When you say the claims are not being paid properly can you specify.
If BCBS is suppose to pay 70% that's what should be paid for any qualifying OON claims. Did they pay less than that or is one of the doctor's offices still charging you after being reimbursed by BCBS?
They've paid substantially less than the 70%. It has also been very inconsistent with payments for providers being mailed to me when I've submitted claims and specifically checked for payment to be made to the providers.
I thought that maybe the 70% that was being paid was on a different amount (set by Blue Shield for the types of services) but I can't even get that information from them when I call.