UnitedHealth Group

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, I have responded directly to the enrollee, August 4, Should you have any questions or comments, please feel free to call meI can be reached during business hours at ###-###-#### Sincerely, Tanya FConsumer Affairs Advocate

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, Jodi O Consumer Affairs Advocate

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 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 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

Dear Mr***: I am responding to your recent correspondence dated October 3, 2017, 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 concernsSince your letter provided a copy of the correspondence and a description of the complaint, I responded directly to Ms [redacted] on October 6, Should you have any questions or comments, please feel free to call meI can be reached during business hours at ###-###-#### Sincerely, Tiffany [redacted] Consumer Affairs Advocate

Optum Consumer Affairs has been in contact with this complainant today, 2/27/and this issue has been resolved favorably

I am rejecting this response because:I had this problem as of last year I was put on Medicare part B by the state of Florida Because of this I had money taken out of my SSD which I been fighting to have this stoppedBefore this United health care had a gentleman singing people up for health carehe had stated to me that I can get my medication free at no charge and moreI thought it was a good Ideawhen time went by I was about to lose my va benefitsI have called united health care about this plan I was put in was totally miss leadingI was having problem with my VA because of this I like to drop the plan which was at no chargeI have received a letter from United Health Care Dated February about this and stated there is a copy of a form that I have signedThere was no form with my signature on itI have called times the number on the letter is ###-###-#### no answer, an help I have left message for Michael Baker which has signed the letter I have I like to have United health Care cancel this an clear me of any money owned to themOne they did not show any proof of a form I have signed which I did not sign, or give any one permission to put me on any planIf I have to I will file a police report of Identity theft, then file a complaint with consumer affairs if United health care does not take care of this problemYou call me at ###-###-#### or email me at [redacted] @gmail.comThank You [redacted] ***

Hello,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 concernsThank you,Consumer Advocate

May 05, Revdex.com of Minnesota and North Dakota Attention: Customer Service Department SRiver Ridge CirBurnsville, MN Fax: (651) 695- Re: Revdex.com Complaint Case # [redacted] Member: [redacted] Plan Case Number: [redacted] To Whom It May Concern: We are in receipt of your inquiry dated; April 20, regarding your request for assistance from [redacted] has been identified as a member of our Medicare Part D 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] ***’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 Escalations Team who contacted the member about her concernsIf you wish to find out additional information regarding how this complaint is resolved, you will need to contact [redacted] directly Sincerely, Cliff [redacted] Regulatory Complaints Department UnitedHealthcare Medicare & Retirement

June 6, To Whom It May Concern: We are responding to your recent correspondence dated June 6, 2016, 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 Should you have any questions or comments, please feel free to email us at [email protected] Sincerely, Katie [redacted] Consumer Advocate

Good morning, UnitedHealthcare followed Centers for Medicaid Medicare services guidelines in regards the premium assessmentMs [redacted] should follow up with CMS should she not agree, no plan error is foundAn additional written response was mailed on, Friday, March 9th to Ms***Thank you, [redacted] ###-###-####

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 enrolleeShould you have any questions or comments, please feel free to call meI can be reached during business hours at ###-###-#### ext [redacted] Sincerely, Kylie Consumer Affairs Advocate

I am rejecting this response because: I am complaining about the terrible customer service I have received from UHCNOTHING about my complaint is covered by HIPAAThis response is completely falseI was contacted by someone from UHC on Friday around noon even though I told them not to contact me before 7pmI explained my complaint to the lady who called, however she just seemed confused, said she would look into things and then hung upI have not yet received any valid customer service from UHC at ALLThis issue IS NOT RESOLVED

To Whom It May Concern: We are in receipt of your inquiry dated; April 5, 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 [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 Mr [redacted] directlyPlease note that grievances take up to calendar days and appeals can take up to calendar days

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 his concerns

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

I am rejecting this response because: UnitedHealthCare did not contact me as they said they would in their response I called the number they provided in the response - ###-###-#### I discovered that this is a general number that wouldn't get me to the right claims person I therefore called UHC using the information that was provided to me from my call on April 11, I spoke to Sharon, who informed me that the claims had again been incorrectly sent back for processing and that she would have to submit these claims to her Team Lead - Alex - to reprocess She gave me a Claim Reference Number # [redacted] which corresponds to the original claim that was reprocessed that shows that my out-of-network deductible of $was meet on 01/05/ I have attached the reprocessed paperwork for January showing that my deductible was met on 01/05/ I will soon be submitting claims for the month of March If the same pattern of incorrect processing continues, I can only assume that there is a systemic problem, which would be a surprise for a company as large as UHC which handles so many claims This is a very simple case - I have a $out-of-network deductible that is clearly stated in my contract UHC has used $deductible for me at least times even after I pointed out the mistakeUHC even sent me a letter, dated as of April 4, 2017, telling me that UHC had reviewed all claims and the claims were processed correctly I have attached the letter If I were to have accepted UHC's letter, I would have to stop seeing my doctor because I would be unable to pay him and that would be extremely hazardous to me, even deadly in my circumstances I expect that this will receive the attention that it deserves

I am rejecting this response because: They are simply asking for passing on or collecting health infoAuthorization has been given to give any health info to Revdex.com or any one else assisting with this inquiry.Not a solution yet [redacted]

I am rejecting this response because:They have done nothing to produce a refundIt has been past the time frame of when I was told I would receive a refund

Initial Business Response / [redacted] (1000, 10, 2015/07/23) */ full amount credited back to credit card on 7-23-

This message is to confirm receipt of Ms [redacted] 's 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 [redacted] with the results of our investigationShould you have any questions or comments, please feel free to email us at [email protected]