UnitedHealth Group

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me....only if they follow through with their promise of a return phone callI was phoned on March 31, 2016 and spoke personally with Nicole Lthe UnitedHealth care representativeShe agreed this bill should be paid by UnitedHealth care but was not authorized to make that decision and was sending this matter to the powers-for final approvalNicole promised me a return follow up call phone call with the answer to my claim. I wish to keep Revdex.com in the loop until we hear something back from UnitedHealth careThank You*** * ***

I am rejecting this response because:Mike D who responded to you, has not responded to my many calls This includes others in OptumRX who are ignoring my callsHIPAA does not prevent them from explaining why they don't respond

February 28, 2018 To Whom It May Concern: We are responding to this issue from *** *** Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to the Revdex.com regarding these concernsHowever, we will be
responding directly to the *** *** to address their concerns. Sincerely, Consumer AdvocateJules A

I am rejecting this response because: This is the most outrageous service from a company I have ever heard ofTHIS WAS AT AN IN NETWORK EMERGENCY ROOM AND HOW IS ANYONE SUPPOSED TO KNOW THAT THE DOCTOR THAT IS SUPPOSED TO HELP THEM OUT OF NETWORK??? YOUR COMPANY EXPECTS SOMEONE TO HALT THE CARE FOR THEIR THREE YEAR OLD DAUGHTER IN ORDER TO CHECK THE DOCTORS CREDENTIALS!? UNFAIR CRIMINALS

Thank you for bringing this concern to our attention. Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to the Revdex.com. However, we will be responding directly to *** ***to address her concerns

Initial Business Response /* (1000, 8, 2015/12/18) */
Re: Revdex.com Complaint Case # ***
Member: ***
Plan Case Number: ***
Dear Mr***,
We are in receipt of your inquiry dated; December 7, regarding your request for assistance from *** has been identified as a
member of our Medicare Advantage Prescription Drug Plan (MAPD)This plan is regulated by the Centers for Medicare & Medicaid Services (CMS)Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to you regarding Mr***'s concerns
Since your letter included a copy of the enrollee's correspondence and/or a description of the complaint, we will be responding directly to the enrollee regarding their concerns
United Healthcare has established an appeal and grievance resolution process in accordance with CMS regulationsIt is our position, and that of CMS, this process provides Medicare members with adequate recourse regarding any issues they may experience with their coverage, or any other services they received in connection with benefits provided by usWe want to assure you this matter will be investigated and resolved within the CMS timeframesWe have forwarded this complaint to our Appeal & Grievances Department so they can provide a written response to the complainantIf you wish to find out additional information regarding how this complaint is resolved, you will need to contact Mr*** directlyPlease note that grievances take up to calendar days and appeals can take up to calendar days
Initial Consumer Rebuttal /* (3000, 10, 2015/12/18) */
(The consumer indicated he/she DID NOT accept the response from the business.)
They offer no response to the complaint, and I have not received any correspondence in any manner from anyone at United healthcareThey are stalling, and it is obviousI have a doctor's visit and prescription filled in December that I want reimbursement for
*** ***
***
Final Business Response /* (4000, 12, 2015/12/22) */
As previously indicated the Plan's Appeals and Grievances Department is currently reviewing the member's concerns and will provide a written response in accordance with Medicare guidelinesThe case is processing under ID *** with a due date of 1/6/The member will receive a response on or by that date
Thank you

November 6,
To Whom It May Concern:
We are responding to this issue from *** ***
Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to
respond directly to the Revdex.com regarding these concernsHowever, we will be responding directly
to the ***
*** to address their concerns
Sincerely,
Consumer Advocate
Ally A

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me at this time. I would like a response within days with a written resolution. If not, I am prepared to continue escalation to the next level

UnitedHealthcare is working directly with complainant to resolve this issue Thank you,Megan###-###-####

I am rejecting this response because:
I have received no response or contact from UMR/United Healthcare

This message is to confirm receipt of Ms*** concernsThank you for bringing this matter to our attentionDue to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to the Revdex.com regarding these concernsHowever, we will
research and respond directly to Ms*** with the results of our investigationShould you have any questions or comments, please feel free to email us at [email protected]

I am rejecting this response because: I have had to talk to more agents from that company today I have been lied to today, given many different answers to the same question

Dear Ms***:
I am responding to your recent correspondence dated June 27, 2016, regarding *** ***
Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), I am unable to respond directly to you regarding these concernsSince your letter
provided a description of the complaint, I reached out to *** *** on June 29, 2016, to discuss a possible resolutionI will issue a written response to *** *** within business days
Should you have any questions or comments, please feel free to call meI can be reached during business hours at ###-###-####.
Sincerely,
Tiffany ***
Consumer Affairs Advocate

(The consumer indicated he/she DID NOT accept the response from the business.)
have not been contacted as yet; will be satisfied once they pay bill

Thank you for bringing this concern to our attention. Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to the Revdex.com. However, we will be responding directly to *** *** to address their concerns

I am rejecting this response because:
It is my understanding that my Health Savings Bank account is not subject to HIPAA protection, and my dispute is in no way one which references any coverage of healthcare or doctor's visit or any kind. This is a dispute over a dishonestly charged banking fee, not a matter of healthcare which should fall under the HIPAA coverage. Additionally, I have not been contacted by the business, and quite frankly I do not trust their word that they will contact me, and certainly do not hold out hope that they will refund my $fee. It seems to me that they are attempting to bury my complaint by using the HIPAA privacy rules as a way to get out from under the Revdex.com's involvement

March 31, To Whom It May Concern: We are responding to your recent correspondence dated March 29, 2016, regarding Mr.*** ***Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to you regarding these concernsSince
your letter provided a copy of the enrollee’s correspondence and/or a description of the issue, we will be responding directly to the enrolleeShould you have any questions or comments, please feel free to email us at [email protected], Suu *** Consumer Advocate NOTICE: This communication may contain PERSONAL and CONFIDENTIAL information and is intended only for the use of the specific individual(s) to which it is addressedIt may contain Protected Health Information that is privileged and confidentialProtected Health Information may be used or disclosed in accordance with law and you may be subject to penalties under law for improper use or further disclosure of the Protected Health Information in this communicationIf you are not an intended recipient, you are hereby notified that any unauthorized use, dissemination or copying of the information contained in it or attached to it is strictly prohibitedIf you have received this in error, please securely destroy it and immediately notify the senderThank you.*** ** *** ***

Thank you for bringing this concern to our attention. Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to the Revdex.com. However, we will be responding directly to *** ***to address her concerns

December 28, To Whom It May Concern: We are responding to your recent correspondence dated December 20, 2016, regarding Case ID # *** for *** *** Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to
respond directly to you regarding these concernsSince your letter provided a copy of the enrollee’s correspondence and/or a description of the issue, we will be responding directly to the enrollee. Should you have any questions or comments, please feel free to email us at [email protected] Sincerely, Consumer Advocate NOTICE: This communication may contain PERSONAL and CONFIDENTIAL information and is intended only for the use of the specific individual(s) to which it is addressed. It may contain Protected Health Information that is privileged and confidential. Protected Health Information may be used or disclosed in accordance with law and you may be subject to penalties under law for improper use or further disclosure of the Protected Health Information in this communicationIf you are not an intended recipient, you are hereby notified that any unauthorized use, dissemination or copying of the information contained in it or attached to it is strictly prohibitedIf you have received this in error, please securely destroy it and immediately notify the sender. Thank you

I am rejecting this response because: I want to see what the response is before closing the complaint