• Report: #698536

Complaint Review: United Behavioral Health

  • Submitted: Tue, February 22, 2011
  • Updated: Mon, January 09, 2012

  • Reported By: Bonnie — Bay Minette, Al. Alabama United States of America
United Behavioral Health
Internet United States of America

United Behavioral Health Denial of benefits, Internet

*UPDATE EX-employee responds: worked at UBH

What's this?
What's this?
What's this?
Is this
Ripoff Report
About you?
Ripoff Report
A business' first
line of defense
on the Internet.
If your business is
willing to make a
commitment to
customer satisfaction
Click here now..

Does your business have a bad reputation?
Fix it the right way.
Corporate Advocacy Program™

SEO Reputation Management at its best!

     My daughter was addicted to drugs and had drug induced psychosis.  Her psychiatrist sent her to an outpatient rehabilitation facility but she was not able to participate because of her state.  He then recommended an inpatient facility. 
     
      I called UBH to find out an in-network provider and drove her over 200 miles to the facility.  She registered and was staying at the facility but a week or so later, UBH sent a letter denying pre-certification.  My husband and I made the decision to let her stay there to receive the help she needed with the intention of appealing the decision.  After her release, we went through the appeal process to no avail.  The facility required that we pay upfront for ther stay and they charged $38K.

     I can't understand how they can dismiss a claim because "their doctors determined the level of care was not required".  Her doctor and the outpatient facility both told us that in patient care was required.

     I checked her benefits online and it states that if there is no pre-certification, UBH would pay at 50% but they also denied that.  What is curious is that they did pay 20% of the claim.     

This report was posted on Ripoff Report on 02/22/2011 01:01 PM and is a permanent record located here: http://www.ripoffreport.com/r/United-Behavioral-Health/internet/United-Behavioral-Health-Denial-of-benefits-Internet-698536. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year.

Ripoff Report has an exclusive license to this report. It may not be copied without the written permission of Ripoff Report.

Click Here to read other Ripoff Reports on United Behavioral Health

Search for additional reports

If you would like to see more Rip-off Reports on this company/individual, search here:

Search Tips
Report & Rebuttal
Respond to this report!
What's this?
Also a victim?
What's this?
Repair Your Reputation!
What's this?
REBUTTALS & REPLIES:
0Author 1Consumer 0Employee/Owner
Updates & Rebuttals

#1 UPDATE EX-employee responds

worked at UBH

AUTHOR: jssoccer - (United States of America)

I worked at UBH as a person who approves mental health stays at facilities. They have red or green days and when it is a red day, that means they are over the monthly budget and staff need to make denials for mental health care stays or threaten a denial of payment to someone already in care, in order to force a discharge of the patient. You might have the benefits but they sometimes make it hard to actually use the benefits on your plan.

If you stay at a facility without prior authorization, I would advise families to keep a log of all negative symptoms day by day so they can get the stay approved on appeal. On appeal the family can add details, so just tell UBH detailed info day by day that justified each day at the facility. Ask UBH to describe what is required at that level of care so you can tell them the negative symptoms that truly occurred. You have several levels of appeal. Give the info that wasn't in the original chart. You know your kid and what was happening each day. Get yourself a copy of the chart and piece in the missing details for each day to justify payment for each day.

Respond to this report!
What's this?
Report & Rebuttal
Respond to this report!
What's this?
Also a victim?
What's this?
Repair Your Reputation!
What's this?
X