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Complaint Details
Note that complaint text that is displayed might not represent all complaints filed with BBB. See details.
Initial Complaint
05/05/2023
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
3/23/2023 appointment with ********************* Southwoods Pain and Spine and he was get authorization for intrathecal Prait trial United Healthcare .Received letter Mar 10 saying it was approved code ***** code ***** .Several days later I called Southwoods and was told it hadn't been approved.Recalling United Healthcare they said they would contact the hospital.At a appointment on 4-24-2023 I was told again Southwoods that procedure had not been approved.Over 2 months pain and suffering. I would like to have all communications of this procedure to from United Healthcare and the Hospital
Business response
06/14/2023
On behalf of Southwoods Health and The Muransky Companies in response to BBB complaint ID #********, ******************** confirmed that United Healthcare (UHC) denied an authorization request for **************** to have a spinal stimulator inserted as a covered benefit under his insurance plan. The timing of the final determination exceeded typical processing times as UHCs administrative offices requested a peer-to-peer review to confirm its position. At Southwoods, we take every patient complaint seriously and in continued efforts to improve the service we provide, our processes and protocols were reviewed to ensure prompt and courteous service was delivered.
Sincerely,
Southwoods Health
Customer response
06/14/2023
Better Business Bureau:
I have reviewed the offer made by the business in reference to complaint ID ********, and have determined that this proposed action would not resolve my complaint. For your reference, details of my decision appear below.
[Provide details of why you are not satisfied with this response.]
Regards,dpes not mach my records was never informed of this
*************************Business response
07/10/2023
To whom it may concern,
A repeat phone call was made to the patient, *************************, on behalf of Southwoods Health / The Muransky Companies in response to BBB complaint ID #********.
Southwoods confirmed that United Healthcare (UHC) denied an authorization request for **************** to have a spinal stimulator inserted as a covered benefit under his insurance plan. The timing of the final determination exceeded typical processing times as UHCs administrative offices requested a peer-to-peer review to confirm its position.
This was again explained to the patient, but **************** stated, I dont accept how long it took and Im not going to accept it and Im going to keep complaining.
He then hung up the phone.
Sincerely,
Southwoods Health
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Get a QuoteCustomer Complaints Summary
2 total complaints in the last 3 years.
1 complaints closed in the last 12 months.