Business ProfileforAnthem Blue Cross and Blue Shield

On 02/02/2024, I had surgery performed by Apex Dermatology in Westlake Ohio by *** ******. The total surgical cost was $2023.72 which Anthem denied stating the service performed is not covered under your plan. However, the service is covered. I contacted Anthem and spoke to a representative who was confused by why the claim was not paid and sent the claim back to be reviewed. Additionally, Apex filed an appeal on the claim and to this date no one has ever responded to the appeal complaints. Then on 06/25/2024, I had an office follow-up visit with Plastic Surgery ****** ***** at the Cleveland Clinic regarding complications from the surgery performed on 02/15/2024. The total office visit was $423.00 which Anthem denied stating the service performed is not covered under your plan. However, the service is covered, and additionally, I have reached my 100 percent deductible. I again contacted Anthem and spoke to a presentative who sent the claim back to be reviewed and to this date, no one has ever responded to the appeal complaints. Then on 08/12/2024, I had an office follow-up visit with Plastic Surgery **** ******** at the Cleveland Clinic again regarding complications from the surgery performed on 02/15/2024. The claim amount was for $624.00 which was denied on 08/21/2024 stating the service performed is not covered under your plan. I again contacted Anthem and spoke to a presentative who sent the claim back to be reviewed (reference #: **********) however, with the two previous issues still unresolved I feel questionable the third one will have the same outcome.