To: UnitedHealthcare Corporate Complaint
From: Joonghwa Seo
Date of Birth: 12/26/1960
Former Member ID on UMR: [protected]
Date: April 8, 2026
Re: Formal HIPAA Right of Access Request – Explanation of Benefits (EOB)
This is a formal complaint regarding UMR’s failure to provide my EOB despite multiple requests.
I am a former member requesting records for services rendered in Septenber 2023.
I have sent multiple fax and mail requests with no response.
This request is being made under HIPAA (45 CFR §164.524), which requires a response within 30 days.
If I do not receive the requested EOB within 5 business days, I will escalate this matter to the California Department of Managed Health Care and the U.S. Department of Health and Human Services (HHS OCR).
Please escalate this case immediately.
Thank you for your immediate attention to this matter.
Sincerely,
Joonghwa Seo
78 Fringe Tree
Irvine, CA 92606
Email: [protected]@gmail.com
** Attachment: Previous Letters to UMR with backup information
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