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. Franklin¹s office to make an appointment
> yesterday after getting a referral from our primary care physician.
> Although Dr. Franklin¹s name appears in the new UnitedHealthcare Directory,
> she was told they no longer accept UnitedHealthcare because they don¹t 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. Franklin¹s 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 haven¹t 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. Smith¹s
> 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
> 
> * UTCSTAFF home page:  http://raven.utc.edu/archives/utcstaff.html *
> * unsubscribe:  mailto:[log in to unmask]  *
> *   subscribe:  mailto:[log in to unmask]    *
> 

* UTCSTAFF home page:  http://raven.utc.edu/archives/utcstaff.html *
* unsubscribe:  mailto:[log in to unmask]  *
*   subscribe:  mailto:[log in to unmask]    *