UNIVERSAL HEALTH CARE, INC.
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Company Demographic Information Name of Company: UNIVERSAL HEALTH CARE, INC. Case Number: 2013 CA 000375 Guaranty Association: None Type of Coverage: Health Maintenance Organization State of Domicile: Florida Status of Receivership: Liquidation Important Receivership Dates Date of Rehabilitation: March 21, 2013 Date of Liquidation: April 01, 2013 Policy Cancellation Date: April 01, 2013 Claims Filing Deadline: June 30, 2014 Objection Deadline: See Below -
Notice of Receivership
Effective March 21, 2013, Universal Health Care, Inc. ("UHC") was ordered into receivership for purposes of rehabilitation by the Second Judicial Circuit Court in Leon County, Florida. The Florida Department of Financial Services, Division of Rehabilitation and Liquidation, is the court appointed Receiver of UHC. Effective April 1, 2013, pursuant to the Court Order, UHC automatically moved into receivership for purposes of liquidation. -
Background Information
UHC was licensed as a health maintenance organization in Florida. The company had approximately 40,000 Medicare members, approximately 60,000 Medicaid members and approximately 1,400 Nursing Home Diversion Program members as of February 2013. It was a Florida corporation which was licensed in February 2003 and was headquartered in St. Petersburg, Florida.
Medicare and Medicaid contracts and premiums are administered through the federal Centers for Medicare and Medicaid Services (CMS). The Nursing Home Diversion Program is administered through the Florida Department of Elder Affairs (Elder Affairs). The Florida Department of Financial Services is working with CMS and the Florida Agency for Health Care Administration (AHCA) to assist in the efforts to provide a smooth transition for Universal Health Care’s members to other Medicare/Medicaid providers.
Please Note: Universal Health Care, Inc. has an affiliated Life and Health Insurance Company – Universal Health Care Insurance Company (UHCIC) – which is also subject to this receivership action. See the Receiver's UHCIC website for more information. -
Distribution
On November 26, 2019, the Florida Department of Financial Services mailed 902 distribution checks representing payment to Secured Medicaid claims (at 66.75%) and Nursing Home Diversion claims (at 100%). Please deposit these ASAP. Checks are good for 60 days from date of the check. A letter of Instructions was enclosed with each check.
Secured claims are those claims that are covered by restricted account funds with the purpose of paying eligible claims. Both Medicaid and Nursing Home Diversion Claims involve secured accounts. Once the funds in the secured account(s) are exhausted, any remaining claim amount is considered a claim in the applicable non-secured claim classification as outlined in F.S. 631.271 Priority of Claims.
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I recevied a letter Requesting information for a IRS W-9 from. What do I do?
Please complete the requested IRS W - 9 information and return by October 24, 2019.
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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.
For information on how to file your claim, click here. -
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.
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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 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.
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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 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.
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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. -
What checks were mailed on November 26, 2019?
On November 26, 2019, the Florida Department of Financial Services mailed 902 distribution checks representing payment to Secured Medicaid claims (at 66.75%) and Nursing Home Diversion claims (at 100%). Checks are good for 60 days from 11/26/2019, please cash or deposit these checks as soon as possible. A letter of Instructions was included with each payment.
Secured claims are those claims that are covered by restricted account funds with the purpose of paying eligible claims. Both Medicaid and Nursing Home Diversion Claims involve secured accounts. Once the funds in the secured account(s) are exhausted, any remaining claim amount is considered a claim in the applicable non-secured claim classification as outlined in F.S. 631.271 Priority of Claims.
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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. Please refer to the remittance advices for detail on the payment.
For Medicaid claims, the Secured funds available allowed for 66.75% of the total value of your claim to be paid now, the balance (33.25%) will be paid in a later distribution.
For Nursing Home Diversion (NHD) claims, the Secured funds available allowed for 100% of the total value of your claim to be paid now.
In November 2019, checks were mailed on all Medicaid and Nursing Home Diversion claims as outlined in the FAQ above titled: "What checks were mailed on November 26, 2019?".
Medicare claims, and the remaining balance on Medicaid claims, will be paid in a later distribution, pro-rated based on the funds available for distribution.
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Is there a deadline for cashing the Distribution check mailed in November 2019?
Yes, 60 days from date of the check. Funds related to any uncashed check after the deadline will be submitted to the Bureau of Unclaimed Property. -
Court Ordered Claims Filing Bar Date Established
No new claims will be accepted by the Receiver effective March 14, 2019. See Related Documents to review Motion and Order.
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I am a provider and need to file a claim. Where do I obtain a Proof-of-Claim form and filing instructions?
Please complete a "Contact Us Form" and the Receiver will mail you a Proof-of-Claim form. For information on how to file your claim, click here.
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I am a former subscriber and need to file a claim. Where do I obtain a Proof-of-Claim form and filing instructions?
Please complete a "Contact Us Form" and the Receiver will mail you a Proof-of-claim form.
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I am owed money for services provided before UHC was ordered into liquidation. What is the procedure for payment of these claims?
Claims which were not paid will be considered as claims against the estate and processed by the Receiver.
Please complete a "Contact Us Form" and the Receiver will mail you a Proof-of-Claim form.
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If my company can’t pay my claim, is there a guaranty association that will pay it for me?
No. These types of products, Medicare/Medicaid Advantage Plans, are not covered under the state’s Health Maintenance Organization Consumer Assistance Plan Guaranty Association. These claims will be considered as claims against the estate of UHC and processed by the Receiver. A proof of claim form will be provided at a later date. -
I have been authorized for medical service. Will the authorization be honored?
Medical authorizations issued to or for UHC policyholders will be honored. -
Can Providers seek payment from former members for debt owed by UHC for medical services?
No. Under Section 641.3154, Florida Statutes, HMO subscribers are not liable to any provider of health care services for any services covered by the HMO. Additionally, health care providers and their representatives are prohibited from attempting to collect payment from the HMO subscribers for such services. If you are contacted by a health care provider for such payment, you should inform the provider of this law. -
CONTACT INFORMATION: (Florida HMO Only)
For Medicare information: Consumers needing more information regarding Medicare or other Medicare Advantage plans, should visit www.medicare.gov or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.
For Medicaid information: Consumers needing more information regarding Medicaid plans should visit ahca.myflorida.com or call 1-866-454-3959 or 1-866-467-4970 (TDD) if in Broward, Baker, Clay, Duval and Nassau Counties. Medicaid recipients in all other counties should call 1-888-367-6554.
For Nursing Home Diversion Program: Consumers needing more information regarding the Nursing Home Diversion Program should visit http://elderaffairs.state.fl.us/index.php or call 1-800-963-5337.
For Receivership information: Information regarding the receivership of Universal Health Care including copies of all relevant court orders is available on the Receiver's website, www.myfloridacfo.com/division/receiver. Consumers may also call the Florida Department of Financial Services at 1-800-882-3054 (Florida only) or 850-413-3081.
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Important Notice to Providers Regarding Universal Health Care, Inc. (UHC), in Receivership
The claim filing deadline has passedThe claim filing deadline was 11:59 P.M. June 30, 2014 -
Proof-of-Claim Filing Instructions
Please take time to read the Frequently Asked Questions that may help you with the filing of your claim.
If you do not have a Proof-of-Claim form, you may request one using the Contact Us link. To ensure receipt of your Proof of Claim form, please return the form using Certified mail, return receipt requested.
Note: POC forms must have been submitted to the Receiver before the claim filing deadline of June 30, 2014 in order to be considered timely filed. All POCs received after the claim filing deadline may be considered "late filed" in accordance with Florida Statutes.
POCs and supporting documentation should be mailed to:
Florida Department of Financial Services, Receiver
325 John Knox Road, Atrium Building, Suite 101
Tallahassee, FL 32303Only one POC should be completed per each unique National Provider Identifier (NPI). (A claim is the aggregate amount due to a provider or billing entity for outstanding charges for services provided on or before the date of liquidation).
Claims can only be submitted by the entity who owns the NPI on file with the Centers for Medicare and Medicaid Services (CMS). If any distribution is made in this estate to medical providers, the checks will be issued only to NPI owners. The receiver claim number ("RCN") was assigned to the NPI owner.
Medical claim forms that are forwarded to PayerFusion should also show the NPI number for the provider that rendered service to the member. For questions regarding submission of the POC, please review the instructions included or contact the Receiver at this link: Contact Us.
Medical Claims Evaluation Equitable Methodology: In an effort to apply an equitable and cost efficient methodology to every claim and to treat all medical provider claims equally, the rates used represent standard Medicare rates. Regardless of any other prior existing contracts or fee schedules all eligible medical claims were evaluated at 100% of 2013 applicable regional Medicare rates and Medicare coverage and billing guidelines. Unbundled line items in a claim that do not meet Medicare Correct Coding Initiative Guidelines will be repriced to zero.
Please remember that pursuant to state and federal law and/or the terms of your contract, providers are prohibited from balance billing managed care enrollees.
The Claim Filing Deadline has passed.
The claim filing deadline was 11:59 P.M. June 30, 2014
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The following documents are provided as Adobe Acrobat PDF files and are best viewed using the free Adobe Acrobat reader software.
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The following documents are provided as Adobe Acrobat PDF files and are best viewed using the free Adobe Acrobat reader software.
Court Documents
Notices
Date Title Size 11/22/2019 Distribution Notice - Check Insert 38K 12/20/2013 Interim Notice to Providers 42K 08/07/2013 Notice to HMO Provider 64K 04/05/2013 Notice to Agents Regarding Liquidation 90K 04/05/2013 Notice to Agents - Spanish Version 142K 03/29/2013 Notice to Providers - Spanish Version 68K 03/29/2013 Notice to Providers Regarding Liquidation 86K 03/26/2013 Notice to Members - Spanish Version 136K 03/26/2013 Notice to Members Regarding Liquidation 89K
Company Information
Frequently Asked Questions
Claims Information
Contact Information
Provider Information
Financial Statements
Related Documents
DIVISION DIRECTOR
Toma Wilkerson
325 John Knox Road
Atrium Building, Suite 101
Tallahassee, FL 32303
1-800-882-3054