UnitedHealth Group

Initial Business Response / [redacted] (1000, 5, 2015/09/29) */ We are responding to your recent correspondence dated September 28, 2015, regarding [redacted] 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 Initial Consumer Rebuttal / [redacted] (3000, 7, 2015/10/02) */ (The consumer indicated he/she DID NOT accept the response from the business.) United Health Care never contacted me regarding this issueThis is a recurring issue and it happened againI request United Health Care to call me immediate regarding the permanent resolution Final Business Response / [redacted] (1000, 10, 2015/10/05) */ A letter from United Healthcare Appeals Committee was sent to [redacted] regarding and addressing his concerns on September 29,

Thank you for bringing this concern 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 However, we will be responding directly to Ms[redacted] to address their concerns

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to meIssue has been resolved satisfactorily

Unfortunately, we are unable to locate a policy for him in our systemPlease 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

Initial Business Response / [redacted] (1000, 5, 2015/11/30) */ November 30, Revdex.com of Minnesota and North Dakota Attention: [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***'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 MsWarren directlyPlease note that grievances take up to calendar days and appeals can take up to calendar days Sincerely, Travis [redacted] Regulatory Complaints Department UnitedHealthcare Medicare & Retirement

Complaint: [redacted] I am rejecting this response because: I want the Revdex.com to still be fully involves until this matter is resolvedThr message only stated that they would contact meThat is not a resolution that is jist simple stallingSo, I will wait for their response, but that is not a good enough answer for meI haven't been contacted by them yet, Sincerely, [redacted]

This message is to confirm receipt of Ms***’s concernsThank 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 concernsHowever, we will research and respond directly to Ms*** with the results of our investigation Should you have any questions or comments, please feel free to email us at [email protected]

(The consumer indicated he/she DID NOT accept the response from the business.) I have received no response to date and was not told I had the right or responsibility to enter any grievance process

May 17, Revdex.com Attn: [redacted] South River Ridge Circle Burnsville, MN RE: [redacted] : Dear Ms [redacted] : I am responding to your recent correspondence dated May 16, 2016, 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 issueShould you have any questions or comments, please feel free to call me I can be reached during business hours at ###-###-####Sincerely, Jeff [redacted] Consumer Affairs Advocate

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to meI appreciate your help in the matter Thank you, [redacted] ***

The complaint filed by Mr [redacted] does not contain sufficient information Upon review of his claims history, we do not find a claim from March 15, 2015, nor one in the amount of $Also, a review of our telephone call log does not reveal that Mr [redacted] called in with questions concerning the claim in questionWe are unable to review or provide any comment on this complaint until Mr [redacted] submits a proper claim formPlease note that TRICARE Regulations require claims to be filed within months from the date of service to be considered for benefitsIf the claim in question is indeed for date of service March 15, 2015, and he does not have proof the claim was filed and previously received by our claims department, then the claim is not eligible for benefits under TRICAREWe will consider this complaint closed unless Mr [redacted] can produce documents to prove timely filing of the claim in questionThank you

Unfortunately, we are unable to locate a policy for [redacted] in our system Please provide us with their member number and contact informationYou can send the information to: UnitedHealthCare - [redacted] Minnetonka, MN or it may be faxed to: ###-###-####After we receive this information, we will investigate their issue

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, Nichole LConsumer Affairs Advocate

I am rejecting this response because: this is just another attempt to stretch this complaint out as long as possible so I would give upI want someone from the corporate office, not consumer advocates office to contact me about the manner of which a company they pay OPtumRX 's customer service is so horrible and uninformed that those foriegn employees do not even know where the corporate office is or the corporate phone numbernow this is the second issue this year I have had, the first one took almost months to get solved, but this all I get you have to wait days to get a call back, going on for over weeks nowI contacted medicare and informed them of these problems and even requested to change commpaniesI cannot believe this company would block a person from using the website for their prscriptionsAnd I want united healthcares responses to be submited VIA Revdex.com

I am rejecting this response because: I don't see a letter from the business or a responseThey called me from a number that I could not return a call from the numbera guy called me and left a number and digit extension The extension was wrongsome lady answered the phone and ask me all kinds of questions that I could not answer because I was drivingI had to wait until I got off from work because no one know that I am sickShe transfered me back to the main numberI spend hours on the phone trying to fix this issueThe drug and United health care should communicateI am not a insurance drug guruAre they trying to make me have a heart attackMy issue is not fixed I need my medicine

December 1, To Whom It May Concern: We are responding to your recent correspondence dated November 30, 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 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, Mark LConsumer Advocate

I am rejecting this response because: There has been no resolution, in that I have received no drugs or written explanation as to what benefits or drugs I will receive I was charged a copay for the drug today 4/15, but I or my physician have received nothing It is absurd for this respondent to assume a resolution, since other than the day of the initiation of this complaint, she has had no verbal or email contact with me For United and their representative to assume a resolution without the consent of the complainant, seems to me to be in line with this whole process of showing no concern for the satisfaction of their customers To be clear, until my physician receives the drug and I receive an updated service letter confirming the units of Nucala that I have been promised verbally, I will not consider the case resolved

I am responding to your recent correspondence dated [DATE], regarding [Complainant] 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 a description of the issue, we will be responding directly to the enrollee in writing.Should you have any questions or comments, please feel free to call meI can be reached during business hours at ###-###-####, ext [redacted] .Sincerely, Christine Q.Consumer Affairs Advocate

Initial Business Response / [redacted] (1000, 7, 2016/01/04) */ We received the complaint for [redacted] with File Number XXXXXXXXBecause UnitedHealthcare's Corporate office is in Minnesota, we have been instructed by the Revdex.com MN ND Office to request that this case gets transferred to the Revdex.com OF MN/NDIf you have any questions, feel free to contact Taylor Keate at XXX-XXX-XXXX or via email at [redacted] @thefirstRevdex.com.orgPlease confirm that this is being transferred Thank you Initial Consumer Rebuttal / [redacted] (2000, 18, 2016/01/21) */ The customer indicated that he/she accepted the business response

Thank you for bringing this concern 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 However, we will be responding directly to [redacted] to address their concerns