GHI (Emblem Health): GHI delays paying for out of network services a...
A GHI (Emblem Health) customer review by GetHuman user ~CRANE from November 5th, 2017
Background on ~CRANE's case
GetHuman: ~CRANE - can you tell our other GHI (Emblem Health) customers when your case took place?
~CRANE: Sure. It was afternoon, on October 31st.
GetHuman: Did you reach out to GHI (Emblem Health), and if so, how?
GetHuman: And which of these common GHI (Emblem Health) customer issues best describes the reason you wanted to talk to them?
(Shows ~CRANE a list of common GHI (Emblem Health) problems)
~CRANE: "Make/Chase a claim" was why I was trying to call.
~CRANE's review of GHI (Emblem Health) customer service
GetHuman: So how would you sum up your experience for GetHuman's GHI (Emblem Health) customer community? We'll censor any IDs, numbers, or codes and any inappropriate words here out of respect to the millions of other customers using this resource.
~CRANE: GHI delays paying for out of network services any way it can, including pretending for ** days that it doesn't have your claims and then telling you to resubmit (thus giving itself another ** days under the NY prompt pay law). GHI apparently DOES NOT log claims as they arrive, thereby obscuring their receipt date and allowing them to claim "lost" or "didn't receive" to harass patients.
GetHuman: Let's quantify your experience contacting GHI (Emblem Health). On a scale of 1 to 5, how easy is it go get help on a GHI (Emblem Health) problem?
~CRANE: I'd give them a five out of five for ease of finding your way to help.
GetHuman: What about quality of communication. How would you rate that on a 1 to 5 scale?
~CRANE: I'd give them a two out of five on communication.
GetHuman: And what about GHI (Emblem Health)'s ability to quickly and effectively address your problem?
~CRANE: For that I would say five out of five.
GetHuman: And finally- any advice for other GHI (Emblem Health) customers?
~CRANE: Call them early in the day or late. Don't forget any personal or account information you might need for GHI (Emblem Health) to know who you are.
GetHuman: Well there you have it. Some useful feedback and words from ~CRANE taken from his GHI (Emblem Health) customer service problem that occurred on October 31st, 2017.