UnitedHealthcare stopped paying my claims— the same recurring claims they’ve been paying for years.

Over the last year, UnitedHealthcare has been stingier and stingier with paying out on several different monthly claims that my family has. Since these claims are identical month to month, I can really see the difference over time.

The last one they denied by bungling the date to make it appear that the claim was from a date when that family member wasn’t covered (they transposed a 0 and a 1 to turn an October into a January), while paying at least something on those identical claims for other months. When I challenged it, I got back a determination letter that was so ungrammatical and full of newly invented excuses for not paying the claim that I immediately logged onto Healthcare.gov to buy a plan myself, and then filed paperwork to stop paying for the UnitedHealthcare plan through work.

But what can I do for the claim that UH is inventing reasons not to cover? What can I do for the last three months of claims I still need to submit to them. Am I just at their mercy?

submitted by /u/vanyali
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Over the last year, UnitedHealthcare has been stingier and stingier with paying out on several different monthly claims that my family has. Since these claims are identical month to month, I can really see the difference over time. The last one they denied by bungling the date to make it appear that the claim was from a date when that family member wasn’t covered (they transposed a 0 and a 1 to turn an October into a January), while paying at least something on those identical claims for other months. When I challenged it, I got back a determination letter that was so ungrammatical and full of newly invented excuses for not paying the claim that I immediately logged onto Healthcare.gov to buy a plan myself, and then filed paperwork to stop paying for the UnitedHealthcare plan through work. But what can I do for the claim that UH is inventing reasons not to cover? What can I do for the last three months of claims I still need to submit to them. Am I just at their mercy?
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