801-938-2100 (2024)

FAQs

How long does UHC reconsideration take? ›

Claim reconsideration

You will receive a decision in writing within 60 calendar days from the date we receive your appeal.

You have a limited amount of time to appeal a coverage decision. You'll need to submit your appeal: within 60 days of the date the unfavorable determination was issued or. within 60 days from the date of the denial of reimbursem*nt request.

If you have any questions, or prefer to file this complaint or appeal orally, please feel free to call UnitedHealthcare Customer Service at 1-800-260-2773 or 711 (TTY), Monday through Friday, 7 a.m. to 9 p.m. If you think that waiting for an answer from UnitedHealthcare will hurt your health, call, and ask for an “ ...

You can ask your doctor to resubmit the claim and correct the error. If your claim was denied for another reason, let your doctor know that you're appealing a claim. You can ask your doctor to write a letter explaining that the service was medically necessary, or provide other supporting documents.

If your health insurer refuses to pay a claim or ends your coverage, you have the right to appeal the company's decision and have it reviewed by a third party. You can ask that your insurance company reconsider its decision. Insurers have to tell you why they've denied your claim or ended your coverage.

Almost 80 percent of claims are received within 30 days from the date of service. In some cases though, it can take up to 60 days before your doctor or hospital submits a claim. How quickly we process the claim once we receive it. More than 90 percent of claims are processed within seven days of receiving them.

Go to UHCprovider.com/claims > Submit a Claim Reconsideration / Begin Appeal Process. If your claim denial doesn't fall into one of these categories, submit your request form with additional supporting information.

How do I file an appeal? The initial denial letter or Explanation of Benefit (EOB) that you receive from UMR will give you the information and the timeframe to file an appeal. What if my situation is urgent? If that is the case, your review will be conducted as quickly as possible.

A class action lawsuit was filed against UnitedHealth Group, Inc. (NYSE:UNH) on May 14, 2024. The plaintiffs (shareholders) alleged that they bought UNH stock at artificially inflated prices between March 14, 2022, and February 27, 2024 (Class Period) and are now seeking compensation for their financial losses.

You may also file an appeal if your health plan denies pre-approval (called prior authorization) for a benefit or service. There are two types of appeals—an internal appeal and an external review. You file an internal appeal to ask your health plan to review its decision to deny a claim.