OPTUMHEALTH CARE SOLUTIONS, INC. — health Complaints in Texas

Detailed analysis of 5 health insurance complaints filed against OPTUMHEALTH CARE SOLUTIONS, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 5
Total health Complaints (All States): 5
Texas Share: 100.0%
AI Risk Score: 23/100

Analysis: OPTUMHEALTH CARE SOLUTIONS, INC. health in Texas

OPTUMHEALTH CARE SOLUTIONS, INC. has accumulated 5 health insurance complaints from consumers in Texas. Across all states, OPTUMHEALTH CARE SOLUTIONS, INC. has 5 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 2 complaints. Other common issues include Agent CE Courses; Agent Handling | No Jurisdiction; Question of Fact (1), Closed-Lack Of Info Cmplainant | Record Only (1), Other | Contract Language/Legal Issue (1).

The most active year was 2015 with 2 complaints filed.

Consumers in Texas who have health disputes with OPTUMHEALTH CARE SOLUTIONS, INC. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Claim denial	2	40.0%
Agent CE Courses; Agent Handling \| No Jurisdiction; Question of Fact	1	20.0%
Closed-Lack Of Info Cmplainant \| Record Only	1	20.0%
Other \| Contract Language/Legal Issue	1	20.0%

Complaints by Year

2015: 2 complaints
2014: 1 complaints
2013: 2 complaints

Recent health Complaints Against OPTUMHEALTH CARE SOLUTIONS, INC. in Texas

health Complaint #TX-102609-2a2a19c5 (2015-07-17) — Claim denial
health Complaint #TX-93412-ca15848a (2015-04-10) — Agent CE Courses; Agent Handling | No Jurisdiction; Question of Fact
health Complaint #TX-65770-f1415383 (2014-06-10) — Closed-Lack Of Info Cmplainant | Record Only
health Complaint #TX-43471-d729cd91 (2013-11-19) — Other | Contract Language/Legal Issue
health Complaint #TX-30016-f22dde9c (2013-06-19) — Claim denial

Frequently Asked Questions

How many health complaints does OPTUMHEALTH CARE SOLUTIONS, INC. have in Texas?

OPTUMHEALTH CARE SOLUTIONS, INC. has 5 health insurance complaints on file from consumers in Texas, according to NAIC and state DOI data.

What are the most common health complaint issues with OPTUMHEALTH CARE SOLUTIONS, INC. in Texas?

The most common issues are: Claim denial (2), Agent CE Courses; Agent Handling | No Jurisdiction; Question of Fact (1), Closed-Lack Of Info Cmplainant | Record Only (1), Other | Contract Language/Legal Issue (1).

How does OPTUMHEALTH CARE SOLUTIONS, INC.'s health record in Texas compare to other states?

OPTUMHEALTH CARE SOLUTIONS, INC. has 5 health complaints in Texas out of 5 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against OPTUMHEALTH CARE SOLUTIONS, INC. in Texas?

You can file a complaint with the Texas Department of Insurance. The NAIC Consumer Information Source at https://content.naic.org/cis_consumer.htm also accepts complaints.