Search for: "UnitedHealthcare"
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24 Jan 2023, 10:00 pm
Department of Civil Service: New York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up) (2022-F-30) An audit issued in September 2021 found that United made a total of $5.7 million in improper payments for medical/surgical services on behalf of ineligible members. [read post]
13 Jul 2015, 8:31 am
UnitedHealthcare announced that by next year it would cover virtual urgent care visits for most of its 26 million commercial members by next year, citing the shortage of primary care doctors and the cost of less than $50 per virtual visit. [read post]
17 Jan 2020, 4:00 am
However, auditors identified areas for improvement.New York State Health Insurance Program: UnitedHealthcare: Reasonable and Customary Reimbursement Rates for Delayed Claims (2018-S-60)United's automated claims processing system uses only the two most recent rate periods (i.e., reimbursement rates from the prior 12 months) to process all claims – even claims for services that occurred before those rates took effect. [read post]
9 Oct 2021, 4:30 am
Department of Civil Service: New York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (2020-S-34) Auditors identified $5.7 million that United paid for members who were not eligible for Empire Plan coverage. [read post]
9 Oct 2021, 4:30 am
Department of Civil Service: New York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (2020-S-34) Auditors identified $5.7 million that United paid for members who were not eligible for Empire Plan coverage. [read post]
10 Feb 2020, 2:47 pm
In a follow-up, auditors found that of the four recommendations from the initial report, two had been implemented and two had been partially implemented.New York State Health Insurance Program: UnitedHealthcare: Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up) (2019-F-46)For the period Jan. 1, 2016 through Dec. 31, 2016, auditors determined 42 claims (47 percent of the 90 claims sampled) totaling $28,731 were unsupported for the higher level of care… [read post]
17 Jan 2020, 4:00 am
However, auditors identified areas for improvement.New York State Health Insurance Program: UnitedHealthcare: Reasonable and Customary Reimbursement Rates for Delayed Claims (2018-S-60)United's automated claims processing system uses only the two most recent rate periods (i.e., reimbursement rates from the prior 12 months) to process all claims – even claims for services that occurred before those rates took effect. [read post]
16 Mar 2011, 9:09 am
MCG HEALTH, INC. d/b/a MCG Hospital, First Defendant, UNITED HEALTHCARE INSURANCE COMPANY and UNITEDHEALTHCARE OF GEORGIA, INC., Second Defendants.CIVIL ACTION NO. [read post]
23 Apr 2013, 11:25 am
Medicare Advantage company PacifiCare of Arizona Inc, now UnitedHealthcare West, tried – in fact, relying on the Humana case – but failed “under the federal Medicare Act to sue a deceased man's survivors for auto insurance proceeds to recover what PacifiCare had paid for the man's medical expenses. [read post]
26 Nov 2018, 12:25 pm
The Proposed Final Judgment specifically enjoins Atrium from enforcing anti-steering provisions described above against the major commercial insurers in the Charlotte area, including without limitation Aetna, Blue Cross and Blue Shield of North Carolina, MedCost, and UnitedHealthcare. [read post]
17 Dec 2008, 3:06 pm
"The primary reason for . . . caps is to lower the cost of insurance so employers can cover as many people as possible," said Mary McElrath-Jones, spokeswoman for UnitedHealthcare, parent company of UMR, administrator of Brockington's health plan.That is true, but, in this case at least, it is a weak argument.The difference in a plan max of $5M vs. $2M is almost nill. [read post]
22 Sep 2020, 2:00 am
At Duffy Group, we partnered with UnitedHealthcare on a contest that not only rallied employees around wellness but also helped several employees collectively lose a life-changing 47 pounds. [read post]
20 Dec 2010, 3:36 am
Medicare beneficiaries can use PlanPrescriber's plan comparison function to review every Medicare Part D and Medicare Advantage plan available nationwide, and those interested in plans offered by UnitedHealthcare, Humana and certain other Medicare carriers now have the opportunity to enroll in many of these plans online. [read post]
7 Mar 2018, 3:55 am
A 2017 UnitedHealthcare report revealed that only 9% of consumers were able to define all four basic insurance concepts outlined in its survey: insurance premium, deductible, coinsurance, and out-of-pocket maximum. [read post]
7 Mar 2018, 3:55 am
A 2017 UnitedHealthcare report revealed that only 9% of consumers were able to define all four basic insurance concepts outlined in its survey: insurance premium, deductible, coinsurance, and out-of-pocket maximum. [read post]
21 Dec 2010, 2:37 am
Medicare beneficiaries can use PlanPrescriber’s plan comparison function to review every Medicare Part D and Medicare Advantage plan available nationwide, and those interested in plans offered by UnitedHealthcare, Humana and certain other Medicare carriers now have the opportunity to enroll in many of these plans online. [read post]
20 Jul 2015, 6:30 am
*The National Association of Area Agencies on Aging, National Council on Aging and UnitedHealthcare conducted the survey. [read post]
20 Nov 2023, 1:40 pm
Weekly snippets from the Insurance Compliance Insight (ICI) Newsletter. [read post]
16 Jan 2024, 4:51 pm
Weekly snippets from the Insurance Compliance Insight (ICI) Newsletter. [read post]
11 Dec 2023, 12:04 pm
Weekly snippets from the Insurance Compliance Insight (ICI) Newsletter. [read post]
