Posts Tagged ‘ out of network ’

Join me as I Submit my United Healthcare Out of Network Claim

May 26th, 2010. By AbiK

The much-anticipated Notice of Proposed Settlement for the United Healthcare (UHC) class action lawsuit about Out-of-Network (OON) charges being improperly reimbursed has finally landed in my mailbox—perhaps yours, too.

Chances are, if you’ve received the UHC OON settlement notice, you glazed over it and tossed it aside while simultaneously feeling some sort of nagging inside—that nagging you feel when you know you should do something but it’s just too much of a pain in the ass to do it. Windexing the windows falls into this category as well. The difference between the windows and the UHC settlement though is that at least you KNOW how to do the windows; just try to figure out how to submit a claim for this settlement.

So I’m going to go through the process with you—yes, I’m going to fill out the paperwork and post about it so I can feel your pain and hopefully help you make sense of it all along the way. And so our little journey begins…

My UHC Out of Network Settlement Experience: DAY 1

The UHC OON Proposed Settlement in hand, I rip it open to find a sea of text that immediately starts to confuse me. It’s not the lawsuit I’m confused about—we’ve followed the AMA v. UHC class action. It’s what the heck I need to do now. So I force myself to read the hideously dense serif text and here’s what I need to do:

1. Ask myself, was I a United Healthcare Subscriber…

at all between March 15, 1994 through November 18, 2009? Ok, yes, I was.

2. How long do I have to submit a Claim Form for this?

(i.e., how long can I procrastinate?) I have until October 5, 2010 to submit a UHC settlement Read the rest of this entry »

Tags: OON, out of network, Out of Pocket, UHC, United Healthcare
Posted in Drugs/Medical, Emerging Issues, Insurance, Settlement | 231 Comments »

AMA settlement with United Healthcare

December 10th, 2009. By AbiK

If you remember my rant on out of network fees and the post on how those fees—ie, the reasonable and customary ones—are determined, compliments of a company called Ingenix, which is a unit of United Healthcare, well, here’s a little update.

Back when we were all either contemplating the end of the world as we knew it or laughing at those who were as we rang in the new millennium, another group of individuals was a little miffed with Ingenix and UnitedHealth: the AMA, the Medical Society of the State of New York, and the Missouri State Medical Association. And so, in 2000, they filed a lawsuit charging that United Healthcare Group colluded with others to underpay physicians for out-of-network medical services.

Well, here we are some nine years later and the US District Court for the Southern District of New York has granted preliminary approval of the $350 million settlement that if completely green-lighted will resolve the suit.

The final hearing date is still tbd—but it’ll be with the Hon. D. J. McKenna, US District Judge.

And you thought only patients were getting screwed by those health insurance company out-of-network fees…

Tags: Ingenix, out of network, United Health, United Health Care
Posted in Drugs/Medical | 1 Comment »