UnitedHealth Group

March 22, 2016
Revdex.com
Attn: [redacted]
220 South River Ridge Circle
Burnsville, MN 55337

RE: [redacted]:
Dear Ms. [redacted]:
I am responding to your recent correspondence dated March 17, 2016, 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 copy of the enrollee's correspondence and/or a description of the complaint, we will respond directly to this member regarding this issue.
Should you have any questions or comments, please feel free to call me. I can be reached during normal business hours at ###-###-####.
Sincerely,

Jeff [redacted]
Consumer Affairs Advocate

I am rejecting this response because:
On 3/13/18 I received a call from Angie [redacted] at United who was surprised that I had submitted this dispute as she thought that my claim would have been reimbursed by now.  She promised to follow-up.  But to-date, I have not heard that my claim has been received, authorized and approved for reimbursement.

Initial Business Response /* (1000, 7, 2016/02/22) */
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 issue, we will be responding directly to the enrollee.
Should you have any questions or comments, please feel free to call me. I can be reached during normal business hours at 800-842-2656.
Sincerely,
Linda **
Consumer Affairs Advocate
Initial Consumer Rebuttal /* (2000, 11, 2016/03/02) */
The customer indicated that he/she ACCEPTED the business response.

I am rejecting this response because:
was never contacted by executive office to discuss on going issues.

Initial Business Response /* (1000, 5, 2016/01/15) */
written response sent to member advising of premiums due along with explanations

November 14, 2016     To Whom It May Concern:   We are responding to your recent correspondence, regarding Case ID # [redacted] for [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,     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.

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 as long as I actually hear from them.

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
 
issue, we will be responding...

directly to the enrollee. 
 
Should you have any questions or comments, please feel free to call me. I can be reached during normal business hours at
 
###-###-####
 
 
Sincerely,
 
Jodi O.
 
Consumer Affairs Advocate

Initial Business Response /* (1000, 8, 2015/08/11) */
November 26, 2012
Revdex.com of Minnesota and North Dakota
Attention: Taylor Keate
[redacted] XXXXX-XXXX
[redacted] (XXX) XXX-XXXX
Re: Revdex.com Complaint Case # XXXXXXXX
Member: [redacted]
Plan Case...

Number: XXXXXXX
Dear Mr. [redacted]
We are in receipt of your inquiry dated July 30, 2015, regarding your request for assistance from [redacted] has been identified as a member of our Medicare Advantage Prescription Drug 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 Ms. Warren'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 [redacted] 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 Ms. Warren 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 [redacted] Rebuttal /* (3000, 12, 2015/08/11) */
I was away from 7/31-8/5/15, when I arrived home there were 2 messages om my answering machine from Lisa Staton the complaint coordinator for UHC the ONLY message she left was to call her back.
I called her back, she did not answer so I left a message for her to call me on 8/6,8/7,8/10. She NEVER called me back also ON 8/10/15 I received a letter from her dated 8/4/15 about the complaint I made to Medicare. In her letter it says TO CALL HER, she can be reached Monday-Friday 8am-5pm CT, When I called she never answered the phone OR returned my calls?
On 8/11 today I called her again, this time she answered. I was told by Lisa there would be no more money coming for reimbursement.
I feel this is VERY unfair for the reasons listed,
1- When I called UHS asking about reimbursement I was NEVER told there was none for oxygen equipment.
2-I paid the full amount of $526.50 UHC PAID $0.
3- The amount should have been $180.92 but UHC is charging ME a co insurance of $90.46 ON A MACHINE I ALREADY PAID THE FULL AMOUNT FOR?
4-The time, aggravation, cost of postage for multiple letters, certified mail and faxes that the UHC Claims department claim they never received?, the no call backs with any information from UHC supervisors and claims coordinator. Seven months and counting.
5- By me buying my own home oxygen concentrator UHC is SAVING OVER $1200. PER YEAR IN RENTAL FEES!
Saving all that money it is very unfair that UHC will not pay me the full $180.92 and take half that amount as co-insurance when they payed nothing towards the machine to begin with.
Can you please help me get the other $90.46 UHC won't pay me?
Thank you,
[redacted]
Final Business Response /* (1000, 19, 2015/08/31) */
Hello,
The member was contacted by the CTM Team through case CXXXXXXXXXX. They have directly responded to the member to resolve their issue. If the member has any further concerns they should contact the CTM Coordinator listed on their response with their direct contact information.

September 28, 2017  To Whom It May Concern: We are responding to this issue from [redacted] 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...

be responding directly to the [redacted] to address their concerns.   Sincerely,  Consumer AdvocateMichelle N..

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
 
issue, we will be responding...

directly to the enrollee. 
 
Should you have any questions or comments, please feel free to call me. I can be reached during normal business hours at
 
###-###-####.
 
 
Sincerely,
 
Jodi O.
 
Consumer Affairs Advocate

We cannot say enough positive things about our experience with Customized Pest and Inspection Services, specifically with Mr. Higgins. As a young couple making our first home purchase, we were put at ease with the professionalism, patience, and thoroughness of Mr. Higgins in his evaluation of our prospective home. At the conclusion of his inspection, he walked us through and around the home pointing out all of his findings as well as educating us on the systems contained within the home to include all appliances, electrical, irrigation, the works. He took the time to educate us on the home, fully address any issues he identified, as well and considerations for preventing possible future issues with the home. Mr. Higgins took the time to answer every question (and they were numerous) and address all of our concerns. We received the inspection report within mere hours of the inspection completed with detailed photographs and itemized description aspects of the home noted. Further, Mr. Higgins returned to the home to ensure all repairs addressed by the sellers following the inspection were verified and properly completed. As stated above, we cannot say enough positive things about our experience with Customized Pest and Inspection Services and will recommend Mr. Higgins to all of our friends and family.

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. provding that UHC will work with me to resolve this issue I will accept

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. United Health Care has had a team member reach out to me at 12:15PM today and is working on a solution to this matter.

I am rejecting this response because:This is a bt answer with the HIPAA ... and they never contacted me , they ALWAYS do this kind of stuff and give you the run aroudn

I am rejecting this response because:It has been exhausting trying to rectify this situation.  They are never going to credit the account for the $76.90.  I no longer wish to speak with them.  They continuously give me the run around about the credit.  I grant Revdex.com permission to discuss the situation.  There is no medical history being disclosed so HIPAA does not apply.  The company is reaching with its excuse because they do not want to fix their error.

Initial Business Response /* (1000, 10, 2015/10/14) */
October 14, 2015
To Whom It May Concern:
We are responding to your recent correspondence dated October 08, 2015, regarding [redacted] Case # [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,
Consumer Advocate
Initial Consumer Rebuttal /* (3000, 12, 2015/10/15) */
(The consumer indicated he/she DID NOT accept the response from the business.)
I have allowed more than enough opportunities and time for UHC to properly handle the situation with me directly and have yet to see a resolution. I refuse to close this matter until the situation is actually resolved because I feel they will not resolve it if this case is closed. By filing a complaint with the Revdex.com, I authorized UHC to provide a response to the Revdex.com, which to me means they are refusing to respond to bury the issue. I will provide additional updates on this ongoing issue IF I receive a response directly from UHC. I would like to note that almost 2 weeks ago I contacted them again regarding this issue and was supposed to be contacted within 5 business days, in their usual fashion, I have yet to be contacted.
Final Business Response /* (4000, 14, 2015/10/15) */
Contact has been made this issue has been resolved.

Initial Business Response /* (1000, 5, 2016/02/09) */
February 9, 2016
To Whom It May Concern:
We are responding to your recent correspondence dated February 8, 2016, 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]
Consumer Advocate

To whom it may concern:   Resolution is forthcoming; contact will be made directly to the complainant.     Consumer Advocate

I am rejecting this response because:I received a call from a Josh [redacted] at United Health Group on 2/21/17 at 3:20 p.m.  He indicated they might be able to allow me a transition period especially with my physical therapy and I would get a letter within 5-6 days.  The letter came today from UMR and they are denying transition of care.I am at the end of my life and just don't need this hassle.  1. How will I find an internist who will work with me?  It took 5 trys to find Dr. Watson. Ex - I don't want any tests for "cancer" as I would not survive treatment.  2. How will I get another orthopedic group where I can get physical therapy for my neck without having to get a referral.3. Ditto for Cardiologist.Although my insurance doesn't require a referral, most doctors in Greenville Health System do.