Company Demographic Information | |
Name of Company: | UNIVERSAL HEALTH CARE, INC. |
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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 |
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.
Please complete the requested IRS W - 9 information and return by October 24, 2019.
No. Separate Proof-of-Claim forms are required for each company.
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.
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.
Please complete the Contact Us Form and the Receiver will mail you a Proof-of-Claim form.
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.
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.
No new claims will be accepted by the Receiver effective March 14, 2019. See
Related Documents to review Motion and Order.
Please complete the Contact Us Form and the Receiver will mail you a Proof-of-Claim form. For information on how to file your claim, click here.
Please complete the Contact Us Form and the Receiver will mail you a Proof-of-claim form.
Claims which were not paid will be considered as claims against the estate and processed by the Receiver.
Please complete the Contact Us Form and the Receiver will mail you a Proof-of-Claim form.
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 32303
Only 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
Payments made prior to October 12, 2021 should be sent to the following address:
Division of Rehabilitation & LiquidationEffective October 12, 2021, payments should be sent to the following address:
P.O. Box 865694
Orlando, FL 32886-5694
For Standard Payments Only:
State of Florida
Division of Rehabilitation & Liquidation
P.O. Box 946694
Atlanta, GA 30394-6694
For Express Payments Only:
Lockbox Services - #0865694
State of Florida
Division of Rehabilitation & Liquidation
3585 Atlanta Ave.
Hapeville, GA 30354
The following documents are provided as Adobe Acrobat PDF files and are best viewed using the free Adobe Acrobat reader software.
The following documents are provided as Adobe Acrobat PDF files and are best viewed using the free Adobe Acrobat reader software.
Date | Title | Size |
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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 |