United Healthcare Sued for its Failure to Tell Customers why Some Claims were Denied

United Healthcare is currently facing a lawsuit from two of its customers who are suffering from limb loss. Those individuals asked for prosthetic limbs from the company, and the company issued a denial with very little information. The plaintiffs are seeking to make the lawsuit a class action lawsuit. They are asking the court to force the company to change its policies.

The plaintiffs both sought payment for microprocessor-controlled artificial limbs. Those limbs use microprocessors to power the limb instead of using the body. United denied those claims. In issuing its denial, the company alleged that the limb requested did not meet the minimum specifications of the member’s needs, which is all that the insurance policy will cover.

The lawsuit alleges that the company violated federal insurance claim procedures because it did not advise the plaintiffs of the reason their device did not meet the minimum specifications of the member’s functional needs, and it failed to identify the artificial device that did meet the minimum specification of the member’s needs.

If you are a customer of United Healthcare, and you have had a claim for a prosthetic limb denied, you should speak to an attorney. You may be eligible to join one of the ongoing lawsuits. Call me, Conal Doyle, amputation attorney, at 310-385-0567. I am currently working on several lawsuits against insurance companies and can provide you with a consultation on your case. Call to learn more.