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Complaint Against a Service USA

Florida Blue — Lack of Provider Relations Representatives

Since you are no longer providing representatives to assist with provider calls and redirecting all inquiries to Availity, please educate Availity on how to assist us with claims, payments and appeal issues. As instructed, I opened a ticket related to each individual case for the reissuance of ACH payments and Availity responded stating they were simply a clearinghouse and could not assist with my issue. They closed the cases, leaving know further guidance or how to get the issue resolved. WE NEED PROVIDER REPRESENTATIVES!!! Please bring them back. Unfortunately, the only recourse we have is to issue a complaint with the Department of Insurance and local Insurance Commissioner.