Read comments about 866-793-9371
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| Area code: | 866 |
| Prefix: | 793 |
| Usage: | Toll Free |
Leave a comment about 8667939371:
Called and said they were 'United Healthcare Coordination of Benefits'whatever that is. They had some basic knowledge of our health ins coverage. Proceeded to ask for details about the health of various members of the family. My impression is they would use the information to possibly deny claims or sell the info to someone who would. Had to hang-up.
I received a voice mail message and when I returned the call to 866-793-9371 xt 66125,"Margie" said she was checking on coordination of benefits for United Health Care and needed my social security number. When I declined to give it, and advised she would have to contact our Office Administrator, she knew her name and DID call her. When I called United Health Care, they advised they only ask for a Social Security number when a subscriber doesn't know their plan ID number.
This is truly United Healthcares Coordination of Benefits department. I work for them now. You never have to give you social but it is asked if you dont know your Id number. As concerning Max's note from above, we do not sell your information as we are calling FROM your insurance company. We coordinate your UHC coverage with any other insurance the member may have.
Actually, it should come up as Minnesota because that is where our headquarters are located. Coordination of Benefits is done from 2 locations, Maryland and Connecticut.
Actually, it is a members responsibility to advise whether they or anyone on their plan has any other health insurance (which most people don't do). If it is found out after a claim is paid, the insurance company has the right to take the money back from the provider, who will recoup from the member, leaving the member with the bill. It is easier to process claims the first time around with the correct info then start denying claims for lack on info.Bottom line: call the member services number on the back of the card and give them your other insurance info.
I received a call from Richard at this number. He left a message saying he was calling about my secure Horizon Medical Plan.
This is ligitimate. We were United Healthcare, now under Optum which provides services for United Healthcare. We coordinate benefits between other commercial insurance and Medicare for all of our United Healthcare employer groups. If we're calling to obtain OI (other insurance) info, is because there has been an indication on a claim that you may have other insurance. If we call you, it is because the claim did not provide full or correct OI information. We then call the other insurance to make sure benefits are coordinated correctly. For example, if you have UHC and your SP has BCBS and you both cover one another on your plan, we call BCBS and determine which insurance pays first and second when a claim comes in. If we call requesting your SSN/Medicare #, is so we can coordinate with Federal Medicare as to who pays first and second. We call all members who are Medicare age that we do not currently have their Medicare Number, or are unable to find Medicare under their SSN. Some members are also disability or ESRD entitled. If a code on a claim indicates you may have one of these, we also call to verify. In some cases, yes, we have your SSN, but sometimes your actual Medicare number may not be under your SSN, therefore we call to confirm if you have Medicare. We also call groups to verify employee work status and group size. These factors determine whether Medicare is primary or secondary.
Coordination of benefits is not to deny or delay claims. It is very important when a family has more than one insurance carrier/payor. They are trying to determine who/which plan would be primary for children that are on both plans. Both plans cannot pay as the primary payor; there must be a secondary payor and there are rules to determine primacy. It's NOT a scam.