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In Reply to: United HealthCare Claims Processing posted by Extreme Unsatisfaction on July 30, 2001 at 23:18:06:
Although their customer service reps are very nice EVERY time I call, I don't enjoy having to call them. I have had similar problems with EVERY doctor's appointment I've had since starting using United Healthcare approximately 2 years ago. I have had to fight for every payment they've made! I feel bad for people who are not persistant and just pay the doctors' bills! It is not right! What can we do? I feel any letter I write will be put in a circular file.
I can only fight with my wallet: I will switch insurers this month. It's sad that this HUGE CORPORATION has no ethics!
: 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.