Wednesday, January 30, 2008
United Health hit with $3.5 million fine
United Health has been hit with a $3.5 million dollar fine by the Department of Managed Health and it couldn't happen to a more deserving company! The department of Insurance investigated the company and found it had violated more than 130,000 claims and improperly denied 30% of claims that were reviewed during the investigation. That is not an accident. Underpaying or denying 130,000 claims is a company culture!
Here's one little example of what they do.
This after noon I received a letter from United Health regarding a patient I saw December 7, 2007. The charge was $115.00, submitted on the usual standard claim form with the proper codes and descriptors. Get this...instead of a payment for services rendered seven weeks ago, they are requesting the Doctor's name (!!!), title (!!!), and medical license number. Yes, I have been seeing United Health patients for years, but they are requesting, from Dr. Toni Brayer, my name. If this isn't the most blatant delay in payment I don't know what is.
David Hansen, regional CEO for United Health told the Wall Street Journal "We have already taken and continue to take aggressive steps to address the issues raised by the departments and to improve our operational performance in California." Gee, I guess someone forgot to tell the claims payment department that.
Posted by Toni Brayer, MD at 9:56 PM