Sick of UHC
Chris Jones
Description
Collection
Title:
Sick of UHC
Creator:
Chris Jones
Date:
5/1/2015
Text:
Hello List,
I have been having nothing but trouble trying to get MPC knees authorized from UHC. We submit all clinicals, MD notes, letter written by MD, additional letter narrating the patient in greater detail, Ampro eval’s, therapist notes and still fight to get auth. Anything and everything they say, they do to deny auth. The latest is that MPC knees are intended for K-4 ambulators! Now, work with primarily young, active individuals (all K3 and K4) folks.
Can anyone tell me anything else to add to the auth packets that have worked for them? Has anyone heard of success when contacting their states insurance commissioners office? Anyone have luck getting attorneys involved? How about collectively working with local practices to attack the issue through legislation or through a collective frontal approach to UHC directly? I am aware that, yes, UHC could kick you off the panel and then focus their panel on those who didn’t work together on this issue, but I have had it and want to find a solution for my next MPC auth application.
Thoughts? Thanks in advance.
Christopher Jones, CPO
Rebound Prosthetics, Inc.
P: 303-832-7287
F: 303-830-0327
CONFIDENTIALITY NOTICE: This e-mail message, and any attachments, is a confidential business communication that may contain proprietary information, and is intended for the exclusive use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, be aware that you have received this document in error and that any discussion, review, dissemination, distribution, or copying of this message may be prohibited by or actionable under law. If you have received this communication in error, please discard any copies and notify me at <Email Address Redacted>
Thank you.
I have been having nothing but trouble trying to get MPC knees authorized from UHC. We submit all clinicals, MD notes, letter written by MD, additional letter narrating the patient in greater detail, Ampro eval’s, therapist notes and still fight to get auth. Anything and everything they say, they do to deny auth. The latest is that MPC knees are intended for K-4 ambulators! Now, work with primarily young, active individuals (all K3 and K4) folks.
Can anyone tell me anything else to add to the auth packets that have worked for them? Has anyone heard of success when contacting their states insurance commissioners office? Anyone have luck getting attorneys involved? How about collectively working with local practices to attack the issue through legislation or through a collective frontal approach to UHC directly? I am aware that, yes, UHC could kick you off the panel and then focus their panel on those who didn’t work together on this issue, but I have had it and want to find a solution for my next MPC auth application.
Thoughts? Thanks in advance.
Christopher Jones, CPO
Rebound Prosthetics, Inc.
P: 303-832-7287
F: 303-830-0327
CONFIDENTIALITY NOTICE: This e-mail message, and any attachments, is a confidential business communication that may contain proprietary information, and is intended for the exclusive use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, be aware that you have received this document in error and that any discussion, review, dissemination, distribution, or copying of this message may be prohibited by or actionable under law. If you have received this communication in error, please discard any copies and notify me at <Email Address Redacted>
Thank you.
Citation
Chris Jones, “Sick of UHC,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/237389.
