InsuranceComplaintCheck

UNITEDHEALTHCARE OF TEXAS, INC. — health Insurance Complaints

Analysis of 1,101 health insurance complaints filed against UNITEDHEALTHCARE OF TEXAS, INC., based on public NAIC and state DOI data.

Key Statistics

  • health Complaints: 1,101
  • Total Complaints (All Types): 1,102
  • health Share: 99.9%
  • NAIC Complaint Ratio: 7.15
  • AI Risk Score: 96/100

health Complaint Issues

Issue TypeComplaints% of Total
Claim denial39035.4%
Delayed payment22320.3%
Premium or billing dispute1059.5%
Provider or network dispute333.0%
Policy cancellation312.8%
Unfair settlement211.9%
Usual And Customary | Contract Language/Legal Issue90.8%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue80.7%
Unsatisfactory Settle/Offer | Claim Settled; Additional Monies Received; Corrective Action Taken60.5%
Unsatisfactory Settle/Offer | No Jurisdiction60.5%
Other | Information Furnished50.5%
Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Claim Settled50.5%
Recoupment Of Claims Payment | Information Furnished; Company Position Upheld; Contract Language/Legal Issue40.4%
Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Claim Settled40.4%
Unsatisfactory Settle/Offer | Corrective Action Taken; Claim Settled; Additional Monies Received40.4%
Unsatisfactory Settle/Offer | Additional Monies Received; Claim Settled; Corrective Action Taken40.4%
Other | Contract Language/Legal Issue; Information Furnished40.4%
Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received30.3%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue30.3%
Coverage dispute30.3%
Essential Health Benefit; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company Po20.2%
Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Information Furnished20.2%
Prior Authorization | Information Furnished; Contract Language/Legal Issue; Company Position Upheld20.2%
Recoupment Of Claims Payment | Company Position Upheld; Contract Language/Legal Issue; Information Furnished20.2%
Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Information Furnished20.2%
Unsatisfactory Settle/Offer | Information Furnished; Additional Monies Received; Corrective Action Taken20.2%
Unsatisfactory Settle/Offer | Claim Settled; Information Furnished; Corrective Action Taken20.2%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Contract Lan20.2%
Unsatisfactory Settle/Offer | Claim Settled; Corrective Action Taken; Additional Monies Received20.2%
Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken; Claim Settled20.2%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Additional Monies Received; Corrective20.2%
Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Information Furnished20.2%
Prompt Pay; Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Stat Pen Pd-Over 90 Dys L20.2%
Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue; Company Position Upheld20.2%
Unauthorized Acts | Information Furnished20.2%
Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished20.2%
Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue20.2%
Access to Care | Information Furnished20.2%
Access to Care | Information Furnished; Contract Language/Legal Issue20.2%
Unsatisfactory Settle/Offer | Information Furnished20.2%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Additional Monies Received; Corrective Action Taken20.2%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Company Position Upheld20.2%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Additional Monies Received20.2%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information Furnished20.2%
Usual And Customary | Contract Language/Legal Issue; Additional Monies Received20.2%
Usual And Customary | Additional Monies Received; Contract Language/Legal Issue20.2%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Question of Fact20.2%
Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld20.2%
Cust Srvc Policy Holder Srvcs | Policy Issued/Restored; Contract Language/Legal Issue; Information Furnished10.1%
Continuity of Treatment; Cust Srvc Policy Holder Srvcs; Prior Authorization | Company Position Upheld; Contract Language10.1%
Cust Srvc Policy Holder Srvcs; Prior Authorization | Information Furnished; Corrective Action Taken; Contract Language/L10.1%
Cust Service Claim Handling; Recoupment Of Claims Payment | Corrective Action Taken; Claim Settled; Information Furnishe10.1%
Cust Service Claim Handling; Recoupment Of Claims Payment | Claim Settled; Information Furnished; Corrective Action Take10.1%
Other | Contract Language/Legal Issue; Corrective Action Taken10.1%
Cust Srvc Policy Holder Srvcs | Corrective Action Taken; Contract Language/Legal Issue; Information Furnished10.1%
Cust Srvc Policy Holder Srvcs | Information Furnished; Referred To; Company Position Upheld10.1%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished10.1%
Cust Service Claim Handling | Company Position Upheld10.1%
Misrepresentation; Unauthorized Acts | Corrective Action Taken; Contract Language/Legal Issue10.1%
Cust Srvc Policy Holder Srvcs | Information Furnished10.1%
Cust Service Claim Handling; Maximum Out of Pocket | Company Position Upheld; Information Furnished; Contract Language/L10.1%
Cust Srvc Policy Holder Srvcs | Information Furnished; Contract Language/Legal Issue10.1%
Access to Care | Question of Fact; Policy Issued/Restored; Information Furnished10.1%
Cust Srvc Policy Holder Srvcs | Question of Fact; Information Furnished10.1%
Cust Srvc Policy Holder Srvcs | Referred To; Information Furnished10.1%
Cust Srvc Policy Holder Srvcs | Information Furnished; Policy Not In Force10.1%
Cust Service Claim Handling; Maximum Out of Pocket | Company Position Upheld; Contract Language/Legal Issue; Information10.1%
Expermtl/Invstgnl Procedures; Prior Authorization | Information Furnished; Contract Language/Legal Issue; Company Positi10.1%
Other | Information Furnished; Corrective Action Taken10.1%
Cust Srvc Policy Holder Srvcs | Company Position Upheld; Contract Language/Legal Issue; Information Furnished10.1%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company Position Upheld10.1%
Unsatisfactory Settle/Offer | Information Furnished; Claim Settled; Corrective Action Taken10.1%
Cust Srvc Policy Holder Srvcs; Disclosure Of Benefits; Prior Authorization | Company Position Upheld; Contract Language/10.1%
Recoupment Of Claims Payment | Corrective Action Taken; Information Furnished; Additional Payment Expected10.1%
Recoupment Of Claims Payment | Contract Language/Legal Issue; Company Position Upheld; Information Furnished10.1%
Recoupment Of Claims Payment | Contract Language/Legal Issue; Information Furnished; Company Position Upheld10.1%
Recoupment Of Claims Payment | Company Position Upheld; Contract Language/Legal Issue; Corrective Action Taken10.1%
Recoupment Of Claims Payment | Information Furnished; Claim Not Clean; Corrective Action Taken10.1%
Recoupment Of Claims Payment | Company Position Upheld; Information Furnished; Contract Language/Legal Issue10.1%
Cust Service Claim Handling; Recoupment Of Claims Payment; Timely Filing Deficiency | Claim Settled; Information Furnish10.1%
Cust Srvc Policy Holder Srvcs; Prior Authorization | Contract Language/Legal Issue; Company Position Upheld; Information10.1%
Cust Srvc Policy Holder Srvcs; Enrllmt/Canc/Rnwl Of Enrollee | Information Furnished; Corrective Action Taken10.1%
Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken; Contract Language/Legal Issue10.1%
Unsatisfactory Settle/Offer | Referred To; Additional Monies Received; Corrective Action Taken10.1%
Claim Recoding/Bundling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company Pos10.1%
Cust Service Claim Handling; Pediatric Care | Corrective Action Taken; Information Furnished10.1%
Hlth Care Svcs Covg/Copay/Lmts; Primary Care Providr Selection | Claim Settled; Information Furnished10.1%
Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Referred To10.1%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished; Contract Lang10.1%
Maximum Out of Pocket | Information Furnished; Contract Language/Legal Issue; Claim Settled10.1%
Prior Authorization | Company Position Upheld; Referred To; Contract Language/Legal Issue10.1%
Maximum Out of Pocket; Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Information10.1%
Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished; Contract Language/Legal Issue10.1%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corrective Action Taken; Info10.1%
Prior Authorization | Question of Fact; Contract Language/Legal Issue; Company Position Upheld10.1%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company10.1%
Unsatisfactory Settle/Offer | Corrective Action Taken; Claim Settled; Information Furnished10.1%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Question of Fact; Information Furnished; Contract Language/Le10.1%
Cust Service Claim Handling | Question of Fact; Information Furnished10.1%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Claim Settled; Corrective Action Taken; Information Furnished10.1%
Prior Authorization; Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken; Claim Settled10.1%
Cust Service Claim Handling; Maximum Out of Pocket | Information Furnished; Contract Language/Legal Issue; Company Posit10.1%
Cust Service Claim Handling | Question of Fact; Information Furnished; Company Position Upheld10.1%
Authorization Dispute; Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken; Additional Monies R10.1%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Corrective Action Taken; Infor10.1%
Unsatisfactory Settle/Offer | Claim Settled; Corrective Action Taken; Stat Pen Pd-Over 90 Dys Late10.1%
Cust Srvc Policy Holder Srvcs | Company Position Upheld; Information Furnished10.1%
Unsatisfactory Settle/Offer | Claim Not Clean; Additional Monies Received; Corrective Action Taken10.1%
Prior Authorization | Corrective Action Taken; Information Furnished10.1%
Prior Authorization | Company Position Upheld; Information Furnished10.1%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Corrective Action Taken; Claim Settled10.1%
Unsatisfactory Settle/Offer | Corrective Action Taken; Additional Monies Received; Claim Not Clean10.1%
Cust Srvc Policy Holder Srvcs | Information Furnished; Corrective Action Taken10.1%
Authorization Dispute; Coordination of Benefits; Cust Service Claim Handling; Unsatisfactory Settle/Offer | Claim Settle10.1%
Claim Recoding/Bundling; Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished10.1%
Fraud | Contract Language/Legal Issue; Company Position Upheld; Claim Not Clean10.1%
Cust Srvc Policy Holder Srvcs; Prior Authorization | Information Furnished; Corrective Action Taken10.1%
Authorization Dispute; Unsatisfactory Settle/Offer | Corrective Action Taken; Stat Pen Pd-Over 90 Dys Late; Additional M10.1%
Access to Care; Cust Srvc Policy Holder Srvcs | Information Furnished; Company Position Upheld; Contract Language/Legal 10.1%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Company Position Upheld; Referred To; Information Furnished10.1%
Cust Srvc Policy Holder Srvcs; Prior Authorization | Information Furnished10.1%
Prior Authorization | Company Position Upheld; Contract Language/Legal Issue; Information Furnished10.1%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Lang10.1%
Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld10.1%
Access to Care; Continuity of Treatment | Information Furnished; Contract Language/Legal Issue10.1%
Continuity of Treatment | Contract Language/Legal Issue; Information Furnished; Referred To10.1%
Cust Service Claim Handling; Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken; Additional Mo10.1%
Maximum Out of Pocket | Contract Language/Legal Issue; Company Position Upheld; Information Furnished10.1%
Maximum Out of Pocket; Unsatisfactory Settle/Offer | Company Position Upheld; Information Furnished; Contract Language/L10.1%
Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished; Company Posit10.1%
Unauthorized Acts | Referred To; Information Furnished10.1%
Recoupment Of Claims Payment | Contract Language/Legal Issue; Information Furnished; Corrective Action Taken10.1%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; Company Position Upheld; Contract Lan10.1%
Cust Srvc Policy Holder Srvcs; Identification Card Issue | Information Furnished10.1%
Unauthorized Acts | Information Furnished; Contract Language/Legal Issue10.1%
Unsatisfactory Settle/Offer | Claim Settled10.1%
Unsatisfactory Settle/Offer | Additional Monies Received; Claim Settled; Referred for Disciplinary Actn10.1%
Other | Contract Language/Legal Issue; Company Position Upheld; Information Furnished10.1%
Cust Srvc Policy Holder Srvcs; Prior Authorization | Information Furnished; Company Position Upheld; Contract Language/L10.1%
Prior Authorization | Information Furnished; Company Position Upheld; Contract Language/Legal Issue10.1%
Prior Authorization | Contract Language/Legal Issue; Company Position Upheld; Information Furnished10.1%
Maximum Out of Pocket | Information Furnished; Corrective Action Taken; Claim Settled10.1%
Out Of Ntwk Referral | Corrective Action Taken; Information Furnished10.1%
Cust Srvc Policy Holder Srvcs | Contract Language/Legal Issue; Information Furnished; Company Position Upheld10.1%
Other; Prior Authorization | Contract Language/Legal Issue; Information Furnished; Corrective Action Taken10.1%
Timely Filing Deficiency; Unsatisfactory Settle/Offer | Stat Pen Pd-Over 90 Dys Late; Contract Language/Legal Issue; Inf10.1%
Fraud; Pediatric Care; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Company Position Upheld; Information10.1%
Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Company Position Upheld; Corrective Ac10.1%
Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Contract Language/Legal Issue10.1%
Cust Service Claim Handling | Contract Language/Legal Issue; Company Position Upheld10.1%
Cust Service Claim Handling | Complaint Withdrawn10.1%
Unsatisfactory Settle/Offer | Information Furnished; Corrective Action Taken10.1%
Access to Care; Continuity of Treatment; Misrepresentation | Information Furnished; Contract Language/Legal Issue10.1%
Access to Care | Information Furnished; Referred To; Contract Language/Legal Issue10.1%
Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional Monies Received10.1%
Unsatisfactory Settle/Offer | Corrective Action Taken; Claim Settled10.1%
Access to Care; Identification Card Issue | Information Furnished10.1%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished10.1%
Maximum Out of Pocket; Unsatisfactory Settle/Offer | Stat Pen Pd-Over 90 Dys Late; Additional Monies Received; Correctiv10.1%
Out Of Ntwk Referral | Information Furnished; Contract Language/Legal Issue10.1%
Unsatisfactory Settle/Offer | Claim Settled; Contract Language/Legal Issue; Corrective Action Taken10.1%
Enrllmt/Canc/Rnwl Of Enrollee | Information Furnished10.1%
Essential Health Benefit; Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Information Furnished; Contract La10.1%
Essential Health Benefit; Maximum Out of Pocket | Information Furnished; Contract Language/Legal Issue10.1%
Unsatisfactory Settle/Offer | Additional Monies Received; Claim Settled10.1%
Essential Health Benefit | Contract Language/Legal Issue; Information Furnished10.1%
Essential Health Benefit; Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Informat10.1%
Prompt Pay; Unsatisfactory Settle/Offer | Company Position Upheld; Contract Language/Legal Issue; Information Furnished10.1%
Commissions | Information Furnished10.1%
Cust Service Claim Handling | Information Furnished10.1%
Other | Contract Language/Legal Issue10.1%
Prompt Pay; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished10.1%
Out Of Ntwk Referral; Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken; Additional Monies Rece10.1%
Out Of Ntwk Referral; Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Corrective Action T10.1%
Essential Health Benefit; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information 10.1%
Prompt Pay | Information Furnished; Contract Language/Legal Issue10.1%
Other | Contract Language/Legal Issue; No Jurisdiction10.1%
Not Within TDI Jurisdiction | Information Furnished10.1%
Essential Health Benefit; Unsatisfactory Settle/Offer | Information Furnished; Contract Language/Legal Issue10.1%
Unsatisfactory Settle/Offer | Information Furnished; Additional Monies Received10.1%
Unsatisfactory Settle/Offer | No Jurisdiction; Referred To10.1%
Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Contract Language/Legal Issue10.1%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Contract Language/Legal Issue10.1%
Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Additional Monies Received; Contract Language/10.1%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Contract Language/Legal Issue; Informatio10.1%
Unsatisfactory Settle/Offer; Usual And Customary | Additional Monies Received; Information Furnished; Contract Language/10.1%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Corrective Action Taken10.1%
Unsatisfactory Settle/Offer | Additional Monies Received; Corrective Action Taken10.1%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Information Furnished; Additional Moni10.1%
Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken; Contract Language/Legal Issue; Information F10.1%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction10.1%
PPACA-Out-Of-Ntwk Emerg Care; Unsatisfactory Settle/Offer | Additional Monies Received; Stat Pen Pd-Over 90 Dys Late10.1%
Disclosure Of Benefits; Material Change To Contract; Other | No Jurisdiction10.1%
Unsatisfactory Settle/Offer; Usual And Customary | Corrective Action Taken; Contract Language/Legal Issue10.1%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Additional Monies Received10.1%
Claims Reimb/Bal Bill Problems | Additional Monies Received; Stat Pen Pd-46 To 90 Dys Late; Information Furnished10.1%
Claims Reimb/Bal Bill Problems; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished10.1%
Other | Record Only10.1%
Unsatisfactory Settle/Offer | Company Position Upheld10.1%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Overpaid10.1%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | Overpaid Claim Recouped; Contract Language/Legal Issue10.1%
Other | No Jurisdiction10.1%
Physician Ranking Programs | Information Furnished10.1%
Agent Handling; Misrepresentation | No Jurisdiction10.1%
Deficient Claim Notice; SB418 Rule Violation | No Jurisdiction10.1%
Access to Care | No Jurisdiction10.1%
Recoupment Of Claims Payment; Unsatisfactory Settle/Offer | No Jurisdiction10.1%
Recoupment Of Claims Payment | No Jurisdiction10.1%
Den/N-Pymt MD Nec Trmt N-Emrg | No Jurisdiction; Information Furnished10.1%
Den/N-Pymt MD Nec Trmt N-Emrg | No Jurisdiction10.1%
Access to Care; Agent Handling; Misrepresentation; Other | Information Furnished10.1%
Deficient Claim Notice | No Jurisdiction10.1%
Other | Insufficient Information; Failure to Timely Respond10.1%
Prompt Pay; Unsatisfactory Settle/Offer | No Jurisdiction10.1%
Coordination of Benefits | Claim Settled10.1%
Misrepresentation | No Jurisdiction10.1%
Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished10.1%
Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction10.1%
Den/N-Pymt MD Nec Trmt N-Emrg; Unsatisfactory Settle/Offer | No Jurisdiction; Information Furnished10.1%
Continuity Of Treatment; Other | No Jurisdiction; Information Furnished10.1%
Claim Recoding/Bundling; Unsatisfactory Settle/Offer | Information Furnished; No Jurisdiction10.1%
Declination Of Verification | No Jurisdiction; Information Furnished10.1%

health Complaints by State

StateComplaints
Texas1,101

Recent health Complaints Against UNITEDHEALTHCARE OF TEXAS, INC.

Frequently Asked Questions

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

UNITEDHEALTHCARE OF TEXAS, INC. has 1101 health insurance complaints on file, according to NAIC and state DOI data.

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

The most common health complaint issues for UNITEDHEALTHCARE OF TEXAS, INC. are: Claim denial (390), Delayed payment (223), Premium or billing dispute (105), Provider or network dispute (33), Policy cancellation (31).

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

The states with the most health complaints against UNITEDHEALTHCARE OF TEXAS, INC. are: Texas (1101).

health Complaints by State

UNITEDHEALTHCARE OF TEXAS, INC. Complaints by State

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