The Eye Doctor and
The Credit Card Blues
This page born on Saturday
February 27, 2021
UnitedHealthcare
Appeals & Grievance Dept
Box 6106
MSCA 124-0157
Cypress, CA 90630
Attn: Tonita G.
Compliance Resolution Specialist Supervisor
re:
Grievance 371176656 2/2/21
Grievance 371731803 2/4/21
The Morons Leading the Blind
Note that I became aware of the above 2 grievance numbers on Saturday, 2/27/21, by way of a phone call from Angie C Doe. Presumably Angie is an employee of United Healthcare, although I think she considered it her solemn duty to refuse to name the company she works for.I am new to the United Healthcare way of doing things. Angie C. Doe and I were unable to agree on the proper way to address an envelope. Based on my (very) limited knowledge of the proper way to address an envelope, I came to the concluson that Angie is probably a moron, and was probably hired for her current position for precisely that reason.
I asked Angie to mail me a written copy of the above referenced 2 complaints. Angie refused my request.
Tonita G. Doe,
I am making the same request of you. This is a formal written request. Please send me a written copy of the above 2 referenced grievances.
If, for whatever reason, United Healthcare is going to decline to do so, please send a written statement that clearly states that United Healthcare declines to comply with my request.
Based on what Angie told me, I have reason to believe that one or both of these documents contain statements that have been attributed to me. And these statements are materally incorrect. I have been mis-quoted. If I am in any way harmed by your negligence, you are not going to be able to claim you wern't warned. Like it or not, doing nothing just might be considered negligence. If you choose to ignore me, your lack of cooperation will be remembered when it comes time to straighten out the mess. And make no mistake, this is a first class mess. And it ain't over.
Philip G Rice
11268 E Linvale Dr
Aurora, CO 80014
720-282-3376
phil.rice@mkgappraisal.com
For your convenience
this document is published on the Internet at:
http://www.mkgappraisal.com/letter2020_59.htm
Documents
Christmas Card Image
The Great Pumpkin, Addison Ruzas
2020 Christmas Card
Reference Photo
Christmas Card
Essay
2020
December
Visa Statement
with the 12/12/20 Fraud Charges. $1,015.00 Ukrane.
January
Visa Statement
with the Fraud Credit.
December
Citi Card Statement.
Shows the Saturday morning, 12/12/20 charges:
McDondals Breakfast
Guirys Oil Paint needed to finish up the painting. I put down my brush
at 5:00 PM on Monday, December 14th. My stress levels were running very high that Saturday morning.
My Long Sad Story
Late November, 2020. Early Saturday morning. I am fast approaching a deadliine to finish my oil painting. The
painting will be the image for my Christmas card this year. In order to get the cards delivered
on time (i.e., by Dec 25th), I have calculated a (non-flexible, non-negotiable) completion deadline for the painting. I
have been in a state of non-stop panic mode, all day, every day. It is the kind of panic that only
another artist with a deadline can understand. I am in the drive-up at McDonalds, waiting to get my
breakfast. I had called ahead to the local
art supply store, and made arrangements to purchase a tube of oil paint. I was pressed
for time. The paint cost $10. Because of the Covid, they didn't want me to come in the store. When I pulled
into the parking lot, they would bring the item to me. I had done this before. Except this time, when
I gave them my credit card number over the phone, there was a problem. Same store, same credit card, it had
worked before. Several times. We tried several times. Wasted 15 minutes. I finally had to use my Plan B
credit card. I wondered what was wrong with their credit card machine. I was in a bad mood as I headed to McDonalds.
The plan was for me to eat the egg McMuffin on the way to the art store. I hate that. But as I said, I was in
all out panic rush to begin with. And I had already lost 15 minutes fooling around with the credit card problem. When
I got to the pay window, my credit card didn't work at McDonalds either.
Credit Card Blues
When I got home, I called the number on my credit card statement. It took several calls, several conversations with robots. I got
hung up on more than once. But eventually I spoke to the fraud squad. They told me that my card had been
cancelled because of some bogus charges from the Ukrane.
This is not the first time this has happened to me. It is very disruptive. Annoying. It sucks up your
attention, right now. I spent 3 hours on the phone on December 24th, almost all of it on hold. I have
about 6 or 7 bills set up for monthly, automatic payment. My car insurance, for example. If I get
pulled over by a cop, I want to know for sure that I have insurance. So when the credit
card is cancelled, it means auto pilot has been turned off. It means I need to do something about each of
those bills. It doesn't sound that bad now. It would have been nice if someone had sent me instructions. I
had to figure this out. That is the whole point of having it on auto pilot, is so that it is idiot proof. When the
credit card gets cancelled, that means an idiot has to get involved and get things set up all over again.
All told, I estimate that I spent about 10 hours of my time fooling around with this stuff. The
good news is that it did not cost me any money. But as I write this, I am still folling around
with the consequences of the bank stmt/credit card blues.
I don't know who did it, or how they did it. Nobody knows. I have a grand total of 2 credit cards. I don't
make a lot of money (really), and I don't have much money in the bank (really). I am stupid enough to borrow, but
smart enough to always pay it back on time. So I have a very good credit rating. Banks and mortgage lenders like me.
I feel compelled to take defensive measures, when and where I can. When it makes sense. So when my primary care
provider - my doctor - sends me to a foot doctor, or an eye doctor, for example,
this is the way I see it:
the eye doctor, or the foot doctor, has 2 legit expectations from me when I show up for my very first appointment:
1) to get paid for the medical service they provide
2) to verify my identity
The eye doctor and the foot doctor does not have have a right to sell my social security number on the black market, for example. And
they do not have a right to the pin number to my bank account. A scanned image of a drivers license is required
to open up a credit card account. Even if everyone else was stupid enough to give up their pin number, I still would not want to.
The same goes for the scanned image of my drivers license.
A scanned image of my drivers license is not required to verify my identity. I've heard all kinds of stupid things
from people who work on the other side of the counter. My conclusion is that they have no clue. Litterally no
clue. They have a fear of the unknown. They are not sure what might happen if they don't get a scanned
image of my drivers license. Or, perhaps, someone pays a fee for every scanned image, and whoever
that person is, fights hard to maintain the stream of income. I don't really care.
My position is: If anyone can provide me with a reason that is reasonable, and can be verified (a name and a phone
number and a copy of a document). I don't believe that any auditor has ever insisted that anyone produce an
image or a copy of a drivers license. I won't believe it until I can talk to the auditor, and ask him/her if he
would have accepted a note that said they looked at the license but didn't make a copy because they patient asked them not to.
If anyone can give me a reason, I am all ears.
It is not up to me to prove it unnecessary. It is up to the doctor to justify the need. And so far, there
has been nothing. Yes it is standard indusry practice. To say that everyone else does it that way is a very
weak argument. Both doctors should be very ashamed if that is all you have. If you can't give me a good reason, you owe me an
apology for the abuse I was subjected to at the start of the process.
Don't Do That! You'll Go Cross-Eyed
2/18/21
Incoming Call.
(720) 248-3493
4:33 PM, 2 minutes.
Very strange. A (young?) woman on the phone. Says she is calling from the billing office and she is
trying to process Dr Kesselmans billing, and she would like to have my address to unstuck the billing. Would I mind
telling her my address?
Cross-Eyed??
Wednesday, 2/24/21 Alisha from United Healthcare calls me back. I'm at the car service department at the time. She confirms that it's all good. Forms are on the way for me to get reimbursed. I was unable to take notes. I just remember that for the eye doctor, she said that she confirmed everything we had talked about. Which was that I am entitled to a refund for my $40 copay and $35 for the refraction charge.
Saturday, 2/27/21
United Healthcare calls me. They tell me about the results of my 2 grievances. I have been
misquoted badly. They have butchered my complaints. They turned my complaints into: I don't
want to show my ID when I go to the doctor. I told them they had it wrong. They told me it
was too late for me to do anything about it. I asked for them to
send me a written copy. Nope.
Telemarketing to Heal the Blind?
3/1/21
It Never Ends. The phone rang at 9:30 AM. It was
HealPros delivers a comprehensive diabetes retinal imaging program iComply that
removes the burden health plans face due to low HEDIS and Star ratings.
Conrad says I can call HealPros at 888 371 4979.
I feel better Already
When I ask Conrad for a mailing address, he has no clue. But he
can multi task. While he is talking to me, he looks it up on the internet. Good thing for him I didn't ask
him for a mailing address for United Healthcare. They go to great length to make it impossible to
find, like the Amazon phone number when you want to return something.
Canrad wants to sign me up for a free visit from an eye health care person of some sort that would perform several very important
tests on my eyes. Conrad wants to make an appointment so they can
come to me. For Free. On their Website, they brag about HEDIS.
The Healthcare Effectiveness Data and Information Set (
HEDIS)
is one of health care’s most
widely used performance improvement tools. 191 million people are enrolled in plans that report
HEDIS results. Visitors to this page often check HEDIS FAQs, QRS FAQs, or ask a question through MyNCQA.
I can See! I can See!
I thought I could see.
I was wrong
On Thursday, 3/4/21, I called the customer service number on the back of my
UHC Card
800-643-4845. It was a
long conversation
(90 minutes) on the phone. The first part of the call was with a
woman in the Phillapines or some exotic location half way around the earth. I was
then transferred to someone in the Vision Department.
The Vision Department
And of course, I should have spoken to someone in the Vision Department before I ever
went to:
Dr Stephen E Kesselman, MD, PC.
The Vision Department has:
their own phone number: 800 638-3120
their own web site to look up :
providers
Attest
I attest that all statements made by me related to this complaint are true to the best of my knowledge and belief.
Signed & Dated
Philip G Rice
11268 E Linvale Dr
Aurora, CO 80014
720-282-3376
phil.rice@mkgappraisal.com
cc:
Distribution: list of who got copies.
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