InsuranceComplaintCheck

UNITEDHEALTHCARE BENEFITS OF TEXAS, INC. — health Insurance Complaints

Analysis of 622 health insurance complaints filed against UNITEDHEALTHCARE BENEFITS OF TEXAS, INC., based on public NAIC and state DOI data.

Key Statistics

  • health Complaints: 622
  • Total Complaints (All Types): 622
  • health Share: 100.0%
  • NAIC Complaint Ratio: 0
  • AI Risk Score: 34/100

health Complaint Issues

Issue TypeComplaints% of Total
Claim denial27944.9%
Delayed payment21334.2%
Unsatisfactory Settle/Offer | No Jurisdiction477.6%
Premium or billing dispute91.4%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction61.0%
Coverage dispute50.8%
Recoupment Of Claims Payment | No Jurisdiction40.6%
Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction30.5%
Access to Care | No Jurisdiction30.5%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction20.3%
Provider or network dispute20.3%
Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished20.3%
Claims Reimb/Bal Bill Problems | No Jurisdiction20.3%
SB418 Rule Violation; Unsatisfactory Settle/Offer | No Jurisdiction20.3%
Unsatisfactory Settle/Offer | Claim Settled20.3%
Misrepresentation | Information Furnished20.3%
Cust Srvc Policy Holder Srvcs | Information Furnished; Corrective Action Taken10.2%
Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Information Furnished10.2%
Cust Service Claim Handling | Information Furnished; Contract Language/Legal Issue10.2%
Cust Service Claim Handling; Essential Health Benefit; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdict10.2%
Unsatisfactory Settle/Offer | Information Furnished; Referred To; No Jurisdiction10.2%
Unsatisfactory Settle/Offer | Referred To; Record Only; Information Furnished10.2%
Misrepresentation; Unsatisfactory Settle/Offer | Question of Fact; No Jurisdiction; Information Furnished10.2%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | No Jurisdiction; Referred To10.2%
Other; Summary of Benefits | No Jurisdiction; Information Furnished10.2%
Claims Reimb/Bal Bill Problems | Information Furnished; No Jurisdiction10.2%
Misrepresentation | Information Furnished; No Jurisdiction10.2%
Misleading sales10.2%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished10.2%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Contract Language/Legal Issue10.2%
Cust Service Claim Handling; Overcharges | No Jurisdiction10.2%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction10.2%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction; Contract Language/Lega10.2%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction10.2%
Access to Care; Continuity of Treatment; Out Of Ntwk Referral; Unsatisfactory Settle/Offer | No Jurisdiction10.2%
Unsatisfactory Settle/Offer | No Enforcement Case Opened10.2%
Other | No Jurisdiction; Information Furnished10.2%
Not Within TDI Jurisdiction | No Jurisdiction10.2%
Cust Service Claim Handling | No Jurisdiction10.2%
Not Within TDI Jurisdiction10.2%
Access to Care; Continuity of Treatment; Enrllmt/Canc/Rnwl Of Enrollee | No Jurisdiction10.2%
Policy cancellation10.2%
Claims Reimb/Bal Bill Problems | No Jurisdiction; Information Furnished10.2%
Cust Service Claim Handling; Recoupment Of Claims Payment | No Jurisdiction10.2%
Not Within TDI Jurisdiction; Other | No Jurisdiction10.2%
Unsatisfactory Settle/Offer10.2%
Continuity Of Treatment; Out Of Ntwk Referral | No Jurisdiction10.2%
Access to Care; Continuity of Treatment | No Jurisdiction10.2%
Other | Other10.2%
Den/N-Pymt MD Nec DME/Supplies | No Jurisdiction10.2%
Other | Insufficient Information10.2%
SB418 Rule Violation; Timely Filing Deficiency | No Jurisdiction10.2%
Prompt Pay; SB418 Rule Violation; Unsatisfactory Settle/Offer | Information Furnished; Claim Not Clean10.2%
Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue10.2%
Misrepresentation | No Jurisdiction10.2%

health Complaints by State

StateComplaints
Texas622

Recent health Complaints Against UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.

Frequently Asked Questions

How many health complaints does UNITEDHEALTHCARE BENEFITS OF TEXAS, INC. have?

UNITEDHEALTHCARE BENEFITS OF TEXAS, INC. has 622 health insurance complaints on file, according to NAIC and state DOI data.

What are the most common health complaint issues with UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.?

The most common health complaint issues for UNITEDHEALTHCARE BENEFITS OF TEXAS, INC. are: Claim denial (279), Delayed payment (213), Unsatisfactory Settle/Offer | No Jurisdiction (47), Premium or billing dispute (9), Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction (6).

Which states have the most health complaints against UNITEDHEALTHCARE BENEFITS OF TEXAS, INC.?

The states with the most health complaints against UNITEDHEALTHCARE BENEFITS OF TEXAS, INC. are: Texas (622).

health Complaints by State

UNITEDHEALTHCARE BENEFITS OF TEXAS, INC. Complaints by State

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