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1.4 465 Reviews

United HealthCare Services Complaints Summary

49 Resolved
416 Unresolved
Our verdict: With United HealthCare Services's very poor resolution rate, careful consideration is needed. Research their service comprehensively, and read up on how they handle customer disputes. If you face issues, be prepared for potential challenges in obtaining resolutions and explore other service providers as backups.
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United HealthCare Services reviews & complaints 465

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J
1:36 pm EDT

United HealthCare Services claims not getting processed

I am absolutely sick of this company. I have UMR through my employer as my primary provider. I also have seconday insurance through my husband's provider. I have RA and receive infusions in my home every 8 weeks. I have had to call every single month when I receive my EOB statements. First it was the medication needed a pre-auth. All of that was done, now it's been discovered the medication doesn't need preauth, the skilled nursing does. I have called them asking for the codes that my specialty pharmacy was requesting so they could in turn give UMR the codes for the skilled nurse. UMR told me that actually neither the medication nor the skilled nurse needs preauth. Every time I have an infusion the EOB that follows always has the charge denied for the skilled nurse. And then another letter follows stating they need more information from the Specialty Pharmacy and until they are provided with that information, the claim is unpaid. I have spent so many hours trying to deal with these extremely rude, incompetent, unethical people I am fed up. I have turned this over to my HR department. I'm done.

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12:36 pm EDT

United HealthCare Services coverage denied for alcohol dependence treatment

I sought treatment for alcohol dependence through an accredited intensive outpatient program. I had to pay $640.00 out of my own pocket to meet my out of pocket maximum with United Healthcare. I am 8 week into a 10 week program and in a couple days I will have been sober for 60 days and am feel better that I have in years. My program director told me last week that United Healthcare has only approved me for 19 sessions of a 20 session program and that I would have to pay for the remaining 11 sessions on my own. I can't afford to do this and I fear that I will have to drop out of the program and not get all the help I need to stay sober. I am very disappointed in United Healthcare for denying my coverage for a program that can literly save my life and my family. I will post my story on every review site I can and tell as many people I can about this poor treatment of a customer of at least 14 years.

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5:52 pm EDT

United HealthCare Services certification of home attendan hours to heith home health

I have been reinstate in medicaid services but United has not being diligent certifiing that I can start in my home attendant services since they re approved my case, I made innumerable calls to United and nobody solve this situation, neither costumer service, advocates service or the service coordinator, Denisse, the administrator of Heith Home Health just need a written certification telling that United will be responsible for the hours payment
Waiting for a prompt response;
Thanks
Mrs. Juanita Rolon
Member#[protected]
DOB :02/28/1926

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4:34 pm EDT
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United HealthCare Services usps flexible spending administrator

After reading the previous complaints on United Healthcare I can clearly see why they lost the US Postal Service's Employee's Flexible Spending Account. I have gone through the same exact problems as all of the other people who have filed complaints. I finally contacted the Better Business Bureau and got results.
Started trying to get our $2, 550.00 for our 2016 FSA funds at the very first of January 2017. Very long and exhausting story. FINALLY RECEIVED OUR MONEY IN THE MAIL TODAY, May 1, 2017. It only took me FOUR MONTHS to get OUR MONEY out of these snakes!
I had a claim with the new administrators of the USPS FSA funds. I enrolled on line. Filed my claim on line. Set up my checking account to have the funds directly deposited. I made the claim on line and within FIVE DAYS the money was in my checking account. I could go in at any time on our account and see the status of the claim or anything else pertaining to our FSA account. THIS IS THE WAY IT SHOULD BE DONE. I never had to make one single phone call to try to get them to send me my money. How incredibly wonderful!
I took the check from United Healthcare to the bank today and deposited it. I'm holding my breath that the check doesn't bounce! I can not tell you how elated and beyond excited I am to never have to deal with these criminals again! Good riddance!

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10:15 pm EDT

United HealthCare Services flexible spending accounts

If you are reading this before you sign up for united health care flexible spending account your lucky. if not, you already know this is a scam.I had an account about four years ago. dates and names are clouded after that much time but everything I'm saying is true.At my job, I had them take out the maximum, how much better can this get? I give them twenty five hundred a year and they give it back tax free, right? well that's right if they give it back when you have a claim.But they wont.I tried many times to get my money back.each time they said the form was not filled out correctly. so I asked the dentist office, they filled it out but they said it still was not right.so I called again, and this time I had the person on the phone fill it out with me over the phone.I got his name ID number date and time.when they said it still was not right, I asked for the supervisor and gave her all the information from the employee, she said he was not authorized to do that.at that point I realized that I was not getting my money back.I then started to ask around at work to see if anybody had the same experience.It turns out half of them had.
I've come to the realization that this how they make their money.I just wish I had listen to people who told me don't do it. you'll be sorry.So now that you've read this you have no one to blame but your self if you ignore my warning.thanks for reading.

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1:28 am EDT

United HealthCare Services changes in formulary with no notice

I tried to refill my lantus insulin on a friday morning. I was told that as of April 1st, the formulary was changed and that lantus was no longer on their "approved" list and that I had to change to Levimir. I have had many problems with other insulins and allergic reactions to Humalog, Novalog, and other changes in insulin. Since I have been on Lantus, my A1C has been under control and my sugars have been much lower.
They left me with not enough insulin to get through the weekend and would not even approve one bottle until I could contact my doctor for a prior authorization. (Which I had not needed in the YEARS, I have been using Lantus) This was on April 14th, so only two weeks after they changed their formulary and they NEVER notified any insulin dependent diabetics that they were making this change! Diabetics cannot just change insulin and it is not good for our sugars or our bodies to just suddenly just changes insulins! They left me in a dangerous situation over a holiday weekend as I did not have enough insulin to get through the weekend and have cut the dose in half and my sugars are through the ceiling! They told me they didn't care and REFUSED to help me! My husband pays $600 a month to cover ME on this insurance. He gets it for free through his company. This is absolutely the WORST customer service in history!

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4:45 pm EDT

United HealthCare Services aarp unitedhealthcare medicare advantage hmo

United Healthcare denied 4 claims because they claimed my chiropractor was out-of-network. When I showed them he was listed in their provider directory, they sent me a letter saying they would pay the claims. They later denied the same 4 claims again. I had to pay the Dr and refused to pay any more premiums to them.
They turned over for collection.

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3:19 pm EDT

United HealthCare Services website accuracy

UHC just switched the website, the numbers carried over are inaccurate. Despite a call and an email they cannot explain why I cannot see individual dependent figures. They brought over the account holder figures. You click on the downdrop on homescreen and switch to a dependent and the account holders figures stay there and do not switch to the correct dependent. They send me to a technical department even though there is something wrong with the way they brought my account over 🙄

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kim_in_indy
, US
May 03, 2017 3:45 pm EDT

I agree that their website content desperately needs to be more accurate. Here is what I've struggled with so far.
- My primary (Navigate) physician is leaving his practice. I went to the website to find a new in-network physician. When I went to contact the physician they had listed I found she is no longer with the practice UHC listed. I have no idea how to find a physician for this specific plan without reliable information.
- On the Claims page there are 2 problems.
1st - When they reprocess a claim they still list the old one and the old amount owed. When someone has bills for multiple procedures it gets difficult to track (especially since UHC initially denies so many CPT codes with no explanation that what they really want is doctor notes). There are a lot of reprocessed claims to track.
2nd - InstaMed, the company UHC contracts with so patients can pay their bills from the UHC claims page, is highly unreliable. The doctor's offices I've paid through InstaMed have not received the payments until a week and a half or two weeks after my online payment. Some providers even require InstaMed only send them paper checks (not EFTs or credit cards). I'm not sure what is so unreliable about them that providers who take EFTs and credit card payments from other processors are restricting InstaMed this way.

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1:24 pm EDT
Verified customer This complaint was posted by a verified customer. Learn more

United HealthCare Services not receiving my healthcare credit

case number [protected]
In November of 2016 I completed the Health Provider Screening Form and faxed it over. I was then sent a message on 11-17-16
"Your form was rejected due to missing or incomplete information. The value for "TC/HDL Ratio" is listed as "N/A." An actual value must be written in here. If it is left blank or shows"N/A, " it will not be accepted.

Please complete the form in its entirety and fax it back to Wellness Inc. (OptumHealth) at [protected] by December 31, 2016 for processing."

I was sent a new form and went to the health care provider for a second time, this time all values were completed properly. Which then turned into this case number [protected].

This was faxed in the last week of December 2016 well before the deadline and I have fax documentation that it was received on your end.

After not seeing my credit I e mailed and was told this "After further research, we found that we did not receive a corrected Health Provider Screening Form for your 2016 biometric screening. Unfortunately, we are unable to process forms based on a fax confirmation receipt as there are many issues that may cause faxes to not be received.

Since we did not receive a completed form prior to the 12/31/2016 deadline, you are no longer eligible to receive the reward for your 2016 plan year biometric screening.

We do apologize for any inconvenience that this may have caused."

I have completed my biometric screening and had it turned in on time. With proof. This is not the first time your office has had problems receiving a simple fax. I have sent NUMEROUS e mails and have received zero response. Your e mails plainly state "The company does not discriminate on the basis of race, color, national origin, sex, age, or disability in health programs and activities."

Your members right and responsibilities plainly state "Receive timely responses to your concerns."

I have no doubt that my complaint will not fall on deaf ears and that my issue will be resolved in a timely matter, even though I have been trying to resolve this issue for 3 months.

Michael Hernandez [protected]
[protected]@gmail.com

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10:24 pm EDT

United HealthCare Services medical treatment

My name is Lien Grimm and currently ill with cancer and every time I need some service it is being deny. per the hospital they are being told that I don't have coverage and I have a letter that states I do have coverage. When I truly need the medical services that I have paid for and worked hard. I am being treated like know one cares. It totally sad the way your treating senior citizen. It being more than 60 days to get approval for decipher and was call the day before and was to they had to reschedule because my insurance carrier United Healthcare denied my coverage.

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7:47 am EDT

United HealthCare Services medication

I am a United Health Care subscriber through my employment in N Y State.
As a member of the Empire Plan I and my wife are eligible to receive medication prescribed by a physician. My wife primary care physician prescribed a medication he believed would help her sleep at night relieving her of pain in her legs which causes her to wake up constantly. The pharmacy has been unable to fill the prescription due to alternate medication you preferred her doctor to prescribe. He has insisted that the medication he prescribed is the only one he believes will work to relieve her pain.
I have watched now for more than a week my wife suffer through the night because of the delay in receiving the prescribed medication from the pharmacy. If inflicting pain and suffering on patients is United Health Cares object, you have succeeded completely.

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Jill White
, US
Apr 13, 2017 2:47 pm EDT

My husband and I have group coverage under his former employer with United Healthcare PPO, Medicare/Senior Advantage. Before the Medicare PPO was offered as a health plan choice in Jan. 2016, we were always in an HMO. The HMO's Pharmacy never interfered with our physicians' RXs. The only pain medication or RX by prescription and OTC that my heart can tolerate is Tramadol. Until my Primary Care Physician retired in 2016, I didn't even know that Tramadol had become a Scheduled Drug in 2014. The Primary Care Physician who took over his practice and her NP and young women ER docs and RNs only associate Tramadol with the person using it being a Drug Addict and their own fear of the FDA. They aren't even aware of the facts that 1//2 or more of Tramadol is an SNRI very similar to Effexor and also similar to Cymbalta which have been found by neurologists recently to be the only effective pain RX for neurologically based pain. Unfortunately the withdrawals in about 50% of people who take the drug who are mostly women who are sensitive to migraines, is agonizingly painful and long lasting. It is impossible to reduce doses gradually and taper off of, just like the SSRIs Paxil and Celexa withdrawal syndrome. I start agonizingly painful withdrawal syndrome after only about 8 hours off of Tramadol. Because of a complex set of circumstances, I couldn't renew my Tramadol and ended up in ER where called a Drug Addict and refused to treat me. Shortly after, UHC Pharmacy sent a letter to my PCP telling her "to wean me off of Tramadol" - the pressure from the FDA not to prescribe the only painkillers that work for many people which they have taken for years without ever increasing their dosage or getting "drug highs" is causing suicides from unbearable pain and agonizing, uncontrolled pain non stop. I believe that UHC is violating the confidentiality of the physician patient relationship, the patients rights to participate in the management of their pain, and they are making RX decisions that are life altering for patients, instructing their doctors to substitute non Scheduled painkillers which have unbearable side effects and some common side effects like internal bleeding from NSAIDs can be life threatening. All NSAID also contain Sulfa which I am severely allergic to, which very few physicians even are aware of.

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7:50 am EDT

United HealthCare Services dental

On 2/28/2017, I ordered dental insurance. Representative told me I would receive a form to sign agreeing I wanted it to send back, I never received it. I was given my dentist name who took your insurance, I called my dentist who said they no longer took united health due to your company denying numerous claims, too many problems. So I was given another dentist in avon, ny, I called that dentist who also said they no longer would be accepting your claims due to the same problems as the pavilion dentist. So at that point, I became frustrated and was told I would be sent out a list of dentists in my area. I decided to cancel on 3/10/2017 dental as too many problems with your company. I called today to say why a bill when I advised you, I couldn't use. I had coverage for 12 days so I am not paying ths bill. I talked with kendra who said it wasn't cancelled, then I asked for supervisor who gave me jennifer who said I had to pay the bill 72.00 and kendra told me 36.00. Jennifer said it was cancelled. Client #[protected]. I want this bill wiped out as I was never able to use it. You can call my dentist pavilion dental to verify that we talked. Also the dentist in avon who told me the same thing. This is fraud when one hand doesn't know what the other one is doing!Jennifer said she would send me a cancellation letter but I am not holding my breathe as I got nothing in the pass. I believe when I talked with someone, they had an address of 5429 not 6429 which may be why I never received anything!Please resolve this asap!

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12:23 pm EDT
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United HealthCare Services sleep apnea treatment

After I reached maximum out of pocket, insurance company started denying treatment back to back. I was diagnosed with sleep Apnea in month of January(my insurance expires in March'17). From doctors stand point I was supposed to start using sleep CPAP machine but insurance company denied to provide me treatment. They told me that I don't meet the criteria. When I asked if I don't meet criteria then what is the treatment, I was told that they don't know, I should check with my health provider. My health provider consistently kept saying that you should use sleep cpap machine.

I went back and forth multiple times but they were non- cooperative. They kept killing time so that next year starts and they can save money.

I was not treated well, I strongly recommend to not go for United Health Care Insurance.

They also denied varicose veins treatment to my wife. It's all because of money.

Thanks
Pankaj Bansal

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7:33 pm EST

United HealthCare Services dental and health care

I lost myjob as a Corrections Officer due to severe depression and had to get the UHC Community Plan. long story short, they offered Dental Services to my surprise, almost every root canal, pulling crowns, post, cavities filled has been consistently DENIED, for ridiculous reasons, I appealaed all of them, , still denied so I am now in the process of having a Fair Hearing with the State of NJ, last but not least I will sue them as they left me with doing half of the procesures with no follow up Posts, Crowns or bridges, 2 of the teeth broke already due to being unstable without the crowns and posts, they thought I would just walk around with broken teeth or a gap in my front tooth. not happening, The Dept. of Banking and Insurance will look into this as well, I hate UHC, all they do is deny, deny, deny, make you spend countless hours on the phone with them just to get no answers. I have had enough. oh and they denied to pay my medication which I have been on for years and was $500 a month! Enough!

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4:54 pm EST
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United HealthCare Services employer group and major medical contempt supreme previous medical privacy quality single female

I want charges with access to my social security number health administration and learned of debt instrument where it has been a cult as to access and suspect regional insurance and employment providing some form of retirement and other where it has been bribes with my security access and quality and health care where a comment and was dating in 1/08 with private

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6:11 pm EST
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United HealthCare Services customer service

I am hoping that they can figure out and get United Health Care admit that they screwed up. They claimed that I had a health insurance policy since 2004 with them through an old employer. Which is a lie because I have always had my husband's insurance. I want them to admit why is took over 13 years to figure this out and why it took them almost a month to figure things out. I want to know why when I called on February 24th, I was told that they would have a letter to me in 7 days showing I never had any insurance. I want to know why when I called back, it showed that they never sent the letter. I want to know why when the letter was faxed to me that it had the wrong address and the wrong information on it. I want to know why I have sit on the phone for over half an hour and nothing was resolved. I want to know when they plan on getting the corrected information to me so that I can send the letter to my actually insurance company so that they stop denying my bills since I am a cancer patient and have to go to the doctor and have scans all the time.

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Update by 47survivor
Mar 04, 2017 6:13 pm EST

This company is ridiculous and has no compassion for people.

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8:02 pm EST
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United HealthCare Services complaint

I have a rare condition called Schuermanns disease and have been a UHC customer for 11 years.

Over these 11 years I've seen specialists, surgeon's, chiropractors, physical therapist's and accupuncturist.
I've had spinal epidurals, massage therapy, MRI's, countless tests, you name it, I've had it done.

The only way I can live a normal life is because of the medications that I take. It's not much of a normal life, I can't play golf anymore, I can't ski in the snow anymore but I can still work and spend time with friends but at times even this is difficult as any type of physical activity like long walks causes pain.

After years of trial and error, my Doctor and I found a medication that works, Oxycontin. Late January, when I attempted to fill my monthly meds, my Pharmacist informed me that UHC was not going to cover the medication.
Neither my Doctor, my Pharmacist or myself, was given any prior notification of this change. I was told by a representative that I should have been given 90 days notice and received nothing!

I've been on this medication for 9 years.

I was provided with a list of alternative pain meds that I could take, I went to my Doctor with this list, he wrote me a script and guess what happened, UHC would not cover the medication that they were forcing upon me stating, I needed a prior authorization to get it filled.

I'm sure everyone on this board has similar types of stories where UHC denied them coverage, denied claims, gave them misinformation or didn't seem to care about their situation.

I hate stating this but I think it's time to seek legal actions not only against UHC, but also include direct legal actions against the person/s that you spoke with.

I work within the Financial industry and have to be especially careful with what I say as any of my clients can file a suit directly against me.

Maybe if we start filing suits against these uhc reps personally, things will change!

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Terry Maguire
, US
Apr 09, 2019 6:39 pm EDT

Yep...I can totally relate to your situation. I have Fibromyalagia and have had for 15 years. I have taken or tried every medication that is recommended to me. Some work, some do nothing and some I'm allergic to. On Jan 2019, my pain MD wrote my prescriptions as usual for Soma and Vicoprofen. Soma went thru just fine, but the narcotic got denied stating I could only have 50 pills in 1 month. I was told by the pharmacy that the DEA and pharmaceutical companies have been working together to try and cut back on the narcotic epidemic that is happening in our country. Which I agree is a good thing, but not for the people that are seeing a physician regularly and being monitored very closely! I have Blue Shield and called the pharmacy number to find out what they would pay for? I was told that they would pay for 180 Lortab's! Which is basically the same as the vicoprofen except Lortab has Tylenol and Vicoprofen has Advil(ibuprofen 200mg) I didn't want to take Tylenol because it does nothing for me except add more stress on my kidneys. So I finally got them to approve Hysingla ER, which is Hydrocodone by itself and I take 1 every 24 hrs. It works very well. You might ask your pharmacy if they will pay for it? This is definitely a problem and I know there are many other patients with the same issue. A lawsuit might be the only way to get the DEA and pharmacies to stop telling Doctors how to doctor!

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6:27 pm EST

United HealthCare Services insurance claim

Hello,
I am writing this complain to express worst experience of my life with united health care. I joined north dakota state university as a visiting scholar on october 12th 2016. I got an insurrance plan for three months from october 12th to december 30th and I paid 560 us dollars for the period of three months. During this period I visited a clinic only once in the month of october. I purchased medicine from cvs pharmacy and I paid full amount at pharmacy and then I submitted my claim to united health care. After one month when I called to your good office that your claim was denied because you were supposed to send it optumrx. Nobody didnt bother to inform me. Then I sent a set of claim documents then they told me after month that you have sent a wrong form when I called for inquiry. Optum rx said me to contact me united health care and united health care reffered me to optumrx. Then I submitted correct for to optum rx twice by a mail but each time they said that they didnt receive anything. Im the meanwhile I left north dakota state university and joind montana state university and got another insurrance plan from iso. I was continuously trying all the time to contact with united heath care and optum rx but nobody listened me. Yesterday I called again to optum rx an the person david told me that this not related to us we canot do anyhting this is a matte between cvs and united health care. Now I am leaving us on 4th of march. I paid 560 dollars for three months and I was getting sick to get a claim of just 64 dollars. The experienced I got from united heath care was totally a bull ####. Please consider my particular below
Regards
Muhammad ikram ul haq
March 16 1990
[protected]@yahoo. com
[protected]

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10:04 pm EST

United HealthCare Services uhc failure to pay bills and record advance premium tax credits

UHC refused to pay several of my bills during 2016 stating their was no prior approval even after the doctors office stated they had done it. And said that they had not received the supplement part of the payment one month. I have investigated and called everyone I can find because per the UHCbillingexchange it shows the advanced Premium tax Credit every month along with my payment. UHC finally sent me a bill for the 441.00 for the tax supplement and I paid it. (12/10/2016 Bank Account: SUNTRUST BK 3774 $441.00 Processed ) I never was told that I had a stop in coverage but now I have 3 tax forms with different end dates and it should never have been ended. I always provided any information that was requested and did it on time. I ended up and paid over 8000.00 just for medical out of pocket.

One bill is for Ortho Carolina 2, 023.00 acct [protected] date of service 6/27/2016 for surgery to remove a cyst from my finger that caused a lot of pain. I contacted the doctors office prior to to surgery and asked if anything I needed to do as far as insurance and she said everything had been taken care of. After the surgery UHC has refused payment stating there was no prior approval. Now I am receiving letters stating it is going to collections.

I had to have emergency gall Bladder surgery and ended up paying over 6000.00 for it which alone is well over my deductible. They have reallocated the payment and it is way to confusing to try to explain. But it was at Novant in Matthews on 6/4/16 one of many of the bills included in the reallocation was 2069593.

My primary doctor got authorization and sent me to a dermatologist on 5/11/2016 to Darst Dermatology acct 0040975 originally about my finger and that bill was for 202.00 which UHC also refused payment and gave me several different reasons why, I have paid it.

Now there is a charge on my credit report of 218.00 that I have no clue of .

While dealing with all of this last year and it seemed like a constant struggle with UHC I was dealing with a dying mother. I had searched for any way to do a dispute or voice my aggravation with UHC and finally found this site. I just don't know what to do at this point but I know beyond a doubt that the billing and processing of my accounts are incorrect and I am hoping to find someone that can make sense of the mess they made in 2016 & fix it.

The only thing that I see on the break down sheet for my billing summaries is there was a C dropped of the account type on 6/1/2016 all other ones are listed as a Compass 5000 C and the 6/1/16 is only a Compass 5000. Not sure if that will make a difference but I am praying this will all be corrected.

Please contact me for any questions or explanation.

Thank you,
Rebecca Sutton
[protected]

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2:44 pm EST

United HealthCare Services customer service

My mother called into customers service line to speak with a Michael troutman...representatives was very rude, my mother was just trying to get general information yet the representative seem unwilling to explain anything about United health care nor seem even 2 care about her current situation..it was very unfortunate because we have heard such wonderful things about United health care but just in the initially phone call we had a bad taste put in our mouth

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