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Division Director

Sha'Ron James


Division of Rehabilitation and Liquidation
Alexander Bldg.,
2020 Capital Circle SE, Ste. 310
Tallahassee, FL 32301
1-800-882-3054

Provider Information
Universal Health Care Insurance Company, Inc.

 

Important Notice to Providers Regarding
Universal Health Care Insurance Company, Inc. (UHCIC),
in Receivership

 

The claim filing deadline has passed

The claim filing deadline was 11:59 P.M. June 30, 2014

 

Proof-of-Claim Filing Instructions

 

Please take time to read the Frequently Asked Questions that may help you with the filing of your claim.

If you do not have a Proof-of-Claim form, you may request one using the Contact Us link. To ensure receipt of your Proof of Claim form, please return the form using Certified mail, return receipt requested.

Note: POC forms must have been submitted to the Receiver before the claim filing deadline of June 30, 2014 in order to be considered timely filed. All POCs received after the claim filing deadline may be considered “late filed” in accordance with Florida Statutes.

POCs and supporting documentaion should be mailed to:

Florida Department of Financial Services, Receiver
2020 Capital Circle SE, Suite 310
Tallahassee, FL 32301

Only one POC should be completed per each unique National Provider Identifier (NPI). (A claim is the aggregate amount due to a provider or billing entity for outstanding charges for services provided on or before the date of liquidation).

Claims can only be submitted by the entity who owns the NPI on file with the Centers for Medicare and Medicaid Services (CMS). If any distribution is made in this estate to medical providers, the checks will be issued only to NPI owners.  The receiver claim number (“RCN”) was assigned to the  NPI owner.

 

Medical Claims Evaluation Equitable Methodology: In an effort to apply an equitable and cost efficient methodology to every claim and to treat all medical provider claims equally, the rates used represent standard Medicare rates. Regardless of any other prior existing contracts or fee schedules all eligible medical claims were evaluated at 100% of 2013 applicable regional Medicare rates and Medicare coverage and billing guidelines. Unbundled line items in a claim that do not meet Medicare Correct Coding Initiative Guidelines will be repriced to zero.

 

Special information for providers with policyholders in Arizona, Mississippi, North Carolina, Ohio and Pennsylvania:

These states’ Guaranty Associations have been triggered by the insolvency of UHCIC. They will be relying on information provided by the Receiver’s POC process for evaluating claims and those states’ Guaranty Associations potential covered obligations. The five affected Guaranty Associations will evaluate and pay claims as submitted subject to GA coverage limits; those states’ Guaranty Associations will then have a claim against the estate in place of the claimant in the amount of the affected GA’s payments to providers.

 

Please remember that pursuant to state and federal law and/or the terms of your contract, providers are prohibited from balance billing managed care enrollees.

The Claim Filing Deadline has passed.

The claim filing deadline was 11:59 P.M. June 30, 2014

 

 

Additional information concerning the receivership process is available at http://www.myfloridacfo.com/Division/Receiver