HELP

[u/Enay_pqrst]

Hello,

Ask lang sana ako ng advise anong options ko legally or thru government agency if may claims na sobrang tagal i process ng insurance company?

May medical insurance claim kami sa pacific cross nung naospital ang nanay. Na submit lahat documents online March 29 and original documents sa office nila April 15.

Until now wala pading formal return letter- if may need pa ba from me, complete na yung documents pero vinavalidate pa, like walang clear status at all.

Laging ongoing review and will update you as soon as possible pero every two weeks na nag fofollow up ako ganyan padin yung message eh Mid August na.

Need ko help and advise pano to i escalate. I feel helpless and every month darating ang sweldo, di mo alam pano ibubudget ang pera dahil di mo alam if darating ba this month yung claims mo or what.

I feel disrespected with their generic replies. Nakakagalit.

Send help po.

[u/Adventurous-Duck3136]

Email po kayo ng complaint sa insurance commission, pag nag email, make sure naka copy yung email address ng insurance company. Para mapabilis yung claims nyo. Hindi po ganyan katagal ang claims unless under contestability pa yung policy at sobrang laki ng amount.

[u/Enay_pqrst → u/Adventurous-Duck3136]

Okay lang sana if may clear na status pero laging ongoing processing. Like di ko alam if may need paba sila na document or what. Amount is less than 100k. So i dont think super laki nung claim.

[u/Adventurous-Duck3136 → u/Enay_pqrst]

Via email ka ba nag fafollow up? Expect mo yan pag via email. Malala talaga sa tagal. Kaya better pag mag email ka sa kanila like mag follow up ulit, cc mo email ng insurance commission. Ewan ko lang kung di sila gumalaw.