I have received several phone calls from LANL employees that Dr. Auge has been telling them that he is in network with United Health Care. As far as I know this is NOT true and you will be repsonsible for the service. UHC will not pay. He was terminated from UHC on Oct 29 2007
Also, if you are already in this trap, file a complaint with the Attorney Generals Office. This link will take you do the complaint form. I would also call the State Medical Board and file a complaint.
http://www.nmag.gov/office/Divisions/Inv/InvestigationComplaintForm.pdf
Here's the complaint page for the New Mexico Medical Board:
http://www.nmmb.state.nm.us/complaint.html
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United Health Care (UHC), Physicians Medical Center (PMC), Los Alamos National Lab (LANL) dupe employees for $450,000. Who's the blame?
Fight For Whats Right
Together
Overview Of Case ( THIS CASE IS NOW CLOSED)
Some LANL employees(Approx 70) used Physicans Medical Center of Santa Fe (PMC) to have a surgey done. These people were reffered to PMC from their Orthopedic doctor namely, Dr Auge who is a United Health Care provider. DR. Auge works for Northern New Mexico Orthopedics and operates an office in Los Alamos, NM and in Esponola, NM.
All the employees I have spoken to have a similar situation occuring. These people, including myself, were told by PMC the day of the surgery that UHC would pay for the surgery fully, excpet for the standard 10% deductible. We were given a signed document stating that PMC would consider us as IN -network for our insuarnce purposes. Some, including myself, had a witness who heard PMC staff tell us we had nothing too worry about and we would not inccurr any others costs other then the standard 10% deductible.
Now all these people are being billed from PMC for the total amount due of the sugery. PMC is threating to take us to collections. That's a issue for most since we are cleared professionalls. This amount ranges from $3,400 to $20,000 dollars. PMC is blaming UHC and Lanl for the problem. UHC will not pay even after appealing and LANL is being quite about the matter and quite frank, is NOT helping it's employees.
If needed, some of these employees have agreed to seek legal council and pursue a group law suite against PMC and possibly the other parties involved.
Information exhange will be vital to the case. This Blog will be used as the means of distrubting the information.
Rob Vitek-rp4643@hotmail.com
All the employees I have spoken to have a similar situation occuring. These people, including myself, were told by PMC the day of the surgery that UHC would pay for the surgery fully, excpet for the standard 10% deductible. We were given a signed document stating that PMC would consider us as IN -network for our insuarnce purposes. Some, including myself, had a witness who heard PMC staff tell us we had nothing too worry about and we would not inccurr any others costs other then the standard 10% deductible.
Now all these people are being billed from PMC for the total amount due of the sugery. PMC is threating to take us to collections. That's a issue for most since we are cleared professionalls. This amount ranges from $3,400 to $20,000 dollars. PMC is blaming UHC and Lanl for the problem. UHC will not pay even after appealing and LANL is being quite about the matter and quite frank, is NOT helping it's employees.
If needed, some of these employees have agreed to seek legal council and pursue a group law suite against PMC and possibly the other parties involved.
Information exhange will be vital to the case. This Blog will be used as the means of distrubting the information.
Rob Vitek-rp4643@hotmail.com
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