My group email list is now at 25 people. I would like to see all 70 who are feeling the effects of this mess be informed.
- Many people have written several letters to different agency's in New Mexico. The agencies include the Attorney Generals Office, The New Mexico Insurance Commision, The Govorners office, US Deptartment of Labor, etc. We are still waiting for official replies.
- LANL HR has told us they will try to hold a meeting with us within the next two weeks to inform us of their take and what they can and cannot do to help. It seems at this time HR hands are being tied by LANL legal, why is uncertain.
- UHC still has denied all of our claims and expects us to fork the money over to PMC for our procedures. Another words, our insurance failed us.
- PMC has written each of us letter expalining why they have to bill us stating ," UHC and LANL are the cause of this mess." This letter is located in the blog. Seems PMC was paid by UHC before by LANL patients using PMC but us 70 employees have been left in the dirt.
- Get this, PMC now has a bonified contract with UHC.
- I have left my perspctive in the blog as to why this occured and I will stand by it until proven other wise.
- Dr Auge's office keeps telling people to appeal to UHC. We have all done this and have been denied. No statement has been recieved from Dr Auge's office regarding this issue.
- It has been agreed that the blog will continue to be open for all to read. We would like others at LANL to be informed of this mess to that maybe we can save them from this hassle for anything they have done.
1 comment:
I agree that the bulk of the problem lies with PMC, but without having all the facts Im not so sure UHC or LANL isn't at fault as well. Why did UHC pay on some claims at the start of this, this is according to PMC? Why didn't UHC notify LANL employees of a possible issue of using PMC when they have someone sitting on site even? It took 3-4 months to get the word out and the word out came from employees. Is that our job? isn't LANL HR here to help LANL employees?
Im willing to bet that LANL could snap its finger and it would all be over with, Why wont they? What's the tie between UHC and LANL? is this about budget? If we had gone to another place LANL /UHC would be paying, right? We were mislead by PMC, no doubt about that, but was it deliberate or was PMC seriously thinking we were covered by something that had been told to them by UHC? this is what PMC claims.
Im not so sure our doctors should be left off the hook and it seems we haven't even talked about how doctors referred us to PMC. Why would they do that if they knew we wouldn't be covered by UHC when they are UHC in network doctors? these doctors know full well we need to be covered by UHC, don't they?
Lots of fingers to push blame on and until we get answers we are all left guessing and pusing blame. This whole thing needs a investigation if you ask me. I personally think LANL, UHC and PMC are part of the blame but I do feel most of the blame is on PMC.
What we want now is to get this over with so we can move on in our lifes, How is this going to be accomplished is what matter? it could be the hard way or easy way after all, we are the ones having the dollars signs hanging over our heads , not them.
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