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Kevin Dalley

@ProPublica
northern California has denied a simple claim of mine for 6 months.

My wife purchased meds outside of Kaiser, because the price was a few hundred dollars a month less.
I submitted a reimbursement claim, but Kaiser screwed up, and put claim in my name rather than my wife's name.
Not a major claim, but nice to get reimbursed.
Since my wife hit deductible limit, this makes a difference in reimbursement.
For 6 months, Kaiser has promised to fix the problem, forcing me to jump through hoops.
Kaiser does not have a working grievance system, though required by state of California.
Case manager almost never returns phone calls.
I opened a few cases through
California Department of Managed Care ().
Only slightly better than Kaiser.
DMHC returns phone calls only after multiple attempts.
DMHC closes cases without resolution.
DMHC does not share attempts at fixing systemic problems.
But after 6 months, I have another promise to fix the problem.