Anthem Blue Cross- notice of Overpayment – $480 owed

I have three psychiatrist appointments: Service dates 1/18/2024 07/10/2023 10/6/2023

My insurance covered them and I recall at some point (I was on Vivity HMO, in southern Cali), they started to cover my appt so I was super happy. I even remember seeing my psychiatrist as someone in network on the Sydney Health app for Vivity, through Anthem Blue Shield). I figured as this was a new insurance plan this finally figured it out at doctors offices and I was covered. Now it’s saying my plan does not cover this care or service.

NOW, I get a letter where they want me to $480 for these services. The letter is dated 8/20/2024, with the payment dates being 8/19/2024. How is it that they JUST pay these services, then make a mistake, then ask me to pay these? In California the repayment window is 12 months after it was paid, but they JUST paid this, and NOW are hassling me for this?

As of July I am also on a NEW insurance plan with United health, so this is ridiculous they paid this even after I’m not Paying for their service anymore.

Please let me know the best course of action. I have 30 days to write a letter of complaint but I want to call them and figure this bullshit out. Im still trying to go after Optum for another $900 that anthem/vivity said I didn’t have to pay, but I had to submit the claim to Optum. It’s all so weird.

submitted by /u/iLok_hart
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See also  Insurance/Hospital billing issue