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APOLLO GLOBAL MGMT 26.19
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Pets Best - Pets Best Claim Time
For those of you with Pets Best, how long does it usually take for them to finish reviewing a claim? I feel like they are taking forever lately.
United Healthcare - Appeal: UH Erroneous Determination as Out-of-Network (when provide is in-network)
Hi all - I was wondering what the likelihood that my Appeal that I finally sent in will be successful or if I'm just going to continue getting the runaround from United Healthcare. At this stage is it worth doing anything else (or do I have to wait until the Appeal plays out?)
Some details...
The claim that I filed with United Healthcare had all the correct, relevant, and necessary information including the in-network Tax ID, the Practice’s pertinent information, the doctor’s name, itemized receipts (two – one paid with FSA and one paid with credit card), and other pertinent claim-related information.
United Healthcare processed the claim as out-of-network, but the Practice is in network, which made me receive +/- $3,000 less in reimbursement than I should have (due to that money going to an out-of-network deductible).
I have called United Healthcare more than 15 times now across 3 months to see what else is needed and to fix the wrongly coded EOB and I’m always told that United Healthcare made a processing error and will fix it – but it never happens months and months later.
The EOB erroneously states that this was an out of network event, but everything was in-network, and I have coverage for the procedure on my plan.
Once again, every time I have called United Healthcare, they have told me that I’m right, that they are ‘backing out’ of the old claim and will fix it, and every time nothing has been fixed. I just called earlier this week, and the 15th advocate I spoke with (after taking 20 minutes to look over all the times I called and notes) said I was 100% absolutely correct, I should have received an EOB saying it was in-network, and the determination was wrong, but folks keep coding it – inexplicably – as out of network.
She encouraged me to appeal....which I just did.
Expectations of what may come next? Thank you.
Blue Cross - ANY ADVICE? FSA mess over new year
Hello, and thanks in advance for any suggestions.
I have a 2024 and a 2025 FSA - for simplicity lets say theres 750 in each.
We had a hospital stay for the birth of a child, admit on 12/30/24 and discharge on 1/2/25. Total bill 800.
I need to pay the 2024 expenses with the 2024 FSA, and 2025 with the new 2025 FSA.
Hospital tells me to contact blue cross, blue cross tells me to contact hospital. Neither FSA companies help.
Hospital gave a detailed invoice, but the invoice is a mess and impossible for me to split into services given in 2024/2025. The invoice shows the full charges before insurance.
i asked blue cross to provide me with what I an responsibke for, split between the two years so I can call and manually charge each FSA for thier respective years… then pray the fsa will take the invoice as a reciept cus I cant get an EOB split by year…
This is all a mess, Im exhausted with a baby and JUST WANT TO USE MY OWN MONEY I paid into these stupid FSA’s. To make it worse my employer chsnged FSA providers so I have 2 seperate fsa companies to submit these charges.
Any tips?
Nationwide - Nationwide no longer on our side
After spending Friday with my 5 yo shihpoo in the ER with newly diagnosed IVDD, I went to submit my $600 claim only to discover my Wellness policy that I have had for the past 5 years was “expired”. I contacted Nationwide today and was informed that the policy is “no longer carried in your area and you need to reapply”. Now my dog has pre-existing conditions. I don’t remember receiving any correspondence regarding this (my policy was on autopay every month and canceled on May 1). Anyone else in a similar boat?
I know Nationwide has been discussed ad nauseum, so my apologies if this is redundant.
Geico - Geico going up again!!
Going from $113-$127, smh should I look into switching or would it be the same anyways?
Gap insurance - Insurance, Lienholder, Gap insurance dilemma 😓
Hello, I was involved in an accident and I’m currently waiting to be reimbursed by the insurance of the person who hit my car (the 3p insurance). However their policy limit doesn’t cover how much my car is worth. I am trying to retain the car as salvaged because it is my only source of transportation. The 3p insurance is sending the lienholder $15,000 (customer’s policy limit) but the remaining balance is mine to cover ($6,380). However my lienholder says they won’t send the letter of guarantee to the insurance until the remaining balance is covered ($6,380) meaning the 3p insurance cannot send the $15,000. I have gap insurance and I expected them to cover the remaining balance but they said they won’t pay until the $15,000 is sent from the 3p insurance and they see the letter of guarantee. Does anyone know if there is a workaround where I keep the vehicle having to pay ($6,380) out of pocket? Please let me know. Thanks!
State Farm - Is it standard for a wet signature upon policy termination?
I got a much better quote from New York life insurance for a life policy then my current State farm policy. It's my busy season of work and I was hoping to be able to docusign or just cancel over the phone. I was told I need a wet signature which means I'll have to take off a day or half off work.
Part of me wants to just cancel my auto and home policies as well with them over this. Are they just being difficult with me or is this standard with State farm?
Citizens - When does Citizens cover water damage under HO3 policy?
Hi. I have an HO3 policy with Citizens in Florida and I’m trying to understand in what situations they would actually cover water damage since the reps, my insurance agent or adjuster are not able to clarify this. I have a water damage under my flooring, but again neither the field adjuster, water mitigation company, nor the leak detection specialist have been able to find the exact source of the leak. Insurance wants to send out an inspector who I assume would work in their favor. I’m trying to prepare in case they deny my claim and I need to bring in independent specialists to help me figure it out. I have vinyl flooring installed on top of hardwood floor, and noticed a soft spot so I removed part of the vinyl and found rotten wood. I've never noticed any water on top of my flooring.
From what I understand, Citizens excludes gradual leaks and seepage, but they have a clause that covers hidden water damage if it was unknown and concealed beneath floors, behind walls, or in ceilings. I’m wondering how that actually works in practice. Since there's no known active leak it must be caused by something situational, hidden or accidental spill. I'm having a hard time determining the fine prints since it gives conflicting information. I've included a few pages from my insurance declaration related to water damage in link below:
https://imgur.com/a/sc50G9K
Would Citizens cover situations like:
- Moisture buildup under flooring due to a failed vapor or moisture barrier?
- An AC leak inside the walls over time from a pipe failure or faulty installation?
- Sporadic leaks from an air handler that was poorly installed?
- A cracked condensate line or even a sewage pipe leaking beneath the slab?
- Water spilled sometime in the past which got under the floor?
Has anyone had Citizens approve a claim for something like this, or did they deny it as a maintenance issue? If they did cover it, what kind of evidence did you need to provide?
I want to be ready in case they push back on the claim. It's been over a month already and I am not able to get the renovations started since adjuster wants me to keep it as is for now. On top of that the adjuster wanted me to keep the damaged flooring (with mold) bagged indoors. And he also advised that we live home since the mold did not seem to be a big issue from what he was able to tell from the photos (despite water mitigation company saying that it was over 10sq ft and asked that we find temporary stay since we have a small child until they send a higienist, which they did not get an approval for from adjuster)...
I would really appreciate your help. Thanks
Mapfre Insurance - How long should it take for appraiser to asses damage?
Hello. I have mapfre insurance. I had a minor accident 2 weeks ago and submitted a claim on March 27th. They had me take pics of the damage(front bumper damage) I got my estimate from their electronic appraisal. I dropped off the car at an in network shop on Sunday, March 31st.
That Monday the shop submitted a supplemental appraisal to have someone to check the car to approve more funds to get the car fixed from insurance. Since then there has not been an appraiser to come check my car at the shop. It’s been a week and it’s beginning to get frustrating. I was told many different stories on when an appraiser will come up until on Thursday an appraiser told me there was an issue in their system that prevented them from assigning an appraiser. I was told this past Friday that one has been assigned and will call the shop to schedule an appointment.
The damage is minimal and the shop can fix the car in 2 days but can’t proceed without insurance. What are my options to make sure they have someone come on Monday? I’ve been without a car for a week and it’s been difficult to get around. Would love some advice on this issue!
MONTERRA - Collections
Location: Arizona
My boyfriend and I rented an apartment about a month ago. Ever since staying there, we noticed a large, unavoidable amount of roaches. As stated in the contract, we were allowed to leave if the conditions were deemed unfit for living. We sent several emails regarding this situation, and even got bed bugs and have photos of proof of the roaches and bites as well as a doctor note. There were roaches in bags of potatoes, closed flour, and more.
We had enough and left, leaving a letter saying we would be leaving and why. They are now trying to charge us 12k for the months that we left, and threatened to send to collections. We got an email this morning regarding the amount owed from collections.
What can we do? We both don’t make enough to pay this off or to get a lawyer.
Email:
State Debt Recovery LLC, dba Genesis To: My name
Their address
My address
Their address
My state, city, zip
Their phone # from 8am to 5pm PST, Monday to Friday Account: 0004531455
w.genesiscred.c
2/18/2025
State Debt Recovery LLC, dba Genesis is a debt collector. We are trying to collect a debt that you owe to MONTERRA (STATE). We will use any information you give us to help collect the debt.
Our information shows:
How can you dispute the debt?
You had an agreement with MONTERRA (STATE), regarding 334. - Call or write to us by 3/28/2025, to dispute all or part of the debt. If you do not, we will assume that our information is correct.
As of 2/14/2025, you owed: $12,322.62
Between 2/14/2025 and today: - If you write to us by 3/28/2025, we must stop collection on any amount you dispute until we send you information that shows you owe the debt.
You were charged this amount in interest + $0.00 You may use the form below or write to us without the form. You may also include supporting documents. We accept disputes electronically at ComplianceATgenesiscred.c.
You were charged this amount in fees: + $0.00
You paid or were credited this amount toward the debt: - $0.00
Total amount of the debt now: $12,322.62
Your account bears interest at 10.00% percent per annum. What else can you do?
- Write to ask for the name and address of the original creditor, if different from the current creditor. If you write by 3/28/2025, we must stop collection until we send you that information. You may use the form below or write to use without the form. We accept such requests electronically at ComplianceATgenesiscred.c
- Go to www.cfpb.gov/debt-collection to learn more about your rights under federal law. For instance, you have the right to stop or limit how we contact you.
- Contact us about your payment options.
- Póngase en contacto con nosotros para solicitar una copia de este formulario en español.
How do you want to respond?
Check all that apply:
Mail this form to:
STATW Debt Recovery
LLC dba Genesis
Their P.O. Box
I want to dispute the debt because I think:
-This is not my debt
-The amount is wrong
-Other (please describe on reverse or attach additional information).
-I want you to send me the name and address of the original creditor.
-I enclosed this amount:
Make your check payable to STATE DEBT Recovery LLC, dba Genesis. Include the account number
0004531455
You can also pay online at: blank
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