QOC or QOS
Member complained that they could not contact the providers office regarding a missing script for a blood pressure medication.
What is Quality of Care.
The member complains that the plan sends too much paper.
What is Complaint About Fulfillment Polices?
Hello this is TJ Watts and I am unable to get into my mobile app and I am really upset about that UHC needs to provide a app that actually works.
What is customer service-UHC customer service/online experience ?
I wen to pick up my Ozempic from Publix and I noticed that the pharmacy is unclean and poses health risk because I notice open hazardous containers around open pill bottles.
What is Quality of Care?
Transportation was late or did not arrive, but member was able to arrange other transportation.
What is Quality of Service ?
Broker enrolled the member with the wrong start date-member was advised start date would be 12/01/2025 instead member recieved a notice stating her start date would be 01/01/2026
What is Sales Agent/Broker Fraud, Misrepresentation or Behavior?
Hello I just spoke to the rudest Dental representative from UHC. Her name was Bella. The representative kept burping my ear and talking over me when I was trying to explain the reason for my call.
What is Customer service -UHC customer service phone experience?
The vehicle was dirty / unclean and poses a health / safety risk for example broken glass -open needles etc.
What is Quality of care?
Member complained that her plan requires a referral from her PCP in order to see a specialist.
What is the CD / OD / Appeals Process?
Hello my name is Timothy and yesterday I called the member services line 25 time and could not get through.
What is Technology -The phone system is down or not working properly?
Delay or defect in receiving items ordered through the over-the-counter (OTC) benefit only when there is an indication the member's care has been impacted-like member unable to get incontinence supple and resulted in a rash or pressure ulcer.
What is Quality of Care?
Member called and complained that their card won't work at the store.
What is OTC, Healthy Foods, and Utilities?
The houscalls nurse was very rude during our visit. She ignored my request to take her shoes off at the door. She also smelled like a ashtray. This is a problem because I have severe allergies and asthma.
What is Customer service-Houscalls-the staff behaved rude or unprofessionally
Bonus -could this interfered with the members health?
Delay in receiving, or not receiving, OTC items when the member’s care is not affected
What is a Quality of Service?
Medication order or refill was requested, but not received or not received timely.
What is Pharmacy?
Hello this is Mark Consuela and I'm calling because the Healthy benefits site is down and wont allow me to pay my utility bill that is due today.
What is Technology -Solutran-They where experiencing issues using the member website?