OPTUMRX, INC. — health Insurance Complaints
Analysis of 102 health insurance complaints filed against OPTUMRX, INC., based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 102
- Total Complaints (All Types): 103
- health Share: 99.0%
- AI Risk Score: 43/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 52 | 51.0% |
| Delayed payment | 18 | 17.6% |
| Den/N-Pymt MD Nec RX | No Jurisdiction | 3 | 2.9% |
| Unfair settlement | 2 | 2.0% |
| Other | Contract Language/Legal Issue; Information Furnished; Company Position Upheld | 2 | 2.0% |
| Cust Service Claim Handling | Information Furnished | 2 | 2.0% |
| Den/N-Pymt MD Nec RX | Contract Language/Legal Issue | 2 | 2.0% |
| Coverage dispute | 2 | 2.0% |
| Other | Information Furnished | 2 | 2.0% |
| Den/N-Pymt MD Nec RX | Information Furnished | 2 | 2.0% |
| Not Within TDI Jurisdiction | Contract Language/Legal Issue; Information Furnished | 1 | 1.0% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Corrective Action Taken | 1 | 1.0% |
| Unsatisfactory Settle/Offer | Information Furnished | 1 | 1.0% |
| Other | Contract Language/Legal Issue; Company Position Upheld; Information Furnished | 1 | 1.0% |
| Access to Care | No Jurisdiction | 1 | 1.0% |
| Essential Health Benefit | Referred To; No Jurisdiction | 1 | 1.0% |
| Other | Insufficient Information | 1 | 1.0% |
| Continuity of Treatment; Den/N-Pymt MD Nec RX; Notice Requirements | Insufficient Information | 1 | 1.0% |
| Access to Care; Continuity of Treatment; Den/N-Pymt MD Nec RX | Information Furnished; Contract Language/Legal Issue | 1 | 1.0% |
| Other | Information Furnished; Record Only | 1 | 1.0% |
| Material Change To Contract | Information Furnished | 1 | 1.0% |
| Den/N-Pymt MD Nec RX | 1 | 1.0% |
| Unsatisfactory Settle/Offer | Additional Monies Received; Contract Language/Legal Issue | 1 | 1.0% |
| Other | No Jurisdiction | 1 | 1.0% |
| Cust Service Claim Handling; Den/N-Pymt MD Nec RX; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 1.0% |
health Complaints by State
| State | Complaints |
|---|---|
| Texas | 102 |
Recent health Complaints Against OPTUMRX, INC.
- health Complaint #TX-449326-194d1329 — Texas (2026-03-05)
- health Complaint #TX-444717-42764cb5 — Texas (2026-01-14)
- health Complaint #TX-440495-7ff2b391 — Texas (2025-11-21)
- health Complaint #TX-440344-1d2faaa0 — Texas (2025-11-20)
- health Complaint #TX-440228-1d2faaa0 — Texas (2025-11-19)
- health Complaint #TX-404547-75a6518d — Texas (2024-09-20)
- health Complaint #TX-402371-75a6518d — Texas (2024-09-03)
- health Complaint #TX-396541-dd1eeca4 — Texas (2024-06-27)
- health Complaint #TX-383893-9e819ae1 — Texas (2024-01-29)
- health Complaint #TX-382320-dd1eeca4 — Texas (2024-01-09)
Frequently Asked Questions
How many health complaints does OPTUMRX, INC. have?
OPTUMRX, INC. has 102 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with OPTUMRX, INC.?
The most common health complaint issues for OPTUMRX, INC. are: Claim denial (52), Delayed payment (18), Den/N-Pymt MD Nec RX | No Jurisdiction (3), Unfair settlement (2), Other | Contract Language/Legal Issue; Information Furnished; Company Position Upheld (2).
Which states have the most health complaints against OPTUMRX, INC.?
The states with the most health complaints against OPTUMRX, INC. are: Texas (102).
health Complaints by State
OPTUMRX, INC. Complaints by State
- OPTUMRX, INC. Complaints in California
- OPTUMRX, INC. Complaints in Texas
- OPTUMRX, INC. Complaints in New York
- OPTUMRX, INC. Complaints in Florida
- OPTUMRX, INC. Complaints in Illinois
- OPTUMRX, INC. Complaints in Pennsylvania
- OPTUMRX, INC. Complaints in Ohio
- OPTUMRX, INC. Complaints in Georgia
- OPTUMRX, INC. Complaints in North Carolina
- OPTUMRX, INC. Complaints in New Jersey