UnitedHealth Group

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.

4-12-- spoke with member today - advised issue is resolved - gave her the findings and resolution - she was satisfied - Yvonne *** - UHC Consumer Affairs

I am rejecting this response because:It has been one week since UHC received my complaint and they have not reached out to me or filled the outstanding prescriptionIt has been days since this medication was eligible for a refill and they received the prescription from the doctor's officeI give my consent to UHC to publish the details of my prescription through this medium, as I want a written record of their response

Initial Business Response /* (1000, 5, 2015/11/04) */
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 copy of the enrollee's correspondence and/or a description
of the issue, we will be responding directly to the enrollee
Initial Consumer Rebuttal /* (2000, 7, 2015/11/13) */
Consumer indicated that he/she accepted the business response

Initial Business Response /* (1000, 5, 2016/01/29) */
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 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 call meI can be reached during business hours at XXX-XXX-XXXX, extXXXXXXX
Sincerely,
Christine **
Consumer Affairs Advocate
Initial Consumer Rebuttal /* (2000, 7, 2016/02/08) */
The customer indicated that he/she ACCEPTED the business response

September 26, 2016 Revdex.comAttn: *** ***South River Ridge CircleBurnsville, MN 55337 RE: *** ***: Dear Ms***: I am responding to your recent correspondence dated September 19, 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 concerns. Since your letter provided a copy of the enrollee’s correspondence and/or a description of the complaint, we will respond directly to this member regarding this issue Should you have any questions or comments, please feel free to call me. I can be reached during business hours at ###-###-####. Sincerely,Jeff G.Consumer Affairs Advocate

March 24,
To Whom It May Concern:
We are responding to your recent correspondence dated March 23, 2016, regarding *** ***
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,
Katie ***
Consumer Advocate

Initial Business Response /* (1000, 5, 2015/12/16) */
December 16,
*** ***
Mediation Coordinator
RE: *** ***
Dear Taylor Keate:
I am responding to your recent correspondence dated December 14, 2015, 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 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 call meI can be reached during business hours at 800-842-extXXXXXXX
Sincerely,
Cindy **
Consumer Affairs Advocate
Initial Consumer Rebuttal /* (3000, 7, 2015/12/17) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Hi ThereUHC States on 12/that they cannot respond through Revdex.com due to HIPPA constraints and will contact me directlyThey have not yet as of late in the day (EST) 12/Time and time again I get commitments from UHC that they will contact meThis is the 4th (unfulfilled) commitment to contact me that I have received in the month of December: 12/Stephanie12/Andrew12/Al12/CindyI also tried calling the contact in the response (during business hours)No answer or call back (yet)I just need to get this claim paid and matter resolvedPlease continue to escalate as appropriate so that I can get the funds owed to meThank you for your time and help,
*** ***
Final Business Response /* (4000, 9, 2015/12/17) */
December 17,
Taylor Keate
Mediation Coordinator
RE: *** ***
Dear *** ***
I am responding to your recent correspondence dated December 17, 2015, 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 copy of the enrollee's correspondence and/or a description of the issueA written response will issue to Ms*** on December 18, The claim in question reprocessed and paid on December 14,
Should you have any questions or comments, please feel free to call meI can be reached during business hours at 800-842-extXXXXXXX
Sincerely,
Cindy **
Consumer Affairs Advocate

Initial Business Response /* (1000, 5, 2016/01/13) */
RE: *** ***
Dear Ms***
I am responding to your recent correspondence dated 01/12/2016, 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 copy of the enrollee's correspondence and/or a description of the complaint, we will be responding directly to the enrollee
Should you have any questions or comments, please feel free to call meI can be reached during business hours at XXX-XXX-XXXX
Sincerely,
*** S
Consumer Affairs Advocate
Initial *** Rebuttal /* (3000, 7, 2016/01/19) */
(The *** indicated he/she DID NOT accept the response from the business.)
UMR is hiding behind HIPPA to avoid explaining their predatory behavior to patients claimsIf they have followed the rules and regulations correctly they have nothing to hideMy complaint was against the delay in reprocessing my claims after they agreed with my request to reprocess them based on "in-network" criteriaInstead of explaining the actual reasons for the delay they are hiding behind technicalities
Final Business Response /* (4000, 9, 2016/01/21) */
UnitedHealthcare has completed our review and communicated our positive response to our memberIf the member chooses to share their personal health information with the Revdex.com, federal regulations require that we obtain the member's written permissionTherefore, the attached authorization form must be completed and returned to UnitedHealthcare
Final *** Response /* (3000, 11, 2016/01/26) */
(The *** indicated he/she DID NOT accept the response from the business.)
There is no response yet to my complaints about UMR not processing my claims till I called/again they are hiding behind technicalitiesThey don't have to reveal my medical recordsAll they need to do is to give an explanation for their behaviorThis is certainly not covered by any secrecy lawsI have also not directly received any explanation from them

Initial Business Response /* (1000, 5, 2016/03/01) */
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 copy of the enrollee's correspondence and/or a description
of the issue, we will be responding directly to the enrollee

I am rejecting this response because:
I am not the enrollee that they keep calling/harassing with the phone callsIf I knew the enrollee I would ask them to update the profileMaybe they should try calling personally the number that they keep calling and harassing trying to contact the enrollee and I'll be more then happy to tell them personally that they have the wrong number and need to update the systemHere's another option send a letter to the enrollee and tell them that they need to respond within a week to update their information due to outdated information and have been informed the number is no longer valid for themI WANT THE PHONE CALLS TO STOP! Do I have to get law enforcement involved for unsolicited harassment calls that I have asked over and over robe stopped?

Initial Business Response /* (1000, 5, 2015/09/16) */
September 16,
To Whom It May Concern:
We are responding to your recent correspondence dated September 15, 2015, regarding *** *** Case # XXXXXXXX
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 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

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.If I do not hear anything from Kylie as she has stated, I will contact Revdex.com again.Thanks

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 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 call meI can be reached during
business hours at ###-###-####
Sincerely,
Tanya
Consumer Affairs Advocate

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meIf I do not receive the refund in 7-business days, I will update Revdex.com

I am rejecting this response because:There is no letter or response from them at this timeBased on previous contact with them on this matter I have no reason to trust them!! If I do hear from them I will let you knowAs of today, no letter, call or email has been received! I have contacted then more then a dozen times to get this resolved

I am rejecting this response because:
I am rejecting this response because: This is exactly what I am referring to in my opening of complaintThis company is dishonestStating on two occasions they were going to contact me directlyI have received no letter, email, phone callThey are merely stalling in hopes that this complaint will simply go awayI refuse to accept any resolution until they do in fact tell the truth and contact me so that I may post their comments hereIt has now been almost weeks since they stated they would contact meI am still waiting

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 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 call meI can be reached during business hours at ###-###-#### Sincerely, Cindy HConsumer Affairs Advocate

I am rejecting this response because: Optumrx failed to call meI had to call Optumrx on February and Spoke to Jules AShe promised me that she will call me back tomorrow and investigate the claim but she did not call me back the next dayOptumrx still denied the prescription claim

Initial Business Response /* (1000, 5, 2015/11/11) */
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 copy of the enrollee's correspondence and/or a description
of the issue, we will be responding directly to the enrollee