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Sedgewick / Short Term Disability

1 Frederick, United States

I am a United Healthcare employee that has applied for short term due to a severe medical condition. My claim was denied due to my provider not sending enough supporting documents (which I understand). However a peer to peer was requested. I reached out to both doctors that I see, only to find out that one provider did not receive a call at all, and the other received only 1 call. My case worker said that it was documented there were several calls attempted and voice mails were left. After speaking to my doctors again, I found out ALL calls and messages are recorded and logged and there was nothing. Its apparent that there is a quota Sedgewick employees must meet so they FALSIFY notes and close out the claim. Now I have to appeal, and my doctor is aware of the situation as well. Has anyone had this issue yet? Any suggestions? I'm thinking at this point maybe a complaint with BBB and/or attorney or contacting a government regulator? Can anyone help? Thank you in advance.

Aug 4, 2015

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