Howard Memorial Hospital in Nashville, Ark., has filed a complaint against UnitedHealthcare's Medicare Advantage program alleging that the insurer had not been paying the hospital according to their contract, Southwest Arkansas Radio reported July 5.
After analyzing 31 accounts, Bill Craig, the hospital's CFO, alleges that UnitedHealthcare underpaid the hospital by $250,000, according to the report. Mr. Craig said he has been working with UnitedHealthcare to resolve the issue for about six months and that the insurer is aware that it has been underpaying Howard Memorial.
Despite being aware of the alleged underpayment, Mr. Craig said that the payer has not tried to remedy the situation.
On June 12, he filed the complaint against United Healthcare’s Medicare Advantage product with the Medicare Part D complaint division, according to the report. Mr. Craig said he will give the Medicare Part D complaint division about 45 days and then follow up to see what action needs to be taken.
UnitedHealthcare did not respond to Becker's request for comment.