spoke to BCBS approx. 10 times regarding this. The answer as to why they weren't covering this bill varied depending on who answered the phone(which was different reps each time) . Most just said they would resubmit the bill, which resulted in a denial for late billing. After being threatened by ****** Memorial with collection if the bill for **************** was not paid, and after ZERO results from BCBS regarding why they wouldn't pay, I paid the bill. After approx. 4 more calls to BCBS to try and ratify this situation, someone bothered to find out that **************** initially billed incorrectly stating it was a motor vehicle accident(the initial hospital bill that was covered was NOT issued this way so ?)Nov 5, 22 spoke with rep ***** extensively. She filed a grievance/appeal with BCBS for us. We waited until *** without a call back , finally getting thru to ******* at BCBS who discovered the incorrect billing issue with BlountMem/***************. The attached letter dated 1/12/23 states BCBS would send a new explanation of benefits which they have not. ******* spoke with the hospital billing ( ****) and reported back to us that we would be getting reimbursed within 30 days. We Called BCBS 2/17 to see if they recvd the letter they needed from the hospital/Dr. regarding the denial for incorrectly billing, they had not . Then called ****** Mem billing and they stated "the letter is in process" and refused to discuss anything further regarding the refund. We paid this bill to keep from ruining our credit score. But clearly it should be covered by insurance. Some people were helpful, most were not.

• Initial Complaint

  Date:02/21/2023

  Type:Product Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  My daughter was seen in the ** last June, 2022. To date I've called several times and tried to get the insurance companies to pay her medical bills and they're refusing to take any responsibility or action even though she has medical insurance and coverage.

• Initial Complaint

  Date:02/16/2023

  Type:Service or Repair Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I HAVE INSURANCE TRHORUGH MY JOB AND MY WIFE ISLEYDI NEED AN PELVIC ULTRASOUND BECAUSE IT WAS ORDER BY HER GYNECOLOGIST AS A PREVENTIVE EXAM BECAUSE SHE WAS HAVVING IRREGULAR PERIODS AND SOME BLEEDING IN BETWEEN AND THE INSURANCE PROCESS 2 DIFFERENT CLAIMS FOR A SINGLE ULTRASOUND, THIS DOES NOT MAKE SENSE, WE CALLED THE INSURANCE AGENT SAYS IS OK THAT THEY MADE 2 CLAIMS FOR THE SAME VISIT BASICALLY THEY DONT CARE. THE ISSUES IS THAT THEY DID NOT COVER THIS EXAM 100% WHEN THIS WAS A PREVENTIVE EXAM WHICH WAS SUPPOSED TO BE COVER COMPLETELY. THEY CHARGE $250 IN 2 DIFFERENT BILLS FOR 1 SINGLE PREVENTIVE ULTRASOUND.