What checks were mailed on July 19, 2018?
On July 19, 2018 the Florida Department of Financial Services mailed 3109 distribution checks paying 100% of evaluated claims in classes 2,5,6,7,8.
I am a Medical Provider and have received a Distribution Check from the Department. What is this check for?
Your claim was adjudicated by a third party administrator (PayerFusion). The administrator sent out remittance advices monthly as the claims were adjudicated. The check is a cumulative total of the individual claims submitted. If claims were submitted with multiple NPIs and/or multiple billing addresses, they may have been evaluated separately and you may receive more than one check.
I am a Medical Provider. How can I determine what accounts/patients the check pertains to?
You should refer to remittance advices previously received from PayerFusion. If you still have questions regarding the check and matching it with the remittance advices of multiple claims, please contact PayerFusion directly at 305-400-4773 or toll-free 855-414-8242.
Is there a deadline for cashing the Distribution check?
Yes. The deadline for cashing the check is 90 days after the July 19, 2018 issuance date.
Funds related to any uncashed check after the deadline will be submitted to the Bureau of Unclaimed Property.
How do I file a Proof of Claim with the Receiver?
Please complete a "Contact Us Form" and the Receiver will mail you a Proof-of-Claim form. The deadline for timely filing a proof of claim form was June 30, 2014.
If you are a medical provider, please click here for information about filing your claim.
I have claims for both Universal Health Care, Inc. (UHC) and Universal Health Care Insurance Company, Inc. (UHCIC). Can I use the same Proof of Claim form for both companies?
No. Separate Proof-of-Claim forms are required for each company.
I do not know if my claims are for UHC or UHCIC, do I need to use separate forms?
If the member ID number prefix begins with PF, PM, UD or UA, you should file your claim on the UHCIC (542) POC.
If the member ID number prefix begins with MM , HM, HR, MP, FP,SN, SA, SC, SE, UF, UR, DV and CM, you should file your claim on the UHC (543) POC.
Your claim must be filed on the appropriate company POC form.
I am a medical provider in one of the five states whose Guaranty Associations were triggered by the insolvency. How do I file a Proof of Claim with them?
Special information for providers with policyholders in the following states: Arizona, Mississippi, North Carolina, Ohio and Pennsylvania. Those state's Guaranty Associations have been triggered by the insolvency of UHCIC. They will be relying on information provided through the Receiver's POC process for evaluating claims and those states Guaranty Associations potential covered obligations. The five affected Guaranty Associations will evaluate and pay claims as submitted subject to Guaranty Association coverage limits and those states Guaranty Associations will then have a claim against the estate in place of the claimant to the extent of the affected Guaranty Association's payment.
I received a Proof of Claim form but the NPI listed was incorrect. How do I correct this information?
The NPI number was obtained from the records of The Centers for Medicare & Medicaid Services (CMS). You may manually correct the number on the Proof-of-Claim form. Each Proof-of-Claim form NPI number should match the corresponding NPI number on the medical claims submitted.
I have several claims for the Proof of Claim form, how do I file a Master Claim?
In the UHC and UHCIC receiverships, the process for medical providers submitting multiple medical bills is different than Receiver's normal Master Claim process. Multiple medical bills should be submitted electronically to Payer Fusion, LLC and filed in conjunction with a single POC form which should be submitted directly to the Receiver. Multiple medical bills submission should be totaled and the amount placed on the POC form as the amount you are claiming.
I did not receive a Proof of Claim form in the mail and did not receive an email. How do I obtain a Proof of Claim form?
Please complete a "Contact Us Form" and the Receiver will mail you a Proof-of-Claim form.
What happens if I fail to file the Proof of Claim form by the deadline? Will it be considered late-filed?
Claims may be filed past the claims filing deadline but may be classified at a lower "late-filed" priority.
Can you verify receipt of my Proof of Claim form?
If you decide to submit a paper proof of claim form you should send it by certified mail, return receipt requested, or overnight mail (FedEx, UPS, etc.) and save the delivery certification cards as proof of timely mailing. No confirmations of receipt of individual proof of claim forms will be mailed or confirmed through other means of communication.
When will my claim be paid and how much will I receive?
The amount of any potential payment is unknown until after the amount of all liabilities has been established and all reasonable efforts to recover and liquidate assets have been exhausted. Please be advised that it may take several years before a distribution of assets, if any, is made in this receivership, due to collection efforts and litigation.
What if I don’t know the exact amount of my claim or don’t have all the documentation at the time I submit my Proof of Claim?
In the amount claimed field on the proof of claim form, enter "$1.00" if you don't know the exact amount of the claim. Be sure to put your NPI number on the documentation so that it can be identified and matched to your proof of claim.
I was paid incorrectly on several of my claims, can I file for the correct payment amount?
The balance of your outstanding claims may be submitted and must reflect any prior payment, credit or offset.
The Proof of Claim form mentions a “Secured Claim”. What does that mean?
"Secured claim" means any claim secured by mortgage, trust deed, pledge, deposit as security, escrow, or otherwise but does not include a special deposit claim, a claim against general assets, or a claim based on mere possession. In other words, if a claim is secured by some form of collateral, it is considered a secured claim.
My claim is in the name of my business. What do I enter under “Date of Birth”?
This field may be left blank.
Special information for providers with policyholders in the following states:
Arizona, Mississippi, North Carolina, Ohio and Pennsylvania. Those state's Guaranty Associations have been triggered by the insolvency of UHCIC. They will be relying on information provided through the Receiver's POC process for evaluating claims and those states Guaranty Associations potential covered obligations. The five affected Guaranty Associations will evaluate and pay claims as submitted subject to Guaranty Association coverage limits and those states Guaranty Associations will then have a claim against the estate in place of the claimant to the extent of the affected Guaranty Association's payment.