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Award (how much your claim may be worth): The award varies depending on the number of claimants and the class you fit in. Estimated to be at least $100 per claimant.

 

Class Action Lawsuit Settlement Case(s):  The American Medical Association v. United HealthCare Corporation Case No. 00 Civ. 2800 (LMM) (GWG) in the United States District Court for the Southern District of New York 

 

Company(ies):  UNITED HEALTHCARE CORPORATION n/k/a UNITEDHEALTH GROUP, UNITED HEALTHCARE INSURANCE COMPANY, UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK, INC.,UNITED HEALTHCARE OF THE MIDWEST, INC., UNITED HEALTHCARE SERVICES, INC., UNITED HEALTHCARE SERVICES OF MINNESOTA, INC., UNITED HEALTHCARE SERVICES CORPORATION, INGENIX, INC., METROPOLITAN LIFE INSURANCE COMPANY, AMERICAN AIRLINES, INC., OXFORD HEALTH PLANS, INC., OXFORD HEALTH PLANS LLC, OXFORD HEALTH PLANS (NJ), INC., OXFORD HEALTH PLANS (NY), INC., AND OXFORD HEALTH INSURANCE United Healthcare Logo

 

Website Link to access the Class Action Lawsuit Settlement and get YOUR Stake (DOWNLOAD CLAIM FORM HERE): www.berdonclaims.com

 

Address of Class Action Lawsuit Settlement Administrator to submit a claim form (REQUIRED):

 

United Healthcare Class Action Litigation
c/o Berdon Claims Administration LLC
P.O. Box 15000
Jericho, NY 11853-0001


Fax: (516) 222-0271
Email: unitedhealthcare@berdonclaimsllc.com

 

Phone Number to call for assistance:  1-800-443-1073 or email unitedhealthcare@berdonclaimsllc.com

 

Details: The United HealthCare Out of Network/Ingenix class action lawsuit settlement was filed by health plan subscribers and beneficiaries against United Healthcare Corporation (n/k/a UnitedHealth Group) (“UHC”) and its subsidiaries and affiliates has been settled for $350 million. The United HealthCare Ingenix Settlement resolves lawsuits over the way UHC pays claims when members of UHC’s health insurance plans use out-of-network medical providers for covered healthcare benefits. The action claims that UHC issued inadequate reimbursements to its members for Covered Services provided by Out-of-Network Providers by using the Ingenix databases and/or other protocols or methods, referred to as Seven Out-of-Network Reimbursement Policies. UHC denies the factual allegations and legal claims asserted by the Plaintiffs and denies any wrongdoing or liability.

 

What can you get out of the United HealthCare Out of Network class action lawsuit? The Settlement provides both monetary and non-monetary benefits to the members of the Class. The Settlement establishes a Cash Settlement Fund in the amount of $350 million. Proceeds from the fund will be issued in accordance with the Plan of Allocation. The Plan of Allocation is a set of formulas that determine each claimant’s proportionate share of the settlement proceeds. Also, as part of the Settlement, UHC will initiate certain business practices for the benefit of Class Members.

 

There are multiple claim groups in the United HealthCare Out of Network class action lawsuit. The claim groups are below:

 

Group A claim is a simplified type of claim where the claimant is required to provide only the number of years, during the period from 1994 through 2009, that he/she were a member of any Defendant’s healthcare plan that included provisions for Covered Out-of-Network Services or Supplies. Group A claimants do not need to provide supporting documentation. A Subscriber who elects to make a Group A claim may not elect to be included in any other group.
Please see the www.berdonclaims.com for more information.

 

Group B claims are if you received a bill from your Provider for the amount that was not paid by the insurer, and paid it in full, you may have a Group B claim. If you paid only a portion of that bill, you may have both, Group B and Group C claims. Your Group B claim, in that case, would be based on the paid portion of that bill. Please see www.berdonclaims.com for more information.

Group C claims are if you received a bill from your Provider for the amount that was not paid by the insurer, and paid nothing, you may have a Group C claim. If you paid only a portion of that bill, you may have both, Group B and Group C claims. Your Group C, in that case, claim would be based on the unpaid portion of that bill. Please see www.berdonclaims.com for more information.

Group D claims are if you are a Provider and issued a bill to your patient for the amount that was not paid by the insurer, and the patient failed to pay the bill in part or in full, you may have a Group D claim. Your Group D claim is based on the unpaid portion of that bill. Please see www.berdonclaims.com for more information.

 

You will need to submit supporting documentation for come claims in the United HealthCare Out of Network class action lawsuit. The documentation requirements will vary based on the type of claim you are planning to make.

For each out-of-pocket payment, provide copies of:

- canceled check; or

- receipt for cash payments; or

- invoices from your Out-of-Network Provider(s) indicating your payment(s); or

- internal accounting records from your Out-of-Network Provider reflecting your payment(s); and

- Explanation of Benefits (“EOB”) or other documentation demonstrating that your Provider(s) was/were Out-of-Network and rendered Covered Out-of-Network Services or Supplies. You only need to provide an EOB for Covered Out-of-Network Services and Supplies that did not appear on the report you received from the Claims Administrator.

 

 

For each unpaid Adjusted Bill, provide copies of:

- Adjusted Bill issued by your Out-of-Network Provider; or

- Evidence from your Out-of-Network Provider’s records that an Adjusted Bill was sent to you; and

- EOB or other documentation demonstrating that your Provider(s) was/were Out-of-Network and rendered Covered Out-of-Network Services or Supplies. You only need to provide an EOB for Covered Out-of-Network Services and Supplies that did not appear on the report you received from the Claims Administrator.

 

 

For each unpaid Adjusted Bill that was submitted to a collection agency or reported to a credit agency, provide a copy of:

- a written notice from a collection agency; or

- evidence of telephone contact with a collection agency (see page 13 of the claim form), or

- a printout of your credit report showing that debt to your Out-of-Network Provider was reported to a credit agency; or

- an agreement with your Out-of-Network Provider to enter into a payment plan with you.

 

 

Those Out-of-Network Providers filing Group D claims and seeking increased damages must present records for the services provided and documentation in support thereof. Please see Section 5(b) of the claim form for further details.

 

Please note that your supporting documentation must clearly identify the service in question and provide all required information, such as date of service, subscriber’s name, provider’s name, amounts billed or paid, and other relevant details. You should not send any originals to the Claims Administrator, as your documents will not be returned.

 

If you have any questions or wish to submit a claim in the United HealthCare Out of Network class action lawsuit head over to www.berdonclaims.com for more information and submit your claim now!

 

Purchased From: 3/1994 – 11/18/2009

 

Claims must be submitted online (if applicable) or postmarked by: 10/5/10

 

MORE DETAILS BELOW!

 

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Class Action Lawsuit Settlement Amount(s): $350,000,000 = $258,100,000 to consumers and medical practitioners (ESTIMATE) + $89,000,000 Attorney Fees and Expenses (ESTIMATE) + $25,000 for each of the sixteen different Representative Plaintiffs + $2,500,000 Settlement Administrator and Notification Costs (ESTIMATE)

 

Settlement Administrator(s): Berdon Claims Administrators LLC

 

Class Counsel:

 

D. Brian Hufford, Esq.
Pomerantz Haudek Block Grossman & Gross LLP

 

Stanley M. Grossman, Esq.
Robert J. Axelrod, Esq.
Pomerantz Haudek Block Grossman & Gross LLP

 

Defense Counsel:

 

Office of the General Counsel
UnitedHealth Group, Inc.

 

Jeffrey S. Klein, Esq.
Nicholas J. Pappas, Esq.
Weil, Gotshal & Manges LLP

 

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LEGAL INFORMATION IS NOT LEGAL ADVICE
This site provides information about the law and class action lawsuit settlements designed to help users safely cope with their own legal needs. Legal information is NOT the same as legal advice – the application of law to an individual’s specific circumstances. Although we go to great lengths to make sure our information is accurate and useful, we recommend you consult a lawyer if you want professional assurance that our information, and your interpretation of it, is appropriate to your particular situation. You should consider all postings or writings at TopClassActions.com by staff or others as personal opinion only and NOT the advice of a lawyer.
Top Class Actions Legal Statement

 

©2008 – 2010 Top Class Actions® LLC

Various Trademarks held by their respective owners.

 

47 Comments

  • Anonymous June 22, 2010

    United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement
    please read and we will disc

  • Anonymous August 5, 2010

    United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement
    i would like to know if this suit has been settled and if so how much would i be getting as i was named and have sent info in.
    please respond when time allows
    thjank you for your time adn assistance

  • Anonymous October 6, 2010

    United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement
    I would like to know if I am part of this settlement. My son was denied healthcare and for the healthcare he did get I am being charged for it .

  • Anonymous October 27, 2010

    United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement
    I am a subscriber choosing letter “A” I ready sent out my claim form. I wil like to know how long I will be getting my check
    claim#S14292342

  • Anonymous November 28, 2010

    United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement
    So how long does this take? I sent in the info a LONG time ago and I have heard nothing about it since then. Has anyone gotten their money back from this?

  • Anonymous December 5, 2010

    United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement
    it seems this claim has been settled……..can’t find any info on when check wit be sent……..anyone know?

  • Anonymous December 19, 2010

    United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement
    Sent information in a LONG TIME AGO. Seems this has been settled. When will checks be mailed to claiments???

  • Anonymous January 6, 2011

    United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement
    Just FYI, the news story at this link (from November 2010) say it’s going to take Berdon 12 – 18 months to process all the claims. I guess we’re going to be waiting for awhile. >:o

    http://www.berdonllp.com/aboutus.asp?id=berdoninthenews&article=598#bin1

  • Anonymous March 19, 2011

    United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement
    We are waiting patiently but this is frustrating – no checks yet. Appreciate LadySiren comment – at least there is a time frame and link..

  • Anonymous July 25, 2011

    United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement
    has anyone recieved or know anything about any payment or how long it will take I just looked at my papers and its been over a year already…

  • Anonymous July 26, 2011

    United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement
    Just spoke with Berdon – they expect checks for approved claims to be sent out by the end of the year (2011).

  • Anonymous October 18, 2011

    Over 90 million in attorney and court related fees of the settlement amount? That is an estimate. The longer they (lawyers) drag it on the more money they take, and the less you and I will receive. Just another example of what is wrong with this country.

  • Anonymous October 21, 2011

    I too submitted forms that arrived by mail, i since then moved to the states from south pacific island, how can I find out if I was included in this claim?

  • Anonymous October 28, 2011

    Today is October 28,2011, I just receive a letter asking me for more information on this situation, I haven’t hard anything about my case in over a year. I am concerned because I believe this is effecting my credit. I am willing to send in any extra information needed. Please let me know as soon as possible about further paperwork is needed. I am ready to move forward from this situation, I will help in anyway on my case to help speed up this process. Thank You for sending me the information letter.

  • Anonymous November 1, 2011

    I am not to sure of the amount with interest,but 350 million dollars is a lot of money,if they were to give everyone who has submitted a claim $10,000 dollars, the lawyers would have a lot of money left over and then sum.

  • Anonymous November 16, 2011

    i file a claim about a year ago i have not heard form the settlement yet hopefully soon maybe the first of the yet ok 11/15/2011

  • Anonymous December 1, 2011

    This would be a wonderful blessing if they were to mail the checks out before Christmas,with the economy so bad,this would help me a lot, I hope these people have a heart and do what their heart tells them.

  • Anonymous December 6, 2011

    I need my money,iam sick ,it would help me if they would send the money out before christmas.

  • Anonymous December 8, 2011

    I just spoke with someone today on my case,this person stated that the lease amount i could receive is about a $100.00,for all that information that i sent in;I just don`t understand it at all.WHAT IS GOING ON HERE?

  • Anonymous December 19, 2011

    I am just grateful that I am in the number, all my forms have been submitted and it would be a blessing to receive it before Christmas but when ever I get it will be fine as long as I get it. To God be the glory for he is worthy to be praised, because of his Grace and Mercy he has allowed for this.

  • Anonymous December 30, 2011

    I do not Understand this…You can not get any answers..What is taking so long…I could not get in touch with anyone..So I mail a letter..Hope I hear..

  • Anonymous January 7, 2012

    I just got this information off of the Berdon Claims Administration site.
    Status of the Litigation
    Finalizing Case

    The claims administration process is in its final stage. The claims with outstanding deficiencies are being reviewed and evaluated for final determinations. The attorneys and the Claims Administrator are in the process of making the required final reports to the Court. When these documents are filed, the judge will make an order permitting the distribution of the settlement proceeds. The Claims Administrator has no control over (1) when the papers will be filed, or (2) when the judge will sign the order. Based on the information available to us, as well as our experience, we would hope to make a distribution of settlement proceeds during the first quarter of 2012. Thank you for your patience.

  • Anonymous January 23, 2012

    50.00 a year for seven years is not good and that will be prorated which mean less than 50.00 after that mone have been prorated. i paid into this insurance for 7 whole years and this is what i will get, as i was told today

  • Anonymous January 23, 2012

    call18004431073 and they will tell you what you will get from this law suite

  • Anonymous January 27, 2012

    I just called 18004431073, they ask for your social security number and they give your file number, they expect to send checks as early as april 2012, hang on.

  • Anonymous March 13, 2012

    Was just told will get $11.00 per year from settlement. Will start mailing out March 31st.

  • Anonymous March 14, 2012

    Got check today for just under $82. Hope nobody except for the lawyers expected a large payday.

  • Anonymous March 14, 2012

    Got a check today for 187.27

  • Anonymous March 15, 2012

    Originally, claimants were to receive $50 per year for the years 1994 – 2009. Like Gail above I received a check for
    187.27. How come?

  • Anonymous March 16, 2012

    did anyone get their money yet? I received a check in the mail..

  • Anonymous March 16, 2012

    Ooops i read the top before i read the recent comments.. I see that you ALL got your BIG checks in the mail like i did…L0oL AND the notice that said contact your tax advisor to determine tax consequences.. 4 real…

  • Anonymous March 19, 2012

    i received a check for 24 dollars and i do not even know what the suit was about ?

  • Anonymous March 26, 2012

    Got a check for $105.00, and wondering how could that be possible? I was told you receive $50.00 for every year that you was with them if you do not file a claim.

  • Anonymous March 26, 2012

    I filed a claim and gave them claims for 3 surgeries that I have had on one knee within that time that was out of my network so they say that I had to pay out of my pocket the difference and I sent in everything showing the service and that the bill was paid. I was told that I did not send in information showing I paid it or I needed to send in each receipt showing I paid it. Did I miss that on the sheet that was sent or what? I paid out of my pocket over $5000.00 and my paperwork was showing that all the bills was paid current and they tell me that had no proof that I paid it.

  • Anonymous March 26, 2012

    SO I am figuring that receipt should have been sent with each paid claim. I am collecting receipts as we speak and will call to see if they are acceptable, because it is proof that they did not tell folks they needed to send in, in order to get you true refund. and I see I am not the only unhappy camper.

  • Anonymous March 30, 2012

    I just called, the person on the phone seemed a bit ‘short tempered’ impatient at the least. He said the claims would ONLY be $11 and some change per year. I asked why not $50 and he really didn’t answer why…hmmmmm….
    yup..who got all the money on this one? not the folks paying through the nose for insurance huh?

  • Anonymous March 31, 2012

    I got 187.28 and everyone I work with got somewhere in the $100 range. I’ve had the insurance since 1989. There is no explanation. Can you file a class action suit on a class action suit?

  • Anonymous April 2, 2012

    Well I am the proud owner of 93.64 good job with the 50.00 a year that was suppose to have been given. Guess the public gets scammed again.

  • Anonymous April 3, 2012

    Never had insurance, never worked, never filed a claim and got a 1,872.70 check. Thanks!!!!

  • Anonymous April 4, 2012

    I sent in all the required info for a class B claim in 2010 then one year later I was sent another form to fill out and have it back in within 3 weeks. I filled out the form and overnighted it in by the due date. Then I was snet another leter to sign and return which I did. I claimed over $17000 and got a check for $70 and I was told that my claim was switched from a class B claim to a class A claim. Nothing like getting it stuck up where the sun don’t shine !

  • T Endicott December 24, 2013

    I submitted everything on time and got NOTHING–never even heard back from them and I contacted them multiple times. Is this what class action lawsuits are all about–Little to Nothing for those who were damaged but plenty for lawyers?

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