Manhattan Claim Problems - Unbelievable!

rousemark

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Niota, TN
My wife and I both have Home Health Care policies with Standard Life and Casualty (Manhattan), In January we filed prescription drug claims. Hers was shown as paid on Jan 23 and mine on Jan 24 by direct deposit to our account. I also filed a Home Health Care claim that took longer to process but was shown as paid by direct deposit on February 4. As of today, 2/7/2025, the money has never shown up in our account.

However, we did receive two deposits in the amount of $10.00 each for prescription drug claims that belonged to other insureds.. one located Kansas and the other in Texas. When I reported these deposits, I was told by CSR that it was not possible since the policy numbers are different as well as the routing and account numbers, It took a three-way call with the bank manager verifying the deposits before they would believe me (also had her verify that I had not received the deposits owed me and my wife)

Company finally told me that this was not an isolated situation, and IT was working on it. I am sure they are trying to retrieve any money that was paid in error, but my thinking is that it was their error. they know they owe us the money and they should go ahead and make the deposit and not make us wait any longer.

I would certainly like to know how they can make deposits in accounts that have totally unrelated routing and account numbers on policy numbers that are not even close to being the same. I was told that it happened becasue they had just recent began to pay claims by direct deposit on the plan but when I pointed out I had been receiving direct deposit claim payments since September 2023 that shut that excuse down.

If you have clients that are not getting their claim payments this may be the reason.
 
My wife and I both have Home Health Care policies with Standard Life and Casualty (Manhattan), In January we filed prescription drug claims. Hers was shown as paid on Jan 23 and mine on Jan 24 by direct deposit to our account. I also filed a Home Health Care claim that took longer to process but was shown as paid by direct deposit on February 4. As of today, 2/7/2025, the money has never shown up in our account.

However, we did receive two deposits in the amount of $10.00 each for prescription drug claims that belonged to other insureds.. one located Kansas and the other in Texas. When I reported these deposits, I was told by CSR that it was not possible since the policy numbers are different as well as the routing and account numbers, It took a three-way call with the bank manager verifying the deposits before they would believe me (also had her verify that I had not received the deposits owed me and my wife)

Company finally told me that this was not an isolated situation, and IT was working on it. I am sure they are trying to retrieve any money that was paid in error, but my thinking is that it was their error. they know they owe us the money and they should go ahead and make the deposit and not make us wait any longer.

I would certainly like to know how they can make deposits in accounts that have totally unrelated routing and account numbers on policy numbers that are not even close to being the same. I was told that it happened becasue they had just recent began to pay claims by direct deposit on the plan but when I pointed out I had been receiving direct deposit claim payments since September 2023 that shut that excuse down.

If you have clients that are not getting their claim payments this may be the reason.
It's Trump's fault. :yes:
 
My wife and I both have Home Health Care policies with Standard Life and Casualty (Manhattan), In January we filed prescription drug claims. Hers was shown as paid on Jan 23 and mine on Jan 24 by direct deposit to our account. I also filed a Home Health Care claim that took longer to process but was shown as paid by direct deposit on February 4. As of today, 2/7/2025, the money has never shown up in our account.

However, we did receive two deposits in the amount of $10.00 each for prescription drug claims that belonged to other insureds.. one located Kansas and the other in Texas. When I reported these deposits, I was told by CSR that it was not possible since the policy numbers are different as well as the routing and account numbers, It took a three-way call with the bank manager verifying the deposits before they would believe me (also had her verify that I had not received the deposits owed me and my wife)

Company finally told me that this was not an isolated situation, and IT was working on it. I am sure they are trying to retrieve any money that was paid in error, but my thinking is that it was their error. they know they owe us the money and they should go ahead and make the deposit and not make us wait any longer.

I would certainly like to know how they can make deposits in accounts that have totally unrelated routing and account numbers on policy numbers that are not even close to being the same. I was told that it happened becasue they had just recent began to pay claims by direct deposit on the plan but when I pointed out I had been receiving direct deposit claim payments since September 2023 that shut that excuse down.

If you have clients that are not getting their claim payments this may be the reason.
Yeah, don't you just love the, "It's not possible" comeback? I guess she now understands that it is VERY possible! LOL
 
They still haven't corrected this situation. "IT is working on it". I did receive a deposit on a latter claim this morning.
 
They finally paid my claim but haven't paid my wife's. She filed a complaint with the TN DOI today. It is not a lot of money but it is ridiculous that they still have not paid a simple prescription drug claim that was filed on January 15 2025.
 
They finally paid my claim but haven't paid my wife's. She filed a complaint with the TN DOI today. It is not a lot of money but it is ridiculous that they still have not paid a simple prescription drug claim that was filed on January 15 2025.
Seems like the wait times are longer on the phone.

They just sent a claim check to the policyholder on a claim that the policyholder had assigned the benefits to the dentist.
 
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