Complaint / review text:
I had a PPO Health Insurance Plan with United HealthCare. I had some blood tests done at my doctor's office and sent to CMLAB, INC. I have received a letter from the Lab saying that the insurance company had denied payment for the test provided by them stating that this Lab is not on the United HealthCare network. I am not a Health Insurance expert, but for my understanding when you have a PPO type of insurance the facility providing the services don't have to be on the insurance company network. They should be liable to receive payment for the services they provided to me by United HealthCare.
The letter from UnitedHealth Care says:
" Routine exams and/or related services are not a covered expense under your group health plan unless the services were performed by a network provider.
The letter goes on explaining the reason for non payment. If you need I can fax a copy of these letter. I would like to know who could you help me with this issue. I have paid a lot of premium to this company and feel outraged they are not paying for this bill. This Lab has done their job by providing me and my doctor with the results and I very much would like them to get paid, it's just fair. I would like to thank you very much in advance for any help or tips you can giveme to resolve this matter as soon as possible.