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Close Covered California Account?

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Question: I signed up one family member with the incorrect DOB (typo is off by one day). I cannot get it resolved and it is now causing rejected claims and billing problems. DOB can only be changed at CC by an IT tech person. We’ve gone that route twice in the past 5 months and neither the CC account nor the Anthem account is updated. Some insurance sites advise closing the account and starting over. The family member is undergoing diagnostic services and treatment at this time so I do not want them to be without coverage. But having the wrong DOB is like being uninsured as the claims are not being paid. Can any agent please advise on best way to reach a resolution at CC (who will then update Anthem)? Or is canceling and starting over the only way? Thanks for your assistance.

Answer: Expert agent, Max Herr, says: DO NOT CANCEL THE ACCOUNT!! Doing this will terminate coverage and you won’t be able to get it back until January 1, 2015. You should be able to resolve this with a phone call to CoveredCA (800-300-1506). Although you will probably have to wait on hold for an hour or more, it should not take an act of Congress to get a CSR to make the change. Do you have a designated Certified Insurance Agent? If you did, that agent ought to be able to get the change made for you. I’ve been able to get similar changes made without difficulty.


Thanks for your reply Max Herr. As I posted we’ve already made two such calls to CC number you provided in the past 5 months. They say they updated the DOB and Anthem. But both accounts remain unchanged. I agree it shouldn’t be this complicated but it is. I don’t have an agent to help me. Is it too late to pay one to assist?

I had this exact situation with a Health Net policy. I had CC correct it but then HN cancelled the policy and restarted a new one. It took a while but we got it straightened out.It is very hard to correct anything and not have the insurance company cancel the coverage and start a new policy.

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