United HealthCare Services

On November 15, 2017, I scheduled an appointment with my pain management doctor, Darell Shows at the Rush Pain Center located at 1314 19th Avenue, Meridian, MS, 39301. After explaining why I was there, Dr. Shows explains to me that I had failed my drug test for the second time because there was an inconsistency, but he would work with me because I explained to him that I had been breaking my pills in half to take them. He told me that I was supposed to take the medicine as written, and that was to take one pill every twelve hours. After discussing why this was important to follow, we came to a mutual understanding and he would give me one last try. He then proceeded out of the room where the nurse stopped him to show him that another prescription had been filled on November 08, 2017 and was written by one, Roger Clapp. He came back into the room and said it was time to get a little rude because an agreement had been signed that I would only get pain medicine from the clinic, as I tried to explain the fact that I had just had surgery on November 07, 2017, he stopped me and was telling me that it's not like I am 18 or 19 and just learning the world, and why I did not call and get an okay for the pills. I truly was not thinking about that at that moment knowing I was about to have surgery. So, once again we came to a mutual understanding and I informed him that I had not taken any of the pills. Then he just told me I had to bring those pills back, so I let him know that I had the pills downstairs and would bring them back.
Once I made it downstairs, I got the pills and took them back up to his office. The nurse, Mrs. Joy, told me to allow the previous patients to come out of the room and then I go in. Once in the room, the nurse came in and got the pills and counted them. Once counted, she emptied them into the needle (or the waste) dispenser on the wall. I asked her what was I supposed to do since my insurance had just paid for that bottle of pills to be filled and I would have to wait until a certain time frame before they would pay for some more. She was telling me that I had to wait thirty days from the date of the last prescription that Dr. Shows had given me to get the prescription filled. I was trying to get her to understand that I only had three pills left I could not fill the prescription until the prescription she had just thrown away should have been taken up. She kept trying to explain to me when I could get it filled, and I was trying to explain why that would not be possible. She said something and left out the door. Two to three minutes later Dr. Shows comes in saying "You can take your rudeness and disrespectful somewhere else. You can get out my clinic." I tried to tell him that I was not being rude and he says, "You still being smart, don't worry about it, you terminated from my services." I kept trying to explain that I was not being rude and to ask the nurse, but the nurses would not say a word. He then stated "Where is my prescription at, give it back." I told him they were downstairs, and he said, "Well I can have the security guards to escort you out of here and get my prescription." He would not listen to anything that I had to say. He just kept saying that I was terminated and he wanted his prescription. All I was trying to get them to see is that the pills they poured out had already been covered by my insurance and I wanted to know what I needed to do, but he was not hearing anything that I had to say.
My friend, Kimberly Christy was in the room with me when this occurred because she walked back up stairs with me. I was already in pain and Dr. Shows had informed me that he was going to send up a request for an MRI to be done, but know I do not know which way to go. The whole thing about it is, every day is not the same. I have some good and bad days with the fact that I have multiple injuries from a car accident. The Rush Pain Clinic was the first clinic that seemed to be able to get anything done, but after this day, I will never step foot on their premises due to the way I was treated.
I will thank Dr. Leland Lou for the great services that he provided, but his counterpart truly hurt my soul today. I have never been rude to any healthcare worker that I have encountered. I have never felt as low as I did today, and without justification. I was merely trying to get the nurse to see what issues I was going to have with the fact that the pills from Dr. Clapp had just been filled. All thirty pills were accounted for. All that could have been said was, "If there is a problem at the pharmacy, just have them to call and we will clear up the misunderstanding." No, that did not happen. Everything went left and without a just cause.

In Feb, 2016 I went to Queens Hospital in Honolulu where I spent 7 days. After HMSA and Medicare paid there was a balance of $1748. UHC denied the claim telling hospital that they needed more information. This was unknown to me until I received a bill from a bill collection for $1748 in Sep. 2017. After dealing with UHC for 6 weeks they finally said that they will send Queens a check for $848 in a week or so. Still trying to decide if I want to get a lawyer to help with the outstanding $900
In 2015 my wife was undergoing cancer treatment when UHC stopped her health care saying that she had reached her lifetime limit. We found this out 6 months after UHC dropped her health insurance. When we asked why UHC did not tell us we were told that we should keep track of our bills.
Most interesting as how do we know how much UHC will pay for different services

my daughter is over 13 but has a mental disability and can't be left alone before or after school. I submitted the United Healthcare approved form that my daughter's physician filled out and signed to indicate the above. I finally obtained my 1st requested reimbursement after filling a complaint. I later received a call from a United Healthcare supervisor stating the physician form was sufficient and would be valid as long as my daughter is listed on my insurance policy. I then submitted a claim the next month and denied again. i was informed a mistake was made but I would have to wait 10-15 days for the review. Of course, I have already paid for the childcare and need the funds returned to cover other bills. They could care LESS. I will just stop the deduction during open enrollment. I can't imagine battling with them every single month. They are holding my hard earned money hostage.

59YO female, BMI-27, snores, DX with MODERATE OSA-AHI16. HTN x 10 years; tired all day even after waking up... UHC denied SPLIT NIGHT PSG- stating- NO COMORBIDITIES. Case A031257396; Prior auth rep would not speak with me. Only provider. Just so happens I am an RN and write Medical Board Reviews for the MILITARY for two years and know MORE about OSA than PCM. I had to twist PCM arm just for the referral for PSG. Am on CPAP but believe I have Central APNEA which requires BIPAP. Daily REspirations are 8-10. UHC obviously doesn't know implications of long term OSA has on the body- AMI, CVA, dementia. This shows the greed and incompetence of medical providers who work at UHC just to save a buck in your pocket but in the long run have greater expenses for health problems, complications and hospitalizations. Cell: [protected]. if I do not hear from UHC within 3 business days I will be writing the Inspector General and Insurance Board of Minnesota. A concerned patient. Annette

Spent 40 minutes on the phone, most of which was spent on hold, and talked to 4 different agents. Only managed to update my address, but needed to change my plan. Finally, I just asked to have a salesman come and was told they will call me, probably today. Last time I had to change plans it took 4 calls to finally get the right plan. Each agent promised they would get me to the right person. Considering a different provider at this point. Worst customer service ever! They don't know what they are doing.

My mother is at the centers at st. Camillus nursing home in syracuse ny.
She almost died in august of 2017. At the time she had the uhc nursing home plan. The np christine wasn't and isn't capable of taking care of a guppy. I fired her on august 31, 2017. She snapped at me that I didn't have the authority to fire her. Wrong! I have had and been taking care of my mother since july 1, 2005 when she was hit by a car. Then she made my mother sign a release of insurance form. I let her, but mom is not to sign anything. I didn't care that she lost her insurance, as long as she got away from that incompetent [censor].
I received a letter telling me her uhc was canceled. I called the number on the letter got a lady in georgia, who connected me to a man in michigan. This was on september 11, 2017. The man in michigan told me I would get a call in 24hrs. To get the insurance back, but not the nursing home plan. With all the crap we've been through I got shingles. I was suppose to leave on vacation on sept. 17th. On sept. 15th I called my insurance agent. I explained the problem, she dropped everything and came to my house. She spent at least 1 hour on the phone with uhc to see if she could sell the insurance to my mother. At 5:00pm that day, she my agent got a call from an agent tina, that takes care of the nursing home insurance. My agent did not want to step on toes and said to call tina on monday sept. 18th. I'm on vacation in vermont and had the social worker have tina contact me. Tina said she does nursing home insurance. She asked me to meet her wednesday at st. Camillus to sign papers. I explained I was trying to enjoy a few days away. We planned to meet on friday sept 22nd at 11:30am. I cut my vacation short. At 11:00am on sept. 22nd tina call me that she doesn't have the papers. Really! She had a week! I was an am pissed at the treatment that both me and my mom has gotten from uhc. I called my agent, crying! She came to my house and in a few minutes, mom had insurance again. Tina wanted me to meet her on monday sept. 25th at 11:30am to sign the papers. I did the same thing to her, I called her at 11:00 and told her I didn't need her. She was not happy, sorry! I don't appreciate the way uhc has treated us. No return calls. No nothing. Then that stupid tina complained and turned my agent in. She is a [censor]. I planed to change my mothers insurance because of this crap. The only person that helped me was kelley king. She should be running uhc. She is an independent agent, but the only one that listened to me. I have bad mouthed uhc to every one. I hate uhc you have no one with a brain. I have sent letters, called and today spent 1 hr going from 1 887 0441 to [protected] to [protected] from victoria to theresa? What the hell! Get your company together.

I submitted a eligible reimbursement claim in April 2017. I followed up and confirmed that paperwork was received. I was told that it could take about 3-4 weeks for reimbursement. I called a month later, and was told that nothing was processed yet. I called a few months later and was told paperwork could not be found. Finally, my paperwork was found but I was told it was still pending. I called again a month later and was told the claim was processed and closed. I would receive a check within 10-14 bus days. I never received anything, so 2 weeks later I called back, only to be told the claim was closed but not processed because they were unable to obtain the provider's TIN. The rep told me they would contact the provider again to get the TIN and resubmit the claim. I called a month later and was told that was not done. I called the provider with the rep (Amy) on conference and received the TIN. The rep (Amy) stated that she would submit paperwork with TIN info and expedite the request. I called today (09/27/17) and was told by Mark in the claims department that that was not done, so he would need to submit the request today.He stated that it will take ANOTHER 10-14 days before the claim is processed.

My daughter Taylor King had been in and out of 2 different hospitals Emergency rooms and urgent care. We finally see gastrologist and he ordered a EGD at the hospital and the insurance company is trying to tell me it can take 72 hours for Authorization after they physically talked to the dr and he said it needs to be done today. I have called and spoke to a number of people and so has my dr and his staff and I have been sitting at St. Joseph's Hospital sine 8:30am waiting for them to get it overridden. We we first told 20 min or so then now 72 hours, I. Drovr over and hour to get here and pulled my kid out of school and am missing work. What I want to know is if you have spoken to the dr performing the procedure and who requested the pre/auth why am I still waiting and how much pain does my daughter have to go thru for you to approve her well being and care. What type of service is this!

I am a nurse who was diagnosed with colon cancer and began treatment of radiation combined with chemotherapy prior to surgery and followed up with chemotherapy. My last chemotherapy round was in April of 2017 and consisted of chemo infusion in the clinic and then taking a pump home for 2 days where chemotherapy was infused 24 hours a day for two days.
I received a bill from UMR saying they didn't feel the pump for home was medically necessary. I told them it was protocol to treat my cancer this way.
They did not respond and gave my account to the infusion company to bill me privately. I was covered by UMR through work and then paid privately through Cobra until I could return to work. I am shocked that the insurance I paid for would not cover my chemo for home. If I didn't carry insurance I would not be so surprised but I carried the top insurance and paid heavily to be covered during this period.

Recently the company I work for switched to united healthcare's choice plus plan. It has been a nightmare to say the least. They promised to match the coverage we had through highmark, but we got scammed. We have employees who are on needed medications and have been for years, fighting for months to have united cover them. Now, as a wheelchair user, I am having an even harder time. First, I need urinary catheters in order to void my bladder. It took 2 and 1/2 months for their team to find a provider in their network for me. During that time, out of necessity, I was forced to get them from my original provider that was not in network. Now I owe them over $600 and united won't pay a dime. Now, i'm desperately in need of a new manual wheelchair. I mean every part of mine s broke and being held together with duct tape and they don't have a single provider within a 100 mile radius and will not offer any other solutions. They don't even have a provider I can order parts through to make mine last until our company throws the contract out and goes back to highmark in january. Absolutely sick over the terrible service and bs they put you through. Also, they barley pay what they agree to pay without a dozen phone calls. Got a dr. Bill they were supposed to pay after my $20 dollar deductible. I paid the deductible then was still billed an additional $86. The total bill was only $136. So they paid what? $30. It would be cheaper to cancel and pay my providers directly out of pocket since my insurance plan is over $1, 000.00 a month.

My mouth hurts so bad I can't eat anything remotely hard, my diet right now consists of gummy bears, worms, jello, popsicles, baked potatoes, and everything that doesn't require major chomping into. I haven't been able to eat tacos, hamburgers, steak, or any kind of good source of protein in months because my wisdom teeth are coming in and my dentist has done everything he can to help me, and when he sent me to an oral surgeon they said my wisdom teeth need to come out now, and the insurance company has made me wait over a month to get a letter saying they won't pay for it. I swear I drop this idiotic, self-centered, money consumed, incompetent insurance firm if I had any other options insurance wise. And whenever I bring it up to my mother she keeps saying we can't drop till July, and we will drop this July I promise, yet it has been 5 years since that started and I am still enrolled in this insurance, WHICH I HATE! You'd think they would do anything and everything they can to help the people that they cover, but they don't they are so selfish, inconsiderate, self-righteous, incompetent, stupid people and my personal opinion is they wanted to do good, they came into this with so much money and thought how can I make a difference with this money, and then took a look at all the people that don't have that much money and can't pay for doctor visits, surgeries, procedures, etc but when they got into it and started getting all these claims they didn't think it would cost them this much money, but hate to break it you insurance company, IT DOES! And the worst part is they can't back out of it now because if they do they open themselves to huge, bank breaking lawsuits, which right now they are facing a HUGE one with me. Right now the best thing they can do is pay for me to get my wisdom teeth out and hope and pray I don't slap them with a multi-million dollar lawsuit.

Hello,

I called United HealthCare today (9/14/2017) around 12 pm. My request was simple- I need a proof of loss of coverage letter faster than the typical 10-15 day turnaround time. I first spoke to a representative who was very polite and helpful. She said she was unable to email me a coverage end date but she could submit a request to get the letter expedited in 24-48 hours via UPS. She then put me on hold for a few minutes to process the request (or so I thought). A man then came on the line and introduced himself as her supervisor. He then explained that he would not sign off on expediting the letter since he would then have to do it for every customer, and it is an additional cost and hassle for them. He also stated that it will not be expedited since it was no fault of theirs, and he questioned why I am requesting it now. Why I am requesting the letter now should be of no importance. I ended up disconnecting the call because I was upset at the rude, condescending tone that he was using. I am angry and disappointed with the customer service I experienced today, especially after being a paying customer of 10+ years.

I have been coming to Dr. David Kling for years. Recently I have been informed by his office staff that as of September 19th he will be out of network for me due to a recredentialing error that's beyond their control. I don't understand what the issue is all of a sudden, but I am extremely disappointed in this decision. Dr. Kling goes beyond the level of professionalism that's expected, and is the best chiropractor I've ever been to. In fact, I have refused to go to anyone else again, and would much rather wait until he has an opening for me. However without insurance coverage, that's not going to be possible. I hope this gets fixed soon!

Thank you

This company has not removed me from your stupid calling auto caller. I've called about this issue several times over the past three years. I do not have tenncare! I do not have a child on it. I do not live in tennessee. I've never had united health. I'm done being nice. I want to remove my number [protected]) from their entire system. I have phone records of the excessive calls and I know there are internal notes in three departments from me calling in this issue directly. I want them to stop harassing me!

Hi Guys,
Does anyone out here with employer sponsored health insurance with united health experiencing this?

When I go to https://www.myuhc.com/ and login And I see is a blank page with a message.
"We're experiencing an internal server problem.
Try refreshing the page or checking back soon."

This is been there for like 2 months now. I raised a ticket on issue around August 1 2017.
I have called up tech support and also general customer service number.
All they do is talk and nothing else. I am tired of calling them and bringing up the issue again and again.

Any ideas, on where else can I knock to get this fixed?
I am being blindsided with bills from my provider, As I don't get to see any claims information on website.

I am with a Radiation Oncology provider office that has a lot of UHC Medicare patients. We have only had two claims paid in the past 3 months. All claims are being denied for records with no reason listed for the denial. In addition they are requesting a reconsideration form and a new claim form. Then after all the work of copying and refiling this information, UHC turns around and denies the claim stating they have not received the records. Also received denials of inadequate records which is incorrect and has to involve another reconsideration form, claim, letter of appeal. I then have to recopy it all and send it for proof of delivery. I am now sending all denials by priority mail. I have contacted our provider rep. Wendi Beckles, and she turned me over the Kreshanna Goforth who supposedly is working with someone in management but this has been going on for some time and I have received no reply from anyone and the denials keep coming weekly. We are now talking thousands of dollars involved in unpaid claims, thousands of dollars in denied claims, many hours of extra work involved for the entire process. We are sending in a complaint to the state insurance commissioner and looking into contacting CMS. This has gotten out of hand and affecting the providers income not to mention the patients statements being held due to claim denials. I would like to request assistance from UHC on how to stop this nightmare without getting legal assistance. Our coverage area involves a lot of UHC patients and we are hoping we do not have to cancel our contract and send these patients elsewhere for cancer treatment. Judith Smith

Susan Sy
3333 Lafayette St
Rosemead, CA. 91770
Email: [protected]@gmail.com
[protected]

My name is Susan Sy. My medical ID is 98247106C96088. I have called numerous times and was very frustrated.

I spoke to my social worker on August 23, 2017 and I was told your company still has my information in your system. I am asking your company to release my dental service plan out of your system.

I did not sign nor have I have any membership with United Health Care. Your system has blocked me from seeing any dentist.

Now I am suffering in pain and I need to see a dentist as soon as possible.

Sincerely,

Susan Sy

I have received an invoice from quest financial for a service that i had in january 26, 2017 when i was covered by United Healthcare. When I contacted Quest they told me they didn't approved because United doesn't have a contract with Quest; at this point let me tell you that anyone told me that before. I've been trying to follow a claim against Quest through United and so far after numerous phone calls they keep saying do not pay and you will get something by mail and nothing. Yesterday finally after file a complaint online I got a notice from Quest stating that might be for diagnosis coding. If you can please help me with this and let me know what happen with the codes so i can call the doctor to make the correction? thanks and hoping you can assist me.
Exhibits:
Patient Name: Jeniffer Lorenzo
Lab Code: MIA
Invoice Number: [protected]
Date of Service: 01/26/2017
Amount Billed: $694.77

I send a certified letter with original check on 7/14/2017, and was delivered
To: sedgwick claims m services
Po box 1437
Lexington ky 40512

During a move, I found the check with the following information
Payee: ana maria de la zerda
Loss date 6/25/2012
Claim # [protected]-0001
Description: impairment benefits (Fl)
The ck is for 1, 204.50, dated 9/22/2014
Scms unit 857 sedgwick claims m s page 001

I mailed my VYVANCE RX to the optum RX address provided. 1 week prior to being out of my medication. I called on Monday the 15th prior to 8am, the representative told me that I needed a prior authorization. I went to my MD office same day, he completed the prior auth that day. I called back on the 15th to confirm that is was all good and shipped out, i was told that I mailed the RX to the incorrect optum RX address. She said it would be forwarded to the dispensing pharmacy, escalated and shipped overnight I should receive my medication by the 17th. On the 17th no meds received, I called back and I was told that it was actually being shipped out that night, overnight and I would get it on the 19th. Now it is the 19th, no meds, it was shipped UPS overnight supersaver which does not deliver on Saturday. They said i cant drive to the UPS to pick it up and it will now be delivered on Monday, however they cannot guarantee that the driver will leave the package even if I leave a note asking him to leave it with my signature on my note. Because of the type of RX that it is, optum RX cannot get a local pharmacy to give me 2 pills to make it through until Monday and my M.D. office is currently closed. So thank you optum RX for failing me on every level!