UHC Choice help

[pamla68 1]

It has been a very long journey to me with misunderstandings @UHC. Not all plans are alike and varies through your employer. I would like to provide some numbers and slight information that has helped me these last eight weeks of waiting.

1. If your doctors office sends your clinicals throught the USPS this can delay your approval or denial. They have yet to get the original clinicals to care coordination for approval and customer service acknowledge receiving them on March 3, 2007.

2. Have the doctors office to fax them to Care Coordination. There phone number is 800-842-3920. My approval took less than 24 hours.

3. Be persistant! If you are frustrated let them know! I was transfered to Rapid Resolution department on April 11.

4. Check and make sure the Data Team department has recieved your clinicals to place the data in the system to have it reviewed by the CCs.There number is 866-297-9393 prompt #2, then prompt#3.

5. Don't give up!

I also learned there is a difference between pre-determination and notification.

Provider services is who mails out the letters to you and your doctor. The number to give your doctor to check the whereabouts of your approval letter is 877-842-3210.

CPT code is 43770

ICD9 is 278.01

Hope this is helpful to someone.

[Johna 0]

Thanks so much for the info! I have UHC Choice and have had so many problems with them! My dr's office faxed in my info on 3/27. The said they didn't receive it so it was sent again on 4/10. Confirmations were received on both of these faxes. They are still saying they don't have it, so I just requested that the dr fax or e-mail me the documentation. I plan on bombarding them with faxes, e-mails, over-night deliveries, and whatever else it will take just for them to aknowledge that they HAVE received my request. I thought getting approved might be difficult and lengthy, but I never imagined this part of it would be so tough! It's really great that they approved you in 24 hours! How high is your BMI?