Business Profile

Insurance Companies

Blue Cross Blue Shield of Oklahoma

Complaints

This profile includes complaints for Blue Cross Blue Shield of Oklahoma's headquarters and its corporate-owned locations. To view all corporate locations, see

Customer Complaints Summary

21 total complaints in the last 3 years.
7 complaints closed in the last 12 months.

If you've experienced an issue

Submit a Complaint

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:04/08/2025
Type:Order Issues
Status:
AnsweredMore 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.
Blue Cross Blue shield is wanting me to pay them my small tax return plus more saying I didn't qualify for the subsidy of course not when I called in December of 2022 and cancelled because I got UMR thru my workplace
Business Response
Date: 04/22/2025
Please see attached letter.
Business Response
Date: 04/22/2025
Hello. It does not appear that the letter attached to the original response. Sending again. Thank you.
Initial Complaint
Date:03/06/2025
Type:Service or Repair Issues
Status:
AnsweredMore 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.
This complaint is in reagrds to a facility claim submitted on a UB04 claim form for outpatient maternity care within a ************************** My claim has been denied as inclusive to a CMS1500 professional claim, over and over again. I am formally reaching out for help processing the facility claim as BCBS of Oklahoma has failed to process the facility claim billed on a UB04 claim form correctly.The claim has been sent for rekey on multiple occasions and the denial remains the same. Please assist in making BCBS of Oklahoma accountable.October 17, 2024, 10:02am I spoke spoke with ******** who could see the notes ***** made when he sent our claim for rekey-She said he DID submit the claim correctly for rekey,The bad news is the claim is still in rekey.I spoke to ******** under reference number 163180273.DENIED11/15/202304/06/2024408884003070C00GIPSON, KAYLEE$2,000.00 DENIED11/15/202303/13/2024403284000660C02GIPSON, KAYLEE$2,000.00 DENIED11/15/202302/22/2024403284000660C01GIPSON, KAYLEE$2,000.00 DENIED11/15/202302/19/2024403284000660C00GIPSON, KAYLEE$2,000.00 REJECTED11/15/202303/15/2024403184005680C00GIPSON, KAYLEE$0.00 On Friday, November 1, 2024, 13:03,I finally had a moment to call and check in on our facility claim rekey! The rekey request is still in progress, I was asked to ''allow more time''.I spoke with ****** under reference number ********* .November 22, 2024, 14:38, ****** Midwifery Billing, LLC Billing ********************************** wrote:The rekey still isnt done! The representing spoke with today sent the claim for rekey again, all he could say is hes sorry that this should have been completed already. I spoke: ****** Reference: ********* Nov 26, 2024 I've spoken to three different claims representatives today after I found the rekeyed claim was denied yesterday:REJECTED11/15/202311/25/2024432784000500C00GIPSON, KAYLEE$0.00
Business Response
Date: 03/21/2025
Thank you for your inquiry. We are reviewing the case and will reach out to the member directly with a resolution.
Business Response
Date: 03/25/2025
Good morning, we attached this information when the original disposition was done and the letter sent to the member, along with a copy of the *** of the adjusted claim. I have placed both copies here again. I trust this will answer your review inquiries.
Business Response
Date: 03/25/2025
Good morning, we attached this information when the original disposition was done and the letter sent to the member, along with a copy of the *** of the adjusted claim. I have placed both copies here again. I trust this will answer your review inquiries.
Initial Complaint
Date:01/28/2025
Type:Service or Repair Issues
Status:
AnsweredMore 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 husband is covered under BCBS of OK and has been for years. It is through his company and my daughter and myself are on his policy. In 2019 I started work at ************* and decided to get secondary insurance through them with **** of **. I canceled within the year because my daughter and I had so much trouble getting pre authorization. Neither BCBS of OK or BCBS of TX wanted to accept responsibility. So, I dropped my insurance with BCBS of TX and my daughter and I have been on my husbands all this time. We were never removed from his. For the last 5 years my daughter and I have been fighting with BCBS of OK. When anyone calls them to get coverage for my daughter or myself, they are told that our primary is BCBS of TX and they cant cover us. I have to call BCBS of OK and spend hours on the phone every time this happens. This has been going on for years. When I call about it they say, oh well, we show BCBS of TX is not in our system as your primary: even though the providers call and tell us the **** of OK website shows that. Everyone cannot be lying. I have spent so many hours over the past 5 years trying to get them to fix this. They always say they dont show an issue. I want them to fix this problem! Its not our fault and we, ourselves, cannot do it.
Business Response
Date: 02/14/2025
No saf response
Initial Complaint
Date:12/10/2024
Type:Order Issues
Status:
AnsweredMore 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 been a client with Blue Cross Blue Shielf of Oklahoma (BCBSOK) for years, but I decided to change my insurance to another company through the government Health Marketplace. Having done so, ****** is accessing my account, irregularly, according to what marketplace informed me, to FORCE ME TO remain with them, and when I call them, their assistants tell me that I have no right to cancel my plan. They say only Marketplace can do that. Marketplace did that, a while ago, since I have already paid for my new plan. I have discussed with them and they said there is nothing they can do about ******, but they would restrict their access to my account, which shouldn't exist anyway. Apparently, ****** believes it is above the law.I want BBB to tell them that I will no longer be their client, and it is their obligation to simply accept it and stop harrassing me.
Business Response
Date: 12/24/2024
We will respond directly to the member. Thank you
Initial Complaint
Date:11/19/2024
Type:Order Issues
Status:
AnsweredMore 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 rejecting this response because: Haven't received the written response yet.
Business Response
Date: 11/19/2024
More Information...Thank you for your inquiry. We are reviewing the case and will reach out to the member directly with a resolution.
Business Response
Date: 11/27/2024
Please see the attached response.
Customer Answer
Date: 12/03/2024
Haven't received a response letter from them.
Initial Complaint
Date:08/29/2024
Type:Product Issues
Status:
ResolvedMore 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 reviewed the business response and accept this resolution.
Business Response
Date: 09/11/2024
Please see the attached company's response.
Initial Complaint
Date:05/13/2024
Type:Service or Repair Issues
Status:
AnsweredMore 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.
Blue Cross Blue Shields has failed to contact me as they stated in their response. Guess its just the insurance company doing what they want to do with no accountability. ross> ***** said denied based on last decisions. It seems like the third party works for the insurance company and denies everything. Pretty sad when the insurance company makes decisions for your health care and not the physician.
Business Response
Date: 05/15/2024
Thank you for your inquiry. We are reviewing the case and will reach out to the member directly with a resolution.
Business Response
Date: 05/21/2024
Please see the attached response letter.
Business Response
Date: 06/25/2024
Please see the attached letter.
Customer Answer
Date: 07/05/2024
I am rejecting this response because: I am being punished and made to file my own appeal because the health care provider did not send in the proper documentation. I was told by BCBS the health care provider only had one appeal and since they did not send in the proper documents, I am now the one that has to file the appeal, when BCBS knows this. I am covered for this medication the health care provider prescribed. When I file this appeal, it can take up to 45 days meanwhile, I am paying $300 a month out of my own pocket for a medication that should be covered by insurance. Doesnt seem like a very good way of doing business or trying to get out of paying for prescriptions.
Initial Complaint
Date:04/22/2024
Type:Service or Repair Issues
Status:
AnsweredMore 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.
Pleaes let me know if you need anything else from me. Thank you, *************************. ken to them (9) times trying to get this straightened out and these are the dates I called. 1/31/24, 2/6/24, 2/27/24, 3/6/24, 3/18/24, 4/8/24, 4/11/24, 4/16/24, 4/17/24. And on 4/17/24 I picked the option for payments, and after stating I wanted to see where we are at and wanted to make the payment, the rep in the *********** said, "In order to get you a 1099" and I stopped her and said, and kindly said, I didn't say anything about a 1099 and since I have made so many previous calls, I don't feel comfortable speaking with you and I will call back later. Each call taking about 40 mins to 1 hour of my time. I am completely stressed over this at this point and I don't believe what I'm go through in every single phone call. They all reassure me they will get it all cleared up. "Please, please, Help."
Business Response
Date: 04/26/2024
Thank you for your inquiry. We are reviewing the case and will reach out to the member directly with a resolution.
Business Response
Date: 05/03/2024
Thank you for your inquiry. We are reviewing the case and will reach out to the member directly with a resolution.
Business Response
Date: 05/07/2024
Thank you for your inquiry. We are reviewing the case and will reach out to the member directly with a resolution.
Initial Complaint
Date:02/13/2024
Type:Billing Issues
Status:
ResolvedMore 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 rejecting this response because:
There is no response included in the letter provided. A statement that the issue will be investigated and I will be contacted later, is even more vague than the promises that my credit will be processed at some future date. That expectation that I should continue to wait 24 - 48 hours for another research response, or a certain number of additional business days to process my refund is not helpful after so many failures. This response is even less than that I received from the call center. And, I would like to stress that despite being promised contact after more research in the past, it has never occurred. It always falls to me to call back and follow up.
It Is not too much to ask that my funds simply be refunded after 3 months of repeated calling and requesting it and 3 months of being told it will be no problem. Its all done. Just wait 10 more business days for it to show up.
I Would like the $214.91 refund that I have requested repeatedly since it was made in error in December 2023.
thank you,
Business Response
Date: 02/16/2024
Thank you for your inquiry. We are reviewing the case and will reach out to the member directly with a resolution.
Business Response
Date: 02/19/2024
Company Response to Inquiry
Business Response
Date: 02/26/2024
Please know we are working working to resolve this inquiry. If the member would prefer the response be handled by the BBB , please send a signed SAF so we have permission to share his PHI.

Thank you,
Customer Answer
Date: 02/26/2024
I have reviewed the business response and I do not need to sign an additional release or communicate any further.
My refund was posted and I am satisfied with my refund.

thank you,
Initial Complaint
Date:02/05/2024
Type:Service or Repair Issues
Status:
AnsweredMore 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.
It's been a constant battle with getting prescriptions covered. My son has been on the same insurance and medication since last year in 2023. We tried to fill his regular ADHD medication prescription on Monday, January 29, ****. It was not filled because we are waiting for a prior authorization. This showed as covered when looking at prescriptions on the Market Place. Now it's not covered and my son is not able to get his medicine. I have been paying a ridiculous amount. I called Blue Cross and they said there is nothing that they can do. Blue Cross shows this medication as covered it's the same prescription we have been using and the same insurance. No changes have been made. I have to been given any notification changes from the insurance about this change. Blue Cross has changed how the prescription is covered even with penalties without letting the insured know what is happening.
Business Response
Date: 02/07/2024
Due to the Protected Health Information involved in the response of this inquiry a letter will be sent directly to *********************************** Please allow **** business days for the member to receive the letter as mail typically takes that long to process.

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Blue Cross Blue Shield of Oklahoma is BBB Accredited.