RE: Complaint I [redacted] # [redacted] ear Ms [redacted] :UPMC Health Plan, inc("UPMCHP") has receive [redacted] an [redacted] reviewe [redacted] your letter *ate [redacted] May 5,2017, as well as the accompanying complaint,We thank you for bringing this matter to our attentionUPMCHP takes all potential privacy an [redacted] security concerns very seriously, an [redacted] is currently investigating the possible occurrence of theinci*ent *escribe [redacted] in the complaintShoul [redacted] results of the investigation substantiate the concerns expresse [redacted] by the complainant/ UPMCHP will contact the complainant *irectly regar*ing any implicate [redacted] resolution,.If you have any further questions or nee [redacted] a**itional information, please *o not hesitate to contact me at ###-###-####.Respectfully Submitte*,Cha [redacted] *, Greenwal*UPMC Health Plan***
RE; Complaint ID [redacted] Dear Ms, [redacted] :On April 21,2017, UPMC Health Plan, inc("UPMCHP,f) received a fax sent by Mr [redacted] concerning UPMCHP's response to Complaint ID [redacted] .As explained in UPMCHP's April response, without a HlPAA-complaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaint.Although Mr [redacted] provided an authorization form with his April fax, he did not provide UPMCHP's required authorization-and release formWe have attached a copy of that form for Mr, [redacted] to fill out, sign, and submit if he desires.Should you have any questions or require any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,John S [redacted] Staff Attorney UPMC Health Plan
RE: Complaint ID [redacted] Dear Ms [redacted] :UPMC Health Plan, Inc("UPMCHP") has received and reviewed your letter dated October 27,regarding Complaint ID [redacted] .The above-referenced complaint did notinclude a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-complaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaintHowever, UPMCHP will determine whether the affected individual is a UPMCHP member and, if so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any questions or require any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,Ariell Antonio Staff Attorney UPMC Health Plan
RE: Complaint ID [redacted] Dear Ms [redacted] :UPMC Health Plan, Inc("UPMCHP") has received and reviewed your letter dated October 12,regarding Complaint ID [redacted] .The above-referenced complaint did not include a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-complaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaintHowever, UPMCHP will determine whether the affected individual is a UPMCHP member and, if so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any questions or require any additional information, please, do nothesitate to contact me at [redacted] Sincerely,Ariell A [redacted] Staff Attorney UPMC Health Plan
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint.? For your reference, details of the offer I reviewed appear below Re; Complaint [redacted] Mrs [redacted] ,In response to UPMC response to my complaint, I am not sure how it was taken out of context from a complaint against UPMC for Life at U.SSteel Tower 9th Floor Grant Street Pittsburgh PA to UPMC Health Plan legal H1PAA and PHI.First of all, I was not requesting anyone's personal information or medical records from UPMCMy complaint was against against UPMC for Life at U.SSteel Tower 9th Floor Grant Street Pittsburgh PA for sending junk mail [advertisements] to my home for people that don't live at my home and never have lived at my homeThe names are Irene [redacted] and [redacted] ***Once again UPMC for Life at U.SSteel Tower 9th Floor Grant Street Pittsburgh PA needs to stop sending me advertisements for an Irene [redacted] and [redacted] at my address [above]No such people have ever lived at my house.Sincerely, [redacted] ***
RE; Complaint ID # [redacted] ? Dear Ms [redacted] :UPMC Health Plan, Etc("UPMCHP") has received and reviewed your letter dated June 6,2018, as well as the accompanying complaint.The above-referenced complaint did not include a HIPAA-compliant authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-compliant authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaintHowever, UPMCHP will determine whether the affected individual is a UPMCHP member and, if .so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any further questions or require additional information, please do not hesitate to contact me at ###-###-####.Respectfully Submitted,? Chad **? G [redacted] Staff AttorneyUPMC Health PlanLegal Services DepartmentU.SSteel Tower [redacted] ***T ###-###-####F ###-###-####?
RE: Complaint ID [redacted] Dear Ms [redacted] OnApril 18, UPMC Health Plan, Inc, ("UPMCHP") responded to an initial complaint filed by Mr [redacted] That complaint did not include a HIPAA authorization that would have allowed UPMCHP to disclose protected health information, Without a HIPAA-compIaint authorization, UPMCHP advised that it was unable to provide a response to the Revdex.com regarding the complaint.On April 21, 2017, UPMC Health Plan, Inc("UPMCHP") received a fax sent by Mr [redacted] concerning UPMCHP's responseAlthough Mr [redacted] provided an authorization form with his April fax, he did not provide UPMCHFs required authorization and release formIn an April 24-letter, UPMCHP attached a copy of the proper form for Mr [redacted] to fill out, sign, and submit if he desired, UPMCHP did not receive a completed copy of the correct form.UPMCHP has received your letter dated May regarding Mr [redacted] , Again,UPMCHP does not have a proper HIPAA authorization that would allow UPMCHP todisclose protected health information, Without a HIPAA-compIaint authorization,UPMCHP is unable to provide a response to the Revdex.com regarding the complaint.Should you have any questions or require any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,John S [redacted] Staff Attorney UPMC Health Plan
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint.? For your reference, details of the offer I reviewed appear below.Initially in September of when I wrote tp UPMC for LIfe U.SSteel Tower 9th floor Grant street Pittsburgh PA the advertisments for [redacted] and [redacted] stopped for about a yearThen they started coming again and when I file a complaint with the Revdex.com it becomes a Hippa issueI consider this harrasmentAll they are are advertisements for people that UPMC probably just made up and as far as I am concerned can lead to fraudHow can I get a HIPPA release form signed by some individual that moree than likely does not exist? No such people have ever lived at my addreess and I did not start getting these until after I lived here for years Regards, [redacted] ***
RE; Complaint ID [redacted] Dear Ms [redacted] :On December 21, UPMC Health Plan, Inc("UPMCHP") received additional correspondence concerning UPMCHP's response to Complaint ID [redacted] 'Although an authorization form was provided with the December 21st correspondence, it did not contain the signature of the individual who is the subject of the complaintAs such, without a HIPAA-complaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaint.Thank you for bringing this matter to our attentionShould you have any questions or require any additional information, please do not hesitate to contact me at ###-###-#### or Gail M [redacted] , Administrative Assistant, at ###-###-####.Sincerely,Ariell A [redacted] Staff Attorney UPMC Health Plan
Re: Complaint ID: [redacted] Dear Ms [redacted] : UPMC Health Plan, Inc(“UPMCHP”) has received and reviewed the abovecaptioned complaint dated October 13, Pursuant to the directions included in the letter, this response will not personally identify the member.The complaint sets forth lhat the complainant, received diabetic education services on July 8, 2015, and is upsett that these services were not covered by UPMCHPIn this instance, the services were not covered based on the nature of the claims submitted by? the complainant’s providerHowever, UPMCHP is working with the provider on getting a proper claim submitted, and will contact the complainant directly regarding the outcome.UPMCHP values the satisfaction of its membership, and we thank you for bringing this matter to our attentionIf you have any further questions or need additional information, please contact me at ###-###-####.Sincerely, [redacted] EsqUPMC Health Plan
RE: Complaint ID [redacted] Dear Ms [redacted] :UPMC Health Plan, Inc("UPMCHP") has received and reviewed your letter dated October 17, regarding Complaint ID [redacted] .The above-referenced complaint did not include a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-cornpIaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaintHowever, UPMCHP will determine whether the affected individual is a UPMCHP member and, if so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any questions or require any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,Ariell A [redacted] Staff Attorney UPMC Health Plan
Re: Complaint No [redacted] by [redacted] ***Dear Ms [redacted] UPMC Health Plan, Inc(‘'UPMCHP”) has received and reviewed your letter dated November 21,2016, as well as the accompanying complaint submitted by [redacted] ***.The above-referenced complaint did mot include a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-compliant authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaint.Please be advised that UPMCHP has diligently and thoroughly investigated the subject matter of this complaintOn December 2, 2016, UPMCHP Member Services sent a letter directly to Mr [redacted] regarding the issues raised in his complaint.Thank you for bringing this matter to our attentionIf you have any further questions or need any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,Stacey [redacted] J [redacted] UPMC Health Plan Legal Services Department
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint.? For your reference, details of the offer I reviewed appear below 11/8/2017? I received a response dated November 6, from UPMC attorney Ariell A [redacted] , stating that their UPMC member services placed me on the do not call list on October 26.? ? This was per my repeated requests which was not made clear in the letter.? This does not address the problem.? I was called, at the end on a daily basis, ? from Maxim health which is affiliated with UPMC.? I repeatedly told them I do not need their services.? The calls only increased to an automated system.? I requested UPMC to stop calling me.? That did not work until October 26th.? When I called UPMC again to stop the calls.? So the issue is Maxim Health Care and UPMC giving my information.? And Maxim having an aggressive sales campaign that I could not stop without much effort on my partMy effort should not have been needed.? The calls border on harassment and need to be addressed with Maxim Health Care.? And, this was not addressed in the letter.? In fact it was stated that now that I was on the DO NOT Call list the problem was solved.? [redacted] ***
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to me.? [redacted] ***November 20, 2015Revdex.com [redacted] ***Re; Complaint [redacted] Mrs [redacted] ,I got an email about a response from UPMC about my complaint and I responded rejecting their response.A little while later I received a letter from UPMC that is acceptable and I would like to now dose the complaint.Thank you.Sincerely, [redacted] ***
Re: Complaint No [redacted] Dear Ms [redacted] :UPMC Health Plan, Inc, (“UPMCHP”) has received and reviewed your letter dated December 29, 2016, regarding the member’s additional concerns in connection with the referenced complaintPlease accept the following as UPMCHP’s response to those concerns.In her initial letter, the member sought reinstatement of her federally facilitated (FFM) UPMC EPO Silver plan which she complained had been terminated without noticeIn UPMCHP’s December 22, response, we explained that the members coverage was terminated due to a series of unpaid balances dating back to September 2016, and following an October written notice and a reminder call on November 15, Upon investigating the member’s complaint, however, UPMCHP determined that due to an error with the member enrollment system, the member was not sent a termination warning letter in November As a result this error UPMCHP offered to reinstate the member if she satisfied her account balance in full.The member confirms in her follletter that UPMCHP contacted her regarding the offer of reinstatement and states that she paid her account balanceThe member complains, however, that as of December 28, her coverage had not been reinstatedUpon investigation, the member’s coverage was reinstated as of December 28, following her call to UPMCHP, and her pharmacy was able to submit her claim.In addition, on December 29, 2016, a UPMCHP representative called the member and advised that her plan was due to terminate on December 31, and that she was not automatically enrolled for coverage because her plan was inactive at the timeUPMCHP advised member that if she wished her coverage to continue, she would need to contact the FFM to enroll and request a January 1, start date.Thank you for bringing this matter to our attentionIf you have any further questions or need any additional information, please do not hesitate to contact me at ###-###-####. Sincerely,Stacey [redacted] J [redacted] EsqUPMC Health Plan Legal Services Department
RE: Complaint ID # [redacted] Dear Ms, [redacted] :UPMC Health Plan, Inc, ("UPMCHP") has received and reviewed your letter dated January 4,2018, as well as the accompanying complaint.The above-referenced complaint did not include a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-compliant authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaint, However, UPMCHP will determine whether the affected individual is a UPMCHP member and, if so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any further questions or require additional information, please do not hesitate to contact me at ###-###-####.Respectfully Submitted,Chad *G [redacted] UPMC Health Plan
UPMC Health Plan, Inc("UPMCHP”) has received and reviewed your letter dated January 04,2017, as well as the accompanying complaint.The above-referenced complaint did not include a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-complaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaintHowever, UPMCHP will determine whether the affected individual is a UPMCHP member and, if so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any questions or require any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,Ariell A [redacted] Staff Attorney UPMC Health Plan
Re: Complaint No [redacted] by [redacted] ***Dear Ms [redacted] :UPMC Health Plan, Inc, ("UPMCHP”) has received and reviewed your letter dated November 24, 2015, as well as the accompanying complaint submitted by [redacted] ***.Mr***’ complaint was not accompanied by a HIPAA compliant authorization to disclose PHIAs such, UPMC Health Plan has responded to Mr [redacted] directly regarding his complaint.Thank you tor bringing this matter to our attentionIf you have any further questions or need any additional information, please do not hesitate to contact me at [redacted] .Sincerely,Laura ***M***, Esquire Associate Counsel
Revdex.com: I have reviewed the response made by the business in reference to complaint ID 12797231, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below I clicked the HIPAA box when submitting this. If another form is required, UPMC should provide it Regards, Serdar Bankaci
RE: Complaint I [redacted] # [redacted] ear Ms [redacted] :UPMC Health Plan, inc("UPMCHP") has receive [redacted] an [redacted] reviewe [redacted] your letter *ate [redacted] May 5,2017, as well as the accompanying complaint,We thank you for bringing this matter to our attentionUPMCHP takes all potential privacy an [redacted] security concerns very seriously, an [redacted] is currently investigating the possible occurrence of theinci*ent *escribe [redacted] in the complaintShoul [redacted] results of the investigation substantiate the concerns expresse [redacted] by the complainant/ UPMCHP will contact the complainant *irectly regar*ing any implicate [redacted] resolution,.If you have any further questions or nee [redacted] a**itional information, please *o not hesitate to contact me at ###-###-####.Respectfully Submitte*,Cha [redacted] *, Greenwal*UPMC Health Plan***
RE; Complaint ID [redacted] Dear Ms, [redacted] :On April 21,2017, UPMC Health Plan, inc("UPMCHP,f) received a fax sent by Mr [redacted] concerning UPMCHP's response to Complaint ID [redacted] .As explained in UPMCHP's April response, without a HlPAA-complaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaint.Although Mr [redacted] provided an authorization form with his April fax, he did not provide UPMCHP's required authorization-and release formWe have attached a copy of that form for Mr, [redacted] to fill out, sign, and submit if he desires.Should you have any questions or require any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,John S [redacted] Staff Attorney UPMC Health Plan
RE: Complaint ID [redacted] Dear Ms [redacted] :UPMC Health Plan, Inc("UPMCHP") has received and reviewed your letter dated October 27,regarding Complaint ID [redacted] .The above-referenced complaint did notinclude a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-complaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaintHowever, UPMCHP will determine whether the affected individual is a UPMCHP member and, if so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any questions or require any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,Ariell Antonio Staff Attorney UPMC Health Plan
RE: Complaint ID [redacted] Dear Ms [redacted] :UPMC Health Plan, Inc("UPMCHP") has received and reviewed your letter dated October 12,regarding Complaint ID [redacted] .The above-referenced complaint did not include a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-complaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaintHowever, UPMCHP will determine whether the affected individual is a UPMCHP member and, if so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any questions or require any additional information, please, do nothesitate to contact me at [redacted] Sincerely,Ariell A [redacted] Staff Attorney UPMC Health Plan
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint.? For your reference, details of the offer I reviewed appear below Re; Complaint [redacted] Mrs [redacted] ,In response to UPMC response to my complaint, I am not sure how it was taken out of context from a complaint against UPMC for Life at U.SSteel Tower 9th Floor Grant Street Pittsburgh PA to UPMC Health Plan legal H1PAA and PHI.First of all, I was not requesting anyone's personal information or medical records from UPMCMy complaint was against against UPMC for Life at U.SSteel Tower 9th Floor Grant Street Pittsburgh PA for sending junk mail [advertisements] to my home for people that don't live at my home and never have lived at my homeThe names are Irene [redacted] and [redacted] ***Once again UPMC for Life at U.SSteel Tower 9th Floor Grant Street Pittsburgh PA needs to stop sending me advertisements for an Irene [redacted] and [redacted] at my address [above]No such people have ever lived at my house.Sincerely, [redacted] ***
RE; Complaint ID # [redacted] ? Dear Ms [redacted] :UPMC Health Plan, Etc("UPMCHP") has received and reviewed your letter dated June 6,2018, as well as the accompanying complaint.The above-referenced complaint did not include a HIPAA-compliant authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-compliant authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaintHowever, UPMCHP will determine whether the affected individual is a UPMCHP member and, if .so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any further questions or require additional information, please do not hesitate to contact me at ###-###-####.Respectfully Submitted,? Chad **? G [redacted] Staff AttorneyUPMC Health PlanLegal Services DepartmentU.SSteel Tower [redacted] ***T ###-###-####F ###-###-####?
RE: Complaint ID [redacted] Dear Ms [redacted] OnApril 18, UPMC Health Plan, Inc, ("UPMCHP") responded to an initial complaint filed by Mr [redacted] That complaint did not include a HIPAA authorization that would have allowed UPMCHP to disclose protected health information, Without a HIPAA-compIaint authorization, UPMCHP advised that it was unable to provide a response to the Revdex.com regarding the complaint.On April 21, 2017, UPMC Health Plan, Inc("UPMCHP") received a fax sent by Mr [redacted] concerning UPMCHP's responseAlthough Mr [redacted] provided an authorization form with his April fax, he did not provide UPMCHFs required authorization and release formIn an April 24-letter, UPMCHP attached a copy of the proper form for Mr [redacted] to fill out, sign, and submit if he desired, UPMCHP did not receive a completed copy of the correct form.UPMCHP has received your letter dated May regarding Mr [redacted] , Again,UPMCHP does not have a proper HIPAA authorization that would allow UPMCHP todisclose protected health information, Without a HIPAA-compIaint authorization,UPMCHP is unable to provide a response to the Revdex.com regarding the complaint.Should you have any questions or require any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,John S [redacted] Staff Attorney UPMC Health Plan
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint.? For your reference, details of the offer I reviewed appear below.Initially in September of when I wrote tp UPMC for LIfe U.SSteel Tower 9th floor Grant street Pittsburgh PA the advertisments for [redacted] and [redacted] stopped for about a yearThen they started coming again and when I file a complaint with the Revdex.com it becomes a Hippa issueI consider this harrasmentAll they are are advertisements for people that UPMC probably just made up and as far as I am concerned can lead to fraudHow can I get a HIPPA release form signed by some individual that moree than likely does not exist? No such people have ever lived at my addreess and I did not start getting these until after I lived here for years Regards, [redacted] ***
RE; Complaint ID [redacted] Dear Ms [redacted] :On December 21, UPMC Health Plan, Inc("UPMCHP") received additional correspondence concerning UPMCHP's response to Complaint ID [redacted] 'Although an authorization form was provided with the December 21st correspondence, it did not contain the signature of the individual who is the subject of the complaintAs such, without a HIPAA-complaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaint.Thank you for bringing this matter to our attentionShould you have any questions or require any additional information, please do not hesitate to contact me at ###-###-#### or Gail M [redacted] , Administrative Assistant, at ###-###-####.Sincerely,Ariell A [redacted] Staff Attorney UPMC Health Plan
Re: Complaint ID: [redacted] Dear Ms [redacted] : UPMC Health Plan, Inc(“UPMCHP”) has received and reviewed the abovecaptioned complaint dated October 13, Pursuant to the directions included in the letter, this response will not personally identify the member.The complaint sets forth lhat the complainant, received diabetic education services on July 8, 2015, and is upsett that these services were not covered by UPMCHPIn this instance, the services were not covered based on the nature of the claims submitted by? the complainant’s providerHowever, UPMCHP is working with the provider on getting a proper claim submitted, and will contact the complainant directly regarding the outcome.UPMCHP values the satisfaction of its membership, and we thank you for bringing this matter to our attentionIf you have any further questions or need additional information, please contact me at ###-###-####.Sincerely, [redacted] EsqUPMC Health Plan
RE: Complaint ID [redacted] Dear Ms [redacted] :UPMC Health Plan, Inc("UPMCHP") has received and reviewed your letter dated October 17, regarding Complaint ID [redacted] .The above-referenced complaint did not include a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-cornpIaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaintHowever, UPMCHP will determine whether the affected individual is a UPMCHP member and, if so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any questions or require any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,Ariell A [redacted] Staff Attorney UPMC Health Plan
Re: Complaint No [redacted] by [redacted] ***Dear Ms [redacted] UPMC Health Plan, Inc(‘'UPMCHP”) has received and reviewed your letter dated November 21,2016, as well as the accompanying complaint submitted by [redacted] ***.The above-referenced complaint did mot include a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-compliant authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaint.Please be advised that UPMCHP has diligently and thoroughly investigated the subject matter of this complaintOn December 2, 2016, UPMCHP Member Services sent a letter directly to Mr [redacted] regarding the issues raised in his complaint.Thank you for bringing this matter to our attentionIf you have any further questions or need any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,Stacey [redacted] J [redacted] UPMC Health Plan Legal Services Department
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint.? For your reference, details of the offer I reviewed appear below 11/8/2017? I received a response dated November 6, from UPMC attorney Ariell A [redacted] , stating that their UPMC member services placed me on the do not call list on October 26.? ? This was per my repeated requests which was not made clear in the letter.? This does not address the problem.? I was called, at the end on a daily basis, ? from Maxim health which is affiliated with UPMC.? I repeatedly told them I do not need their services.? The calls only increased to an automated system.? I requested UPMC to stop calling me.? That did not work until October 26th.? When I called UPMC again to stop the calls.? So the issue is Maxim Health Care and UPMC giving my information.? And Maxim having an aggressive sales campaign that I could not stop without much effort on my partMy effort should not have been needed.? The calls border on harassment and need to be addressed with Maxim Health Care.? And, this was not addressed in the letter.? In fact it was stated that now that I was on the DO NOT Call list the problem was solved.? [redacted] ***
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to me.? [redacted] ***November 20, 2015Revdex.com [redacted] ***Re; Complaint [redacted] Mrs [redacted] ,I got an email about a response from UPMC about my complaint and I responded rejecting their response.A little while later I received a letter from UPMC that is acceptable and I would like to now dose the complaint.Thank you.Sincerely, [redacted] ***
Re: Complaint No [redacted] Dear Ms [redacted] :UPMC Health Plan, Inc, (“UPMCHP”) has received and reviewed your letter dated December 29, 2016, regarding the member’s additional concerns in connection with the referenced complaintPlease accept the following as UPMCHP’s response to those concerns.In her initial letter, the member sought reinstatement of her federally facilitated (FFM) UPMC EPO Silver plan which she complained had been terminated without noticeIn UPMCHP’s December 22, response, we explained that the members coverage was terminated due to a series of unpaid balances dating back to September 2016, and following an October written notice and a reminder call on November 15, Upon investigating the member’s complaint, however, UPMCHP determined that due to an error with the member enrollment system, the member was not sent a termination warning letter in November As a result this error UPMCHP offered to reinstate the member if she satisfied her account balance in full.The member confirms in her follletter that UPMCHP contacted her regarding the offer of reinstatement and states that she paid her account balanceThe member complains, however, that as of December 28, her coverage had not been reinstatedUpon investigation, the member’s coverage was reinstated as of December 28, following her call to UPMCHP, and her pharmacy was able to submit her claim.In addition, on December 29, 2016, a UPMCHP representative called the member and advised that her plan was due to terminate on December 31, and that she was not automatically enrolled for coverage because her plan was inactive at the timeUPMCHP advised member that if she wished her coverage to continue, she would need to contact the FFM to enroll and request a January 1, start date.Thank you for bringing this matter to our attentionIf you have any further questions or need any additional information, please do not hesitate to contact me at ###-###-####. Sincerely,Stacey [redacted] J [redacted] EsqUPMC Health Plan Legal Services Department
RE: Complaint ID # [redacted] Dear Ms, [redacted] :UPMC Health Plan, Inc, ("UPMCHP") has received and reviewed your letter dated January 4,2018, as well as the accompanying complaint.The above-referenced complaint did not include a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-compliant authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaint, However, UPMCHP will determine whether the affected individual is a UPMCHP member and, if so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any further questions or require additional information, please do not hesitate to contact me at ###-###-####.Respectfully Submitted,Chad *G [redacted] UPMC Health Plan
UPMC Health Plan, Inc("UPMCHP”) has received and reviewed your letter dated January 04,2017, as well as the accompanying complaint.The above-referenced complaint did not include a HIPAA authorization that would allow UPMCHP to disclose protected health informationWithout a HIPAA-complaint authorization, UPMCHP is unable to provide a response to the Revdex.com regarding this complaintHowever, UPMCHP will determine whether the affected individual is a UPMCHP member and, if so, will respond directly to the affected individual with a more detailed response.Thank you for bringing this matter to our attentionShould you have any questions or require any additional information, please do not hesitate to contact me at ###-###-####.Sincerely,Ariell A [redacted] Staff Attorney UPMC Health Plan
Re: Complaint No [redacted] by [redacted] ***Dear Ms [redacted] :UPMC Health Plan, Inc, ("UPMCHP”) has received and reviewed your letter dated November 24, 2015, as well as the accompanying complaint submitted by [redacted] ***.Mr***’ complaint was not accompanied by a HIPAA compliant authorization to disclose PHIAs such, UPMC Health Plan has responded to Mr [redacted] directly regarding his complaint.Thank you tor bringing this matter to our attentionIf you have any further questions or need any additional information, please do not hesitate to contact me at [redacted] .Sincerely,Laura ***M***, Esquire Associate Counsel
# [redacted] .To: RevDex.com <[email protected]>Complaint has been fully resolved.Thank you
Revdex.com: I have reviewed the response made by the business in reference to complaint ID 12797231, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below I clicked the HIPAA box when submitting this. If another form is required, UPMC should provide it Regards, Serdar Bankaci