thefarmer
04-16-2009, 12:38 AM
So my wife has now had two really odd experiences with Wellpath, as someone covered, and from the HR aspect.
Weird 1)
So, the other day my wife had an odd phone conversation with someone at Wellpath. She originally called to find out why they denied a claim from a hospital visit she had a week or so prior. After the employee got my wife's info and standard stuff, she started asking questions about Me. This was before my wife could even ask her own question, she started getting grilled about my health, what type of meds I was I, my doctor visits, etc etc. All of this was information that was already available to the company when we signed up with them (wife's new job). My wife answered a few generalized questions but as they got more specific she tried explaining that all that information was on the files that she had sent in (She's the head of HR, so she personally sent them in) and if she needed that information she should go look it up. To which, the employee replied with something like, "Well, I don't know about that. You'd have to talk to the admittance supervisor"-or something similiar. With that my wife said she wasn't going to answer any more questions and hung up the phone.
She called back later that day, got hold of a supervisor and explained the situation. The super said that it wasn't standard and 'she'd look into it'.. but we all know what that means. Anyone else have something like this happen before?
Weird 2)
The new job she calls for her to deal with claims and such and she's had a lot of people in the company come complain to her that their insurance claims have been denied. Looking at the back paperwork it appears that the company denies every initial claim, but when(if) it's resubmitted they usually approve things on a reasonable level. Is this common? Both my wife and I have worked in several different companies with well known insurance carriers, but this is the first time that we've had Wellpath before. Is this just my wife's company that this happens to or does anyone else have Wellpath and noticed the same thing?
Weird 1)
So, the other day my wife had an odd phone conversation with someone at Wellpath. She originally called to find out why they denied a claim from a hospital visit she had a week or so prior. After the employee got my wife's info and standard stuff, she started asking questions about Me. This was before my wife could even ask her own question, she started getting grilled about my health, what type of meds I was I, my doctor visits, etc etc. All of this was information that was already available to the company when we signed up with them (wife's new job). My wife answered a few generalized questions but as they got more specific she tried explaining that all that information was on the files that she had sent in (She's the head of HR, so she personally sent them in) and if she needed that information she should go look it up. To which, the employee replied with something like, "Well, I don't know about that. You'd have to talk to the admittance supervisor"-or something similiar. With that my wife said she wasn't going to answer any more questions and hung up the phone.
She called back later that day, got hold of a supervisor and explained the situation. The super said that it wasn't standard and 'she'd look into it'.. but we all know what that means. Anyone else have something like this happen before?
Weird 2)
The new job she calls for her to deal with claims and such and she's had a lot of people in the company come complain to her that their insurance claims have been denied. Looking at the back paperwork it appears that the company denies every initial claim, but when(if) it's resubmitted they usually approve things on a reasonable level. Is this common? Both my wife and I have worked in several different companies with well known insurance carriers, but this is the first time that we've had Wellpath before. Is this just my wife's company that this happens to or does anyone else have Wellpath and noticed the same thing?