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| Date: | Tue, 6 Nov 2007 10:58:06 -0500 |
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I also have had good service from United Healthcare even with an occasional claim being resubmitted and an experimental procedure that they initially wouldn't cover. After my physician wrote a letter, they reconsidered and covered the procedure. I would suggest talking with someone else and reporting your experience.
Dr. Susan Davidson
Associate Professor
Coordinator, Gateway Program
Project Dir.,Nurse Education, Practice and Retention Grant
UTC-School of Nursing
Dept. 1051
615 McCallie Ave.
Chattanooga, TN 37403
Office: Metro 324
423-425-4661
fax:423-425-4661
pager:395-2295
-----Original Message-----
From: UTC Staff E-Mail List [mailto:[log in to unmask]] On Behalf Of Anne Lindsey
Sent: Tuesday, November 06, 2007 9:50 AM
To: [log in to unmask]
Subject: Re: [UTCSTAFF] Insurance Concern: United Healthcare Services Company of River Valley
I believe this is standard practice for all insurance companies. I have had requests from doctors offices filed incorrectly and they just resubmit them.
I don't think anything of it.
I have been pleased with UnitedHealthcare. They have been concerned and caring when I have had to deal with them.
But, I'm sorry you had this experience.
Anne Lindsey
On 11/6/07 11:26 AM, "W. Leroy Fanning" <[log in to unmask]> wrote:
> To be sure I am not one who rants very often but the manner that
> UnitedHealthcare chooses to treat its valued customers needs to be
> discussed.
>
> My wife, Rita, called Dr. John D. Franklinıs office to make an
> appointment yesterday after getting a referral from our primary care physician.
> Although Dr. Franklinıs name appears in the new UnitedHealthcare
> Directory, she was told they no longer accept UnitedHealthcare because
> they donıt pay their bills. Rita then called UnitedHealthcare to
> verify that Dr. Franklin was indeed no longer a participating
> physician and was told that he was still participating. After they
> called Dr. Franklinıs office, she was told that indeed Dr. Franklin was no longer participating.
>
> While she had the United Healthcare representative on the phone she
> asked why they havenıt paid several claims filed for her and me by Dr. Bill M.
> Smith (our primary care physician). She was told the claims were not
> paid because the claims were not filed correctly. Rita asked what Dr.
> Smithıs office needed to do to file them correctly. She was told that
> if they were not filed correctly the first time, they could not be
> corrected and our physician would not be paid. We would not be
> responsible, but the physician would not get their money no matter
> what they did. Rita asked the representative that even if a minor
> mistake is made when filing a claim the first time there is nothing
> that can be done to correct a mistake she was told no there was
> nothing that could be done. When Rita told the representative that
> she was going to make sure that everyone at UT Chattanooga knew this
> information, the representative hung up on her (or for some unknown reason the connection was disconnected).
>
> Question: Should Employees receive this kind of treatment and should
> physicians have to battle with the insurance company for fair reimbursement?
>
> Leroy Fanning
> Health and Human Performance
>
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