Less than a month after a claim processing error that resulted in nearly 12,000 inappropriate claim denials, CMA has learned that an additional 8,700 United Healthcare claims were processed incorrectly: some denied, some underpaid, some overpaid. This time, the errors were caused by an outdated list of procedures requiring advance notification.
Affected claims had dates of served of December 21, 2007, to January 16, 2008. Physicians do not need to appeal or resubmit these claims for reconsideration. Affected claims will automatically be reprocessed by the insurer.
Click here to read a memo from United Healthcare on this issue.
Contact: CMA’s reimbursement help line, 888/401-5911 or drice@cmanet.org.