UnitedHealth Group

Hello,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 [redacted] to address their...

concerns. Thank you,Consumer Advocate

I am rejecting this response because: I called them last week and they needed to do a further research of my case, but I still did not get any response from insurance company. I just called them again and left a voice message, however, no one answered the phone or call me back. This is not an attitude to solve problem. That's why I cannot accept the response made by the business!!!!Additionally, I think it's reasonable to get my refund because I had a insurance plan but I cannot use during it valid. This is not my fault because I was trying to contact them more than 10 times over 10 days and Walgreens Pharmacy also contacted them more than 3 times when my insurance card was effective. But the insurance company did not solve any problems and I cannot get my insurance benefits. They did not deal with anything until my insurance card expired. Why I cannot get my benefits during my insurance is valid?? They have the contract with Walgreens but I cannot use my insurance in Walgreens?? That's unbelievable!! If I cannot use it during my card is valid, why I am so stupid to use this insurance company?

Initial Business Response /* (1000, 5, 2015/05/21) */
May 21, 2015
Revdex.com
Attn: [redacted]
220 South River Ridge Circle
Burnsville, MN 55337

RE: [redacted]:
Dear Ms. [redacted]:
I am responding to your recent correspondence dated May 15, 2015, regarding...

[redacted].
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 normal business hours at [redacted] ext [redacted].
Sincerely,

[redacted]
Consumer Affairs Advocate

Initial Business Response /* (1000, 6, 2016/01/07) */
January 6, 2016
To Whom It May Concern:
We are responding to your recent correspondence dated January , 2015, regarding Mr. [redacted].
Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we...

are 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 issue, we will be responding directly to the enrollee.
Should you have any questions or comments, please feel free to email us at [redacted]@optum.com.
Sincerely,
Suu [redacted]
Consumer Advocate
Initial Consumer Rebuttal /* (3000, 11, 2016/01/12) */
(The consumer indicated he/she DID NOT accept the response from the business.)
I sent them a check that I was told to do on January 2nd and when I called in last Friday January 8th they told me to call on the 12th and I should be able to refill the prescription as they would have the check processed, but when I called they can't find the check, so they will not refill my prescription. this would not happen if I could go to my local pharmacy.
Final Business Response /* (4000, 14, 2016/01/24) */
January 22, 2016
To Whom It May Concern:
We are responding to your recent correspondence dated January 13, 2016, regarding Mr. [redacted].
Optum Consumer Affairs confirmed Mr. [redacted] received his refill on January 19, 2016. Please consider this matter closed at this time.
Should you have any questions or comments, please feel free to email us at [email protected]. Sincerely,
Suu [redacted] Consumer Advocate

To whom it may concern: Contact has been made directly with the complainant to provide resolution. Thank you,Consumer Advocate

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 [redacted] to address their...

concerns.

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 be...

responding directly to the enrollee.    Should you have any questions or comments, please feel free to call me. I can be reached during normal business hours at [redacted]

[redacted]   Sincerely,   Jodi O.  Consumer Affairs Advocate

Revdex.com:After doing my due diligence and thoroughly investigated this inconceivable problem of "losing" payments, misapplying payments, and changing premium amounts mid contract, I have come to the conclusion that United Healthcare had absolutely nothing to do with payments and posting. The Texas Healthcare Marketplace is the entity in which receives, posts and alters payments. The United Healthcare site shows to accept payments when in actuality it is Texas Marketplace.  I would like to state that United Healthcare and it's staff has gone above and beyond in making sure my doctors knew I had current coverage.  My only suggestion would be that United Healthcare somehow needs to make note on their statements and payment website that they, United Healthcare, are not the ones accepting and posting payments.

To Whom It May Concern:   We are in receipt of your inquiry dated; March 13, 2017 regarding your request for assistance from [redacted] has been identified as a member of our Medicare Prescription Drug Plan (PDP).  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 [redacted]’ 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 regulations.  It 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 us.  We want to assure you this matter will be investigated and resolved within the CMS timeframes.  We have forwarded this complaint to our Appeal & Grievances Department so they can provide a written response to the complainant.  If you wish to find out additional information regarding how this complaint is resolved, you will need to contact Mr. [redacted] directly. Please note that grievances take up to 30 calendar days and appeals can take up to 60 calendar days.   Sincerely,   LaShon [redacted] Regulatory Complaints Department UnitedHealthcare Medicare & Retirement

This message is to confirm receipt of Ms. [redacted]'s concerns. Thank you for bringing this matter 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 regarding these concerns. However, we...

will research and respond directly to Ms. [redacted] with the results of our investigation.    Should you have any questions or comments, please feel free to email us at [email protected].

5-16-16 - Issue being extended by one week - 5-23-16 - Just spoke with member's mother and she understands the situation.  I will be sending issue back to Billing/Eligibility with part of issue still not resolved per the member's mother.  Will be closing with member's mother verbally when...

completed.  Y. [redacted] UHC Consumer Affairs

I am rejecting this response because:They have stated they will respond to us directly.  We have talked with them numerous times and not received any assistance.

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 issue, we have responded directly to the...

enrollee.  Should you have any questions or comments, please feel free to call me. I can be reached during normal business hours at ###-###-####.Sincerely,Linda S.Consumer Affairs Advocate

I am rejecting this response because: the situation does not concern me, my medical records or what medicine I am or may not be on. It is concerned about the experience I had as a customer.

December 5, 2016     To Whom It May Concern:   We are responding to your recent correspondence dated December 2, 2016, regarding Ms. [redacted].   Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are 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 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,   Mark L. Consumer Advocate

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 issue, we will be responding directly to the...

enrollee.    Should you have any questions or comments, please feel free to call me. I can be reached during normal business hours at ###-###-####.     Sincerely,   Kylie D. Consumer Affairs Advocate

I am rejecting this response because:Hippa has nothing to do with this.  No claims could be sent.  They could not fix it.  They refused to stop billing me.  They sent me to collection after I had made on time payments for 17 year.

Unfortunately, we are unable to locate a policy for him in our system. Please provide us with his member and ID# and contact information.  You can send the requested information to this side or send the requested information to:UnitedHealthcare[redacted]Minnetonka MN 55343Or fax it to:...

###-###-####After we receive this information, we will investigate his issue.Consumer Affairs-Debby

March 15, 2018  To Whom It May Concern: We are responding to this issue from [redacted] 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 concerns. However, we will be...

responding directly to the [redacted] to address their concerns.   Sincerely,  Consumer AdvocateJules A.

This message is to confirm receipt of Mr. [redacted] concerns. Thank you for bringing this matter 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 regarding these concerns. However, we will...

research and respond directly to Mr. [redacted] with the results of our investigation.    Should you have any questions or comments, please feel free to email us at [email protected].