Doctors: Does United Concordia Make You See RED?

April 18, 2000

UCCI
PO Box 898203
Camp Hill, PA 17089-8206

Dear Doctor:

Attached, you will find the myriad of denials we have received from UCCI, and explanations given as to why we feel your examiners were unjustified in said denials.  You will note that on several of them, our X-rays and photographs, which were our documentation to you of the necessity for treatment, were never returned to us.  I would hope that you can find them, as they are the only copies we have (and we will not part with our originals-they are our defense, in the eventuality we find it necessary to bring suit against UCCI for unfair business practices).

As I have stated before, without your examiner's presence in our operatories, it would be impossible to see what we see.  I would also question the fact that in very many cases (see attached listing of "cases where the money went to the patient") our money was sent to the patient.  These obstacles that you keep throwing in our earnest and honest pursuit of fair compensation for the excellent treatment we have given your insured has made it untenable for us to maintain our relationship with United Concordia. 

In the interim, any payments for approved or routine services should come directly to us.  Additionally, we would request that you rectify the error of the checks having been sent to patients by writing us a check, and then collecting the amount you paid in error to the patients.   A copy of this letter has been sent to the State Commission of Insurance in both NJ and PA.  My attorney has been kept abreast of this situation, and we are weighing many different remedies.  We await your reply before any further action will be taken.

Sincerely, 

Cc: NJ and PA Ins. Comm. ; DLR,esq

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