UnitedHealth Group

Initial Business Response /* (1000, 5, 2016/01/07) */
January 7,
RE: ***, ***:
Dear *** ***
I am responding to your recent correspondence dated January 6, 2016, regarding Mr*** ***
Due to the protections of the Health Insurance Portability and
Accountability Act (HIPAA), I am unable to respond directly to you regarding these concernsSince your letter provided a copy of the enrollee's correspondence and/or a description of the issue, we will be responding directly to the enrollee
Should you have any questions or comments, please feel free to call meI can be reached during business hours at XXX-XXX-XXXX extXXXXXXX
Sincerely,
Jenna **
Consumer Affairs Advocate
Initial Consumer Rebuttal /* (3000, 7, 2016/01/11) */
(The consumer indicated he/she DID NOT accept the response from the business.)
I do not accept their response for two reasons:
They have NOT contacted me directly which they stated they would
My best efforts to get this resolved without involving a third party have yielded NO results
Note: Giving out private health information IS against HIPPAHowever, explaining why a customer is BEING charged and how to remedy it (if incorrect) is generalThey do NOT need to discuss my private medical history to disclose how to properly bill/charge/pay out for routine blood work

March 21,
To Whom It May Concern:
We are responding to your recent correspondence dated March 21, 2016, regarding Mr*** ***
Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to you regarding these
concernsSince your letter provided a copy of the enrollee's correspondence and/or a description of the issue, we will be responding directly to the enrollee
Should you have any questions or comments, please feel free to email us at [email protected]
Sincerely,
Suu ***
Consumer Advocate
NOTICE: This communication may contain PERSONAL and CONFIDENTIAL information and is intended only for the use of the specific individual(s) to which it is addressedIt may contain Protected Health Information that is privileged and confidentialProtected Health Information may be used or disclosed in accordance with law and you may be subject to penalties under law for improper use or further disclosure of the Protected Health Information in this communicationIf you are not an intended recipient, you are hereby notified that any unauthorized use, dissemination or copying of the information contained in it or attached to it is strictly prohibitedIf you have received this in error, please securely destroy it and immediately notify the senderThank you

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, but find their response lacking in detail

Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), I am unable to respond directly to you regarding these concernsSince your letter provided a copy of the enrollee’s correspondence and/or a description of the issue, we will be responding
directly to the enrollee. Should you have any questions or comments, please feel free to call meI can be reached during business hours at ###-###-#### Sincerely, Cindy HConsumer Affairs Advocate

(The consumer indicated he/she DID NOT accept the response from the business.)
Send me my funds, that is all, real simple

Initial Business Response /* (1000, 6, 2015/10/27) */
Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), I am unable to respond directly to you regarding these concernsSince your letter provided a copy of the enrollee's correspondence and/or a description
of the issue, we will be responding directly to the enrollee

Hello: I have resolved this matter with Mr*** *** and closed this matterMr*** has my direct contact information if anything further information is neededThank you Jenna ***

Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), I am unable to respond directly to you regarding these concernsSince your letter provided a copy of the enrollee’s correspondence and/or a description of the issue, we will be responding directly to the
enrollee
Should you have any questions or comments, please feel free to call meI can be reached during business hours at ###-###-####
Sincerely,
Rhiannon FConsumer Affairs Advocate

February 12, 2018 To Whom It May Concern: We are responding to this issue from *** *** Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to the Revdex.com regarding these concernsHowever, we will be
responding directly to the *** *** to address their concerns. Sincerely, Consumer AdvocateMichelle N

July 18, 2017 Revdex.com of Minnesota and North DakotaAttention: Customer Service DepartmentSRiver Ridge Cir.Burnsville, MN 55337Fax: (651) 695-2488 Re: Revdex.com Complaint Case # ***Member: *** ***Plan Case Number: *** To Whom It May
Concern: We are in receipt of your inquiry dated; July 07, regarding your request for assistance from*** *** has been identified as a member of our Medicare Advantage PrescriptionDrug Plan (MAPD)This plan is regulated by the Centers for Medicare & Medicaid Services(CMS)Due to the protections of the Health Insurance Portability and Accountability Act(HIPAA), we are unable to respond directly to you regarding *** ***’s concerns.Since your letter included a copy of the enrollee’s correspondence and/or a description of thecomplaint, we will be responding directly to the enrollee regarding their concerns.United Healthcare has established an appeal and grievance resolution process in accordancewith CMS regulationsIt is our position, and that of CMS, this process provides Medicaremembers with adequate recourse regarding any issues they may experience with theircoverage, or any other services they received in connection with benefits provided by usWewant to assure you this matter will be investigated and resolved within the CMS timeframes.We have forwarded this complaint to our Escalations Team so they can contact the memberregarding the complainantIf you wish to find out additional information regarding how thiscomplaint is resolved, you will need to contact Mr*** *** directly. Sincerely,Cliff ***Regulatory Complaints DepartmentUnitedHealthcare Medicare & Retirement

Due to the protection of the Health Insurance Portability and Accountability Act (HIPAA), I am unable to respond directly to you regarding these concernsSince your letter has provided a copy of the enrollee's correspondence and/or a description of the issue, we will respond directly to the
enrolleeThank you, *** ***

To Whom It May Concern: We are responding to your recent correspondence dated March 15, 2017 regarding *** ***. Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to you regarding these concerns
Since your letter provided a copy of the enrollee’s correspondence and/or a description of the issue, we will be responding directly to the enrollee. Should you have any questions or comments, please feel free to email us at [email protected]. Sincerely, Mike D. Mike D.Consumer Advocate

Initial Business Response /* (1000, 5, 2015/08/13) */
To Whom It *** Concern:
We are responding to your recent correspondence dated August 12, 2015, regarding *** ***
Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond
directly to you regarding these concernsSince your letter provided a copy of the enrollee's correspondence and/or a description of the issue, we will be responding directly to the enrollee
Should you have any questions or comments, please feel free to email us at [email protected]
Sincerely,
Consumer Advocate

July 31, 2017 Revdex.comAttn: *** ***South River Ridge CircleBurnsville, MN 55337 RE: *** ***/Case # ***: Dear Mr***: Thank you for your recent e-mail response dated, July 28, 2017, regarding *** ***. Due to the
protections of the Health Insurance Portability and Accountability Act (HIPAA), I am unable to respond directly to you regarding these concerns. Since your letter provided a copy of the enrollee’s correspondence and/or a description of the complaint, we will respond directly to this member regarding her concerns Should you have any questions or comments, please feel free to call me. I can be reached during business hours at ###-###-####. Sincerely,Jeff G.Consumer Affairs Advocate

Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), I am unable to respond directly to
you regarding these concernsSince your letter provided a copy of the enrollee’s correspondence and/or a description of the
issue, we will be responding
directly to the enrollee.
Should you have any questions or comments, please feel free to call meI can be reached during business hours at
###-###-####
Sincerely,
Jodi O
Consumer Affairs Advocate

Thank you for bringing this concern to our attention. Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to the Revdex.com. However, we will be responding directly to *** ***to address their concerns

A second written response issued to Ms*** on 6/13/16, including applicable pages from her Certificate of Coverage

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me....only if they follow through with their promise of a return phone callI was phoned on March 31, 2016 and spoke personally with Nicole Lthe UnitedHealth care representativeShe agreed this bill should be paid by UnitedHealth care but was not authorized to make that decision and was sending this matter to the powers-for final approvalNicole promised me a return follow up call phone call with the answer to my claim. I wish to keep Revdex.com in the loop until we hear something back from UnitedHealth careThank You*** * ***

Issue is in External Review and not due to close until 8-25-- Y *** - UHC Consumer Affairs

I am rejecting this response because:Mike D who responded to you, has not responded to my many calls This includes others in OptumRX who are ignoring my callsHIPAA does not prevent them from explaining why they don't respond