United Health Care / denial of claim
UHC's customer Service is non-existent. I received a bill from my former physician for services performed July 2007 through November 2007-yes THREE years ago. I spent 3+ hrs on the phone. I am sure UHC's main customer service site is in India. I was transferred back and forth at least 10 times. I was transferred to an automated survey twice, and once when I asked to speak with a manager, the customer service rep hung up on me. I finally spoke with somebody who seemed to be able to help me but they mentioned by records had been 'PURGED". I somehow doubt that. 'Archived' perhaps, but surely they are 'somewhere' in their system. My former physician has re-submitted the claims twice and each time UHC denies coverage: "Insurance Terminated". Well, DUH! No kidding I am not covered by UHC now, but for the entire year of 2007 I was covered. I have copies of the second submittal by the physician's billing department. Even the form states, "Per the website, this patient was covered 1/1/07 - 12/31/07. Please reprocess for additional payment." I wrote UHC a letter with supporting documentation. I did hear back but they state they have "No record of this claim." Then the form letter tells me to visit www.myuhc.com to view my claims and EOB's. Well I cannot access anything because I am now with Aetna .The stupid letter even tells me to "call customer care on the back of my member ID card..." and to mail a bunch of required info to, "The address on your member ID card."
They infuriate me so much. I am not paying another dime...other than postage to keep sending documentation that I was covered. How can they get away with this crap?!
I'm not to happy with the physician either. Why wait THREE damn years to refile a claim?? I do have one of the EOB's with a claim number stating that the physician was paid. At the very least I hope to be off the hook for $140 of the $345 they are demanding.
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