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UnitedHealth settles Nebraska complaints

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UnitedHealthCare has settled a series of Nebraska charges by paying the largest fine ever imposed by the state's insurance regulators. UHC agreed to pay the Nebraska Department of Insurance $650,000 to settle a barrage of complaints, largely related to its claims handling process. This follows a previous settlement in 2005, in which United paid a total of $62,500 to settle another series of complaints. Regulators had said that UHC had violated 18 Nebraska laws more than 800 times between July 2003 and June 2004.

Apparently, however, the health plan didn't get its act together. With complaints continuing in 2006 over chiropractic, mental health, newborn baby care, gastric bypasses and other claims, the Department re-opened its investigation. It found that UHC had delayed decisions unduly, made the wrong decisions about coverage and given bad information to beneficiaries. It also concluded that UHC gave the state inaccurate and delayed information, didn't offer adequate emergency services or mental health/substance abuse treatment in rural areas and didn't maintain a current list of providers.

To get more information on the settlement:
- read this Associated Press piece

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Hi,

I have been battling with Liberty Mutual over my LTD benefits since Dec of 05. I was on medical leave and have yet to receive one penny of that in which I paid a premium for. I have had to borrow money from relatives and rely on credit cards to get by. It is very unjust to someone that has worked and never fallen ill.
The system is screwed up.

I have been on short term disability for over 4 months now. I started out with meningitis and encephalytis. After three months it was found that the meningitis had begun in a diseased disc. I then was placed back in the hospital for a special surgical procedure. I have Difinity Health/United Health Care. The first hospital bill was 24,000 dollars and they are refusing to pay it. They claim that the hospital was negligent and did not notify them in time. I was told for two months that there was no problem that they had contacted the hospital and all was going to be paid 100%. I have spent 9000 dollars out of pocket and been told for over two months that all would be pain 100% because I had met my out of pocket claims back then. I am still receiving bills from the hospital and other bills that I am having to pick up the balance. I received my current bill from the surgery and it is $107,000. I can't wait to see what Definity Health is going to do to finagal its way out of paying for this care. One issue I have had was that I went in for a discography. The placement of three needles in my back with dye injected to see if the diseased disc was the cause of my months of pain. I received a bill with a balance due. I called the insurance company and was told that the balance was because "the company does not pay for prosthetic of mechanical devices. I did not receive any of these. All I had was shots in my back. They said to have the doctors office redo the claim that there must have been a code errorl. There were no codes on this sheet of paper. It was all simply told as to what was done and the blling of each. Someone please help me with this insurance company. I have a husband who is terminally ill with COPD and cannot afford to have these stress issues or financial issues happening.

I don't know where you live, but take the time to find out who your congressman is, and who the attorney general in your state is. Write a letter to them explaining clearly what the problem is. They should be able to help you.

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