Poor Service - no lack of empathy nor common sense

The level of service never seems to change at this member contact center. My child is asthmatic & has her follow up visit to the Paed. My claim gets rejected for a GP referral. A GP 1stly should not be managing a toddler for Asthma! So, ok if the system is setup and it rejects, i send an email asking them to manually process it - that means if a late referral is needed, get it, i don't need to tell them this. This is also PMB and she is registered for chronic, all of which have been paid correctly in 2019 but they cannot see this and tell me it does not form part of the care plan. Then they request a motivation - BS. you paid for this is 2019, why now ask for more info, where the Dr will bill me for writing the motivation, you must then pay for that + the consult.

really poor service - claim still not paid and then this affects the relationship with the treating Dr.

Next call is CMS! Poor **** service gets you this.