For several days have tried to get a clarification from UHC regarding providers in their HMO directories that do not contract with the hospital coordinated with the plan. Essentially, providers knowing full well they contract with one hospital and know a HMO plan contracts only with another should be disclosing this or UHC should be noting it to the agent- if not contracting the doctor? Sure the doc can see the member but he will not treat them in the plan hospital- or isn't this part of the enrollment process as well?
I can just see that E&O claim, and I'm so sure UHC would take the fall for it.
I can just see that E&O claim, and I'm so sure UHC would take the fall for it.