I am owed money for services provided before UHCIC was ordered into liquidation. What is the procedure for payment of these claims?
Claims occurring in all states in which UHCIC had members which were not paid, will be considered as claims against the estate and processed by the Receiver. A proof of claim form will be provided at a later date.
If my company can’t pay my claim, is there a guaranty association that will pay it for me?
No. This type product, Medicare, is not covered under the state’s Life and Health Insurance Guaranty Associations. These claims will be considered as claims against the estate of UHCIC and processed by the Receiver. A proof of claim form will be provided at a later date.
Special information for providers with policyholders in the following states: Arizona, Mississippi, North Carolina, Ohio and Pennsylvania. Those state’s Guaranty Associations have been triggered by the insolvency of UHCIC. They will be relying on information provided through 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 and those states Guaranty Associations will then have a claim against the estate in place of the claimant to the extent of the affected GA’s payment.
I have been authorized for medical service. Will the authorization be honored?
Medical authorizations issued to or for UHCIC policyholders will be honored.
Can Providers seek payment from former members for debt owed by UHCIC for medical services?
NO. This is called “balance billing”. Beneficiaries cannot be held responsible (or balance billed) to pay any amount more than the co-payment, deductible, and/or co-insurance outlined in their benefit summary. Medical services rendered to Medicare recipients are governed by the federal law pertaining to Medicare contracts. If you’ve received a bill from your doctor or other medical provider for claims that should have been paid by the insurance company, contact the Centers for Medicare and Medicaid Services (CMS) for assistance with the balance billing issue.
The Receiver will mail Proof of Claim forms to all known providers so that they may file a claim in the receivership estate of UHCIC, for covered services rendered to Medicare beneficiaries before April 1st.
For Medicare information: Consumers needing more information regarding Medicare or other Medicare Advantage plans, should visit www.medicare.gov or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.