UnitedHealth Group

Initial Business Response /* (1000, 8, 2015/07/07) */
Dear Ms. [redacted]:
I am responding to your recent correspondence dated June 22, 2015, regarding [redacted].
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 description of the complaint, we responded directly to [redacted].
Should you have any questions or comments, please feel free to call me. I can be reached during normal business hours at [redacted] extension [redacted].
Sincerely,
Tiffany [redacted]
Consumer Affairs Advocate

I am rejecting this response because:
This complaint needs to be answered according to MY policy! AARP and it's scam partners want to take 12 weeks to ensure no more mailings are sent to me. My privacy and terms of use does not permit this. I have left a voice message at the telephone number that I will give them 4 weeks. I suggest they apply my privacy policy as they have many more that they expect us, the consumer to follow.Should mailings continue, I will seek satisfaction through other channels. Stop the GREEDY aarp!

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

enrollee.   Thank you, Brooklyn [redacted] ###-###-####

We are continuing to work with Mr. [redacted] regarding his concerns. The enrollee was contacted by a benefit expert notifying him that we are working to resolve his issue.  Thank you,Brooklyn [redacted]

I am rejecting this response because: They haven't responded except to say they can't respond because of HIPPA. My main complaint is they tricked me into signing up for their insurance by lying to me about my coverage. I don't believe that lying to a customer is covered by HIPPA. Forcing a diabetic customer to go without insulin for three days while waiting for a new prescription over a weekend should be illegal. I believe United has an A here is because of their HIPPA delaying tactics. On every other website including OPM they are rated at the lowest score possible. I believe this must be a deliberate business plan to provide the worst coverage at the highest rate they can get away with. I should have investigated their reputation before I fell for their lies.

Unfortunately, we are unable to locate a policy for her father in our system. Please provide us with her father's name and contact information and please provide us with his Member ID#.  You can send the requested information to:UnitedHealthcare[redacted]Minnetonka MN 55343   Or you...

may fax it to: ###-###-####After we receive this information, we will investigate her father's issue. Thank you,Debby F.

7-15-16 - a written response is being mailed to the member today from UHC Consumer Affairs - Yvonne [redacted] - CA Advocate

Initial Business Response /* (1000, 8, 2015/08/18) */
left detailed voice message for member today advising that the overpayment will apply to September and eft will not occur for September - left my call back information

Date June 23, 2016     To Whom It May Concern:   We are responding to your recent correspondence dated June 23, 2016, regarding [redacted] [redacted] Case ID # [redacted] for.   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,     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 addressed. It may contain Protected Health Information that is privileged and confidential.  Protected 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 communication. If 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 prohibited. If you have received this in error, please securely destroy it and immediately notify the sender. Thank you.

I am responding to your recent correspondence dated [DATE], regarding [Complainant].  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 a description of the issue, we will be responding directly to the enrollee in writing.Should you have any questions or comments, please feel free to call me. I can be reached during normal business hours at ###-###-####, ext. [redacted].Sincerely, Christine Q.Consumer Affairs Advocate

This message is to confirm receipt of [redacted]'s concerns. Thank you for bringing this matter 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 regarding these concerns. However, we will...

research and respond directly to [redacted] with the results of our investigation.    Should you have any questions or comments, please feel free to email us at [email protected].

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is all that can be done through Revdex.com.

I am rejecting this response because:
I have tried several times to resolve this issue with them and all they want to do is say the doctors in the ER at the "In Network" hospital was not in net work and they will not pay.  They have also done the same to the hospital and doctors which has now effected my credit report.  I had already paid my annual $3,000 per my policy and they need to be obligated to take care of their part. I pay too much per month for insurance for them not to pay when I am going to in network facilities.

Responding to member today with final resolution via phone call - 3-29-16 - Yvonne [redacted] - UHC Consumer Affairs

April 19, 2016To Whom It May Concern:We are responding to your recent correspondence dated April 11, 2016, regarding Mr. [redacted].OptumRx was in contact with Mr. [redacted] on April 14, 2016, and addressed his concerns with a positive resolution. Please consider this matter closed at this time.Should you have any questions or comments, please feel free to email us at [email protected],Suu [redacted] Consumer AdvocateNOT ICE: This communication may contain PERSONAL and CONFIDENTIAL information and is intended only for the use of the specific individual(s) to which it is addressed. It may contain Protected Health Information that is privileged and confidential. Protected 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 communication. If 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 prohibited. If you have received this in error, please securely destroy it and immediately notify the sender. Thank you.

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 Ms. [redacted] to address their concerns.

I am rejecting this response because: a guy named Williams is looking into this but haven't heard of a new issue or anything for the rewards card.  Just that basically he is looking into this matter.  Until I have some sort of tracking number or prepaid card adding upto what I've walked I will continue to reject their response.  And I have spoken to omni the place they get gift cards and have been told by them mid November a card was issued.

March 10, 2016
Revdex.com of Minnesota and North Dakota
Attention: [redacted]...


2706 Gannon Road
Saint Paul MN 55116-2600
Fax: (651) [redacted]
Re: Revdex.com Complaint Case # [redacted]
Member: [redacted]
Plan Case Number: [redacted]
Dear whom it may concern,
We are in receipt of your inquiry dated; March 2, 2016, regarding your request for assistance from [redacted] has been identified as a member of our Medicare Advantage 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 Mr. [redacted]'s concerns.
Since your letter included a copy of the enrollee's correspondence and/or a description of the complaint, we will be responding directly to the enrollee regarding their concerns.
United Healthcare has established an appeal and grievance resolution process in accordance with CMS regulations. It is our position, and that of CMS, this process provides Medicare members with adequate recourse regarding any issues they may experience with their coverage, or any other services they received in connection with benefits provided by us. We want to assure you this matter will be investigated and resolved within the CMS timeframes. We have forwarded this complaint to our Appeal & Grievances Department so they can provide a written response to the complainant. If you wish to find out additional information regarding how this complaint is resolved, you will need to contact Mr. [redacted] directly. Please note that grievances take up to 30 calendar days and appeals can take up to 60 calendar days.
Sincerely,
Travis [redacted]
Regulatory Complaints Department
UnitedHealthcare Medicare & Retirement

Initial Business Response /* (1000, 5, 2015/10/29) */
October 29, 2015
To Whom It May Concern:
We are responding to your recent correspondence dated October 28, 2015, regarding [redacted].
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,
Katie [redacted]
Initial [redacted] Rebuttal /* (2000, 7, 2015/11/09) */

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted]. Unfortunately, due to HIPPA requirements, it did not state exactly what United Health Group's response was in this e-mail. However, I received a phone call this morning from United Health Group Representative, Tiffany [redacted]. She told me over the phone that they had overturned their prior decision and have decided to reimburse us for the $1600 we paid out that should have been covered by our insurance for the facility charge at the surgery center. She said I should be receiving a check in the mail in approximately one week.If this is true and I receive a check for $1600 from United Healthcare I will be very pleased and accept this business's response to resolve this complaint.