United Heatlhcare
We are OON with UHC. They are stalling claims processing and giving us every excuse in the book not to process our claims. I have contacted claim supervisors @ UHC, they won't comply with the TX state...
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I agree, and even if you were in-network your best bet would be to file one claim as required by your contract and then transfer anything not paid in 14 days to patient responsibility, because the...
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To repeat:As an out of network provider, there are NOT your claims. These are your patient's claims you sent to have their benefit paid to them.The insurance company has no legal requirement to speak...
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And let me add, the more providers that do this, the more UHC members will get royally ticked off, and the more members that get ticked off will complain to their HR departments, and the more HR...
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Leah,The sad thing is that they won't do that. They will do everything but that and spend tons of money in administrative expenses to get nothing.To add to what I said... the reason why they don't...
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Just FYI, United Healthcare has just announced that they will no longer pay non-par providers directly. All payments will go to the patients. AprilOh yeah, and they recommend that you bill the patient...
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Sounds like all non-par providers need to STOP sending claims at all and let the patient do that.After all why send a claim for the patient and have the patient get a nice check they can use to pay...
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Wow, I really appreciate you all taking the time to respond. Unfortunately, our facility management requires us to tell the patients that we will honor their in network benefits and we will take care...
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Edited because I had forgotten we were speaking of OON claims - in light of that, Steve's post below is much more appropriate than mine.
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I understand your frustrations, but your management is involving themselves with a contractual issue that they have no business getting involved with. The insurance company, by ignoring you, has told...
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Thank you Steve. I totally agree, we just have to convince the management.
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Good Luck,I tried that last week with a practice that did nothing but complain that the non-par insurance company wasn't paying them, talking to them, and basically ignored them. When I told them what...
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If you keep doing the same thing you've always done, don't be surprised when you keep getting the same results you've always gotten.
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Re: United Heatlhcare
Pretty freaking funny you are , some people just don't get it do they????? Just wash your hands and be done. Anyway,thanks ag...Read More
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Greenbiller,If you need some ammunition, I can fax you the letter that states UHC will not pay non-par providers directly. Just send me an email to aleaver_mca@yahoo.com and give me your fax number...
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Re: United Heatlhcare
Hey April,Thanks for the info. Here ya go: sandrah@cergisbilling.com
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Unless Texas law has changed...UHC and any other carriers must still honor the assignment and pay the provider, not the patient regardless of whether or not the provider is participating.That is in...
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UHC is difficult for participating providers too. One of my clients has been in-net for years. About 4 yrs ago I negotiated a contractual increase of 30% per visit (trust me, 30% in this case- ain't...
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If the contract allows this, they can do that. The clauses usually state that the carrier can make changes to the reimbursement rate and all they have to do is give you a 30 day notice and the change...
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Quote:I know, I know, TDI does not have jurisdiction if the plan is an ERISADon't be too quick on the trigger there. Texas is in the 5th Cir...Read More
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