Frustrating and Inefficient Claims Process at Bankmed

Dealing with Bankmed’s support staff for a chronic medication claim has been nothing short of frustrating. The inefficiency in handling attachments—specifically failing to open and properly review pathology results—has led to unnecessary back-and-forth, multiple calls from different consultants asking for the same information, and unnecessary delays.

The automated decline process for complex medical cases is particularly concerning. These are not simple, black-and-white claims; they require proper human review. Instead of carefully considering the medical evidence provided, Bankmed’s system and staff seem to default to rejection first, adding unnecessary stress when all I’m trying to do is manage my health.

Now that they have received and reviewed the relevant test results, there should be no further delay in approving my chronic medication. My biggest concern is that their drawn-out process might render my medical tests out of date, as they insist results must be within one month. If they continue to stall, I might be forced to redo the tests, incurring additional costs and delays.

Bankmed seriously needs to improve its claims processing—starting with training staff to properly review documents before rejecting claims and refining their approach to complex cases to ensure that patients receive the care they need without undue stress.