Violation Tracker Individual Record
UnitedHealthcare and two of its subsidiaries were fined $2.5 million for using an entity for the provision of hemophilia supplies and services that lacked the required state designation and improperly required member consent for provider payment appeals. Americhoice of New Jersey, Inc. failed to promptly comply with decisions of the Independent Health Care Appeals Program that reversed its denials of authorization and claims. Oxford Health Insurance, Inc. failed to provide utilization management appeal rights to persons covered by individual health benefits plans who sought an override of a prescription drug quantity limit and provided incorrect information to callers and on its website about the individual health benefits plans it offered in New Jersey.