United HealthCare Claims Processing

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Posted by Extreme Unsatisfaction (172.170.90.209) on July 30, 2001 at 23:18:06:

I have been having nothing but difficulties with claims processing through United HealthCare Insurance Co. Just a few examples, they rejected my annual "well woman" claim which is 100% covered under my benefit plan. They deducted for the annual $250 deductible twice this year (all claims with date of service in calendar year 2002). It usually takes three attempts to get UHC to process a single claim correctly, and that is only after I have written to the State Insurance Commissioner's office that my claims get the proper attention at UHC. They really give you the classic "run-around," and try to wear you down so you just pay the claims directly. I have to constantly make telephone calls and write letters, asking for them to re-evaluate the claims. Often, when they are processed again, six weeks later the claims are denied as "duplicate." I shouldn't have to work so hard to get claims paid. I guess the best thing to do is to encourage my benefits administration to switch to another group healthcare provider. My employer's group is over 5,000 employees - you would think UHC would recognize the jeopardy they are putting this lucrative contract in, by giving employees such a hard time with claims processing.


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