United HC Class Action - NOTICE OF PROPOSED SETTLEMENT OF CLASSACTIONAND FINAL SETTLEMENT HEARING

[Guest guest]

Anyone

submitting the paperwork for this?

Not

clear to me that it is worth the effort or not.

Seems

too involved for a solo doc to # crunch and pull claims.

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Important information. In order to

assist Subscribers and Providers in filing their Group B, C or D

claims, Defendants will make available

to the Claims Administrator certain

claims information, including the dates that Covered OON Services or Supplies

were either received or

provided and the Allowed Amounts, from

January 1, 2002 through May 28, 2010. You may request such information and use it

to complete your

claim form (see page 8, paragraph 4).You

must provide information concerning Covered OON Services or Supplies prior to

January 1, 2002, and

after

May 28, 2010 from other sources, and use this information to complete your

claim form.

Option for Providers

Group D — Provider Claims for

Adjusted Bill Amounts. You are eligible to participate as a Group D

claimant only if:

• You received an assignment from

a Subscriber; and

• You submitted a claim for reimbursement

to a Defendant for Covered OON Services or Supplies based on the assignment and

the claim was

processed or reimbursed by a Defendant

using an Ingenix Database or one of the Seven OON Reimbursement Policies; and

• You sent an Adjusted Bill to a

Subscriber (except as provided below); and

• The Subscriber did not pay the

full amount of your Adjusted Bill (except as provided below).

The Recognized Loss for a

Provider is 90% of the Adjusted Bill amount the Subscriber did not pay you, provided,

however, that you

submitted the Adjusted Bill to

a collection agency, reported it to a credit agency, or entered into a payment

plan with the Subscriber. We will

subtract from this amount 20%

per claim, up to a total of $2,000 over all of your claims, to take into account

the co-payments, co-insurance, or

deductibles the Subscriber

would ordinarily owe under the Subscriber’s healthcare plan.

If during the Settlement Class

Period you did not submit the Adjusted Bill to a collection agency, reported it

to a credit agency, or if you did

not enter into a payment plan

with the Subscriber, your Recognized Loss is 70% of the Adjusted Bill amount

the Subscriber did not pay you,

provided however, that

you sent the Adjusted Bill on or after January 1, 2002.

If you did not send an

Adjusted Bill to a Subscriber at all, or if you did but it does not satisfy the

requirements in the above two paragraphs, your

Recognized Loss is 50% of the

difference between what you billed a Defendant and the amount the Defendant and/or

the Subscriber paid you.

We will subtract from each of

these amounts 20% per claim, up to a total of $2,000 over all of your claims,

to take into account the copayments,

co-insurance, or deductibles

the Subscriber would ordinarily owe under the Subscriber’s healthcare

plan.

When you receive a payment from the Net

Settlement Fund you will be deemed to have released the Subscriber from further

liability relating

to

the specific claim you make. When you and the Subscriber submit the same claim,

as the assignee you will receive the payment.

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http://www.uniteducrsettlement.com/

Welcome to the UnitedUCRSettlement.com

website

On November 17, 2009, the Court entered a Memorandum

and Order preliminarily approving a $350,000,000 class action settlement with

UnitedHealth Group, resolving a nearly decades-long challenge to its practices

involving reimbursement for health care services by out-of-network providers.

On January 4, 2010, the Court entered an Order setting down certain dates

important to potential class members. Those dates were changed by Order dated

February 25, 2010.

Notice to potential class members will be mailed no later than May 28, 2010.

The Notice will include all relevant instructions regarding how to file a Proof

of Claim (along with the form itself), how to object to the settlement and how

to opt-out of the settlement. A final fairness hearing is scheduled for

September 13, 2010.

Listed below are documents relating to the Settlement. Click on the document to

access the PDF version.

Deadlines include:

Deadline for Requesting Exclusion from the Class (“Opting Out”)

– July 27, 2010

Deadline for Objections – July 27, 2010

Proof of Claim Due Date – October 5, 2010

For questions about your Proof of Claim, please contact:

Berdon Claims Administration LLC

Listed below are documents relating to the

Settlement. Click on the document to access.

Documents related to filing a Proof of Claim

Mailed Notice + Proof of Claim Form

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http://www.uniteducrsettlement.com/pdf/UHC%20Notice%20%20Claim%20Form-Final.pdf

NOTICE OF PROPOSED SETTLEMENT OF CLASSACTIONAND FINAL SETTLEMENT HEARING

A CLASS ACTION SETTLEMENT INVOLVING UNITED HEALTHCARE CORPORATION (NOW

KNOWN AS

UNITEDHEALTH GROUP), AND ITS SUBSIDIARIES AND AFFILIATES WILL PROVIDE

CASH PAYMENTS TO

PERSONSWHO RECEIVED OR FURNISHED OUT-OF-NETWORK HEALTHCARE SERVICES

ANDWHO QUALIFY

YOUR LEGAL RIGHTS ARE AFFECTED WHETHER OR NOT YOU ACT

PLEASE READ THIS NOTICE CAREFULLY

A court authorized this Notice. This is not a solicitation from a lawyer.

• If you were or are:

(1) a Subscriber, which means a member of a healthcare plan insured

or administered by a Defendant, and received Covered Out-of-Network

(“OON”) healthcare benefits at any time from March 15, 1994 through

November 18, 2009 that were processed or reimbursed by a Defendant using the

Ingenix Databases or one of the Seven OON Reimbursement Policies; or

(2) a Provider or Provider Group, which means a healthcare

Provider or healthcare Provider Group who furnished Covered OON Services or

Supplies to a Subscriber at any time from March 15, 1994 through November 18,

2009 and whose claim for payment was processed or reimbursed by a Defendant using

the Ingenix Databases or one of the Seven OON Reimbursement Policies, you are a

member of the Settlement Class and may be eligible for a payment if you qualify

and submit a valid Claim Form.

• Defendants are United HealthCare Corporation (now known as

UnitedHealth Group), Ingenix, Inc., Metropolitan Life Insurance Company, American

Airlines, Inc., and their subsidiaries and affiliates. Please note the

following non-exhaustive list of subsidiaries and affiliates of United

HealthCare Corporation or UnitedHealth Group:

Oxford Health Plans, Inc. MAMSI

Sierra Health Services, Inc. Fidelity Insurance Group

PacifiCare Health Systems, Inc. Touchpoint Health Plan, Inc.

Mid-Atlantic Medical Services, Inc. Neighborhood Health Partnership, Inc.

Golden Rule Insurance Company Definity Health Corp.

HealthWise Deere Health Care, Inc.

HealthPartners of Arizona, Inc. IBA Health & Life Assurance Co. and

PHP, Inc. IBA Self-Funded Group, Inc.

MetraHealth Arnett Health Plans, Inc.

GenCare Health Systems, Inc. HCT

Student Resources (former student insurance United Medical Resources,

Inc.

division of MEGA Life and Health Insurance Co.) (UMR) Fiserv, Inc.

• The Seven OON Reimbursement Policies are Defendants’ (1)

Anesthesia Policy, (2) Assistant Surgeon Policy, (3) Co-Surgeon/Team Surgeon

Policy, (4) Multiple Procedure Policy, (5) Preventative Medicine Policy, (6)

Professional/Technical Policy, and (7) Reduced Services Policy.

• The Ingenix Databases are the Prevailing Healthcare Charges System

(“PHCS”) database and the MDR Payment System database.

• An in-patient or out-patient hospital or facility is a Provider

Group if and only to the extent that it bills for Covered OON Services

or Supplies delivered by a Provider.

• If you have a question whether you were insured by United

HealthCare, UnitedHealth Group, or a subsidiary or affiliate thereof, please contact

the Claims Administrator, as detailed in Section XIV, below.

Locke, MD