Saturday 24th of December 2016 05:06:50 PM
We started credentialing our new office in late October. After several glitches, we were told we'd be able to start billing 1/4/14 (we opened 1/2/2014). Our claims have all been rejected. Nobody at CareFirst can tell us what's wrong. I've contacted our billing clearinghouse, and after investigating, they said it was almost certainly CareFirst issue. I have talked to my CareDirst Provider Representative and a contracting specialist, who both told that our information should have all been filed, and told me to call the Help desk. Every time I've called (7 times now), I am on hold for 45 minutes before I give up in disgust. We have $18,000 worth of claims sitting around, not getting paid. All our other insurers are online. It's impossible to get any answers. There is no "supervisor" that can help us; I can't find anybody online to help me. We are a small, two-provider office, and we cannot afford not to get paid while CareFirst puts me on hold. CareFirst is without a doubt the worst insurer that I have to deal with, and that includes the Medicaids that we have. Their phone system is positively Byzantine, customer reps are often rude, and it's never clear whether you've selected the right option on the phone tree. Also - their fee schedule is terrible; even most of the Maryland Medicaids pay better than they do. This is a travesty, because they have a real grip on the Maryland area - they are our biggest insurer next to Medicare.