UnitedHealth Group

Initial Business Response /* (1000, 7, 2016/01/25) */
Response letter being mailed to member today 1-25-16 from UHC Consumer Affairs - Y. [redacted]

February 21, 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.

I am rejecting this response because: this was not an issue last year. You responded to Revdex.com last year and didn't use HIPAA as an excuse. Just send the proof-of-purchase in the mail and I will be happy with that service. Thank you.

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, Hannah C. Consumer Affairs Advocate

I am rejecting this response because:
My complaint does not fall under the Health Insurance Portability and Accountability Act. UnitedHealth Group is being deceitful once again. The complaint was over UnitedHealth Group's placing prescription refills on hold until the customer listened to a sales pitch for OptimumRX Mail Delivery Services. UnitedHealth Group owns OptimumRX Mail Delivery Services. The person who contacted me to resolve the issue actually ended up trying to push the service. Again, this was during the resolution call. Classless, UnitedHealth Group.

It was identified that the case had been termed due to non-payment effective 02/28/17, however it has since been reinstated with no gap in coverage effective 09/01/13—current.   There is a current balance on the account of $72.74 through May 2017 and this is showing correctly in our...

system.  The balance will need to be paid by  04/30/17 to remain current.   A customer service representative spoke to the mother to advise that the amount needed to be paid by 04/30/17.

November 14, 2016     To Whom It May Concern:   We are responding to your recent correspondence dated November 14, 2016, 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 [email protected].   Sincerely,     Suu [redacted] 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 communication. If 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 prohibited. If you have received this in error, please securely destroy it and immediately notify the sender. Thank you.

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 ###-###-####.

Initial Business Response /* (1000, 5, 2015/11/30) */
November 30, 2015
Revdex.com of Minnesota and North Dakota
Attention: [redacted]
[redacted]
Saint Paul MN XXXXX-XXXX
Fax: (XXX) XXX-XXXX
Re: Revdex.com Complaint Case # XXXXXXXX
Member: [redacted]
Plan Case...

Number: XXXXXXX
Dear Whom it may concern,
We are in receipt of your inquiry dated, November 20, 2015, regarding your request for assistance from [redacted] 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 Ms. [redacted]'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 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 Ms. Warren directly. Please note that grievances take up to 30 calendar days and appeals can take up to 60 calendar days.
Sincerely,
Travis [redacted]
Regulatory Complaints Department
UnitedHealthcare Medicare & Retirement

I am rejecting this response because: We did not receive a call/email again United Health Care, our concern is we will be given the same response as the prior 2 appeals.  United Health Care can end this issue on payment by providing us with a copy of the full non-tampered with recording(s) specific to our case.  A transcript of the recording will not suffice, due to probability of human error.  Without this, there is no reason to wait until April 11 to issue a statement.  I believe they know this was a mistake on UHC and don't want to assume responsibility due to setting precedence for future claims.

March 2, 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 AdvocateMichelle N.

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,   Nichole L. Consumer Affairs Advocate

Good afternoon,   UnitedHealthcare is in receipt of your inquiry dated, August 11, 2016, regarding your request for assistance from Ms. [redacted].  She has been identified as a member of our UnitedHealthcare Community Plan.  This plan is regulated by the Division of Healthcare...

Finance & Administration.  Due to the protections of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to respond directly to you regarding Ms. [redacted]’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.    UnitedHealthcare has established an appeal and grievance resolution process in accordance with state regulations.  It is our position, and that of the state, this process provides our 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 state mandated 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 Ms. [redacted] directly.   Thank you   Pamela [redacted] | CHC | Associate Director

Initial Business Response /* (1000, 7, 2015/05/06) */
[redacted]
Operations Manager
RE: [redacted]
Dear Ms. [redacted]:
I am responding to your recent correspondence dated April 23, 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 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[redacted] ext. [redacted].
Sincerely,

[redacted]
Consumer Affairs Advocate
Initial Consumer Rebuttal /* (2000, 9, 2015/05/13) */
(The consumer indicated he/she ACCEPTED the response from the business.)
Thank you very much to [redacted] I received a letter in the mail explaining that everything had been taken care of, and no further action is needed. I really appreciate her extra communication, and being able to handle this in a timely manner. Thank you again.

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 acopy 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,Ishtor B.Consumer Affairs Advocate

March 2, 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 AdvocateMark L.

This message is to confirm receipt of [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].

I am rejecting this response because:
I have not received a response from United Health Care nor a resolution. I do know they took another payment out of my bank account. Please follow up  with them asap and advise. Thank You for your previous follow up with them.

Initial Business Response /* (1000, 5, 2016/02/18) */
February 18, 2016
To Whom It May Concern:
We are responding to your recent correspondence dated February 18, 2016, regarding [redacted] Case # [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,
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 communication. If 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 prohibited. If you have received this in error, please securely destroy it and immediately notify the sender. Thank you.
Initial Consumer Rebuttal /* (3000, 7, 2016/02/19) */
(The consumer indicated he/she DID NOT accept the response from the business.)
it doesn't answer any of my complaints
Final Consumer Response /* (3000, 15, 2016/02/25) */
Once again OptumRx has lied. They NEVER contacted me!
I can't understand why anyone would willingly do business with these people.
Final Business Response /* (4000, 17, 2016/02/29) */
To Whom It May Concern:
Resolution is forthcoming and will be communicated directly to the complainant.
Thank You

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,   Jenna B. Consumer Affairs Advocate