UMR, INC. — health Complaints in Texas
Detailed analysis of 424 health insurance complaints filed against UMR, INC. by consumers in Texas, based on public NAIC and state DOI data.
Key Statistics
- health Complaints in Texas: 424
- Total health Complaints (All States): 424
- Texas Share: 100.0%
- AI Risk Score: 47/100
Analysis: UMR, INC. health in Texas
UMR, INC. has accumulated 424 health insurance complaints from consumers in Texas. Across all states, UMR, INC. has 424 total health complaints, making Texas responsible for 100.0% of the volume.
The most frequent complaint sub-type is Claim denial with 157 complaints. Other common issues include Delayed payment (118), Premium or billing dispute (64), Unsatisfactory Settle/Offer | No Jurisdiction (39).
The most active year was 2023 with 1 complaint filed.
Consumers in Texas who have health disputes with UMR, INC. can file a complaint with the Texas Department of Insurance.
health Complaint Issues in Texas
| Issue Type | Complaints | % |
|---|---|---|
| Claim denial | 157 | 37.0% |
| Delayed payment | 118 | 27.8% |
| Premium or billing dispute | 64 | 15.1% |
| Unsatisfactory Settle/Offer | No Jurisdiction | 39 | 9.2% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction | 5 | 1.2% |
| Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction | 3 | 0.7% |
| Not Within TDI Jurisdiction | No Jurisdiction | 3 | 0.7% |
| Unsatisfactory Settle/Offer | Referred To; No Jurisdiction | 2 | 0.5% |
| Other | No Jurisdiction | 2 | 0.5% |
| Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction | 2 | 0.5% |
| Not Within TDI Jurisdiction | No Jurisdiction; Referred To | 2 | 0.5% |
| Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished | 2 | 0.5% |
| Den/N-Pymt MD Nec Trmt N-Emrg | No Jurisdiction | 2 | 0.5% |
| Cust Service Claim Handling | No Jurisdiction | 2 | 0.5% |
| COBRA | No Jurisdiction | 2 | 0.5% |
| Other | No Jurisdiction; Record Only; Referred To | 1 | 0.2% |
| Access to Care | No Jurisdiction; Referred To | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Information Furnished; Referred To; No Jurisdiction | 1 | 0.2% |
| Prompt Pay; Recoupment Of Claims Payment | No Jurisdiction; Referred To | 1 | 0.2% |
| Not Within TDI Jurisdiction | Referred To; No Jurisdiction | 1 | 0.2% |
| Not Within TDI Jurisdiction | Referred To; Record Only; No Jurisdiction | 1 | 0.2% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Contract Language/Legal Issue | 1 | 0.2% |
| Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Information Furnished | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Record Only | 1 | 0.2% |
| Den/N-Pymt MD Nec RX | Information Furnished; No Jurisdiction | 1 | 0.2% |
| Unsatisfactory Settle/Offer | Contract Language/Legal Issue | 1 | 0.2% |
| Provider or network dispute | 1 | 0.2% |
| Policy cancellation | 1 | 0.2% |
| Den/N-Pymt MD Nec RX | No Jurisdiction | 1 | 0.2% |
| Coverage dispute | 1 | 0.2% |
| Coordination of Benefits | No Jurisdiction | 1 | 0.2% |
| Den/N-Pymt MD Nec Trmt N-Emrg; Not Within TDI Jurisdiction; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.2% |
| SB418 Rule Violation; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.2% |
| Usual And Customary | No Jurisdiction | 1 | 0.2% |
Complaints by Year
- 2023: 1 complaints
- 2022: 2 complaints
- 2021: 38 complaints
- 2020: 8 complaints
- 2019: 24 complaints
- 2018: 39 complaints
- 2017: 54 complaints
- 2016: 53 complaints
- 2015: 70 complaints
- 2014: 66 complaints
- 2013: 45 complaints
- 2012: 24 complaints
Recent health Complaints Against UMR, INC. in Texas
- health Complaint #TX-372768-f7d98354 (2023-09-13) — Delayed payment
- health Complaint #TX-342062-8d295c07 (2022-07-27) — Claim denial
- health Complaint #TX-338235-430a6820 (2022-05-23) — Other | No Jurisdiction; Record Only; Referred To
- health Complaint #TX-323295-ff396dbe (2021-10-08) — Premium or billing dispute
- health Complaint #TX-320743-72442818 (2021-09-03) — Claim denial
- health Complaint #TX-320741-3fd26b72 (2021-09-03) — Premium or billing dispute
- health Complaint #TX-320074-a64e11d8 (2021-08-25) — Claim denial
- health Complaint #TX-319945-72442818 (2021-08-24) — Claim denial
- health Complaint #TX-319559-d50c469a (2021-08-18) — Premium or billing dispute
- health Complaint #TX-319512-72442818 (2021-08-18) — Claim denial
Frequently Asked Questions
How many health complaints does UMR, INC. have in Texas?
UMR, INC. has 424 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 UMR, INC. in Texas?
The most common issues are: Claim denial (157), Delayed payment (118), Premium or billing dispute (64), Unsatisfactory Settle/Offer | No Jurisdiction (39), Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction (5).
How does UMR, INC.'s health record in Texas compare to other states?
UMR, INC. has 424 health complaints in Texas out of 424 total health complaints nationwide. That is 100.0% of their health volume.
Where can I file a health complaint against UMR, 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.