Just saw this on LinkedIn from
Bryanne Johnson, CEO Lincoln Reimbursements
“Over the past few months, my team and I have been relentlessly pushing Optum and UnitedHealth Group for accountability on claim-processing failures, authorization denials, and contract discrepancies—issues that directly impact patient care and provider cash flow.
🔹 Unresolved Claim Processing Errors: Since September, we’ve sent multiple follow-ups to Optum regarding countless clinics facing severe financial distress due to incorrect claim processing. Despite resending claims 5–10 times, creating "claim projects", and submitting several spreadsheets in the format in which they've asked for, we’ve received no resolution. The lack of response is unacceptable, and we demand immediate corrective action.
🔹 Authorization Denials Due to System Errors: Clinics transitioning under new TINs should not face payment denials due to administrative missteps. Optum’s mismanagement of provider enrollments and location updates has caused unnecessary retroactive authorization battles, forcing clinics to fight for payments they are rightfully owed.
🔹 Mismatched Effective Dates & Contracting Issues: When Optum incorrectly flags provider locations as ‘closed’ before their official transition date, it creates unjust claim and authorization denials. Despite documented proof and multiple escalations, these issues persist, putting clinics in impossible financial situations.
🚨 UnitedHealth Group and Optum do better. Providers should not have to fight for months to get paid for services already rendered.
If your clinic is dealing with incorrect claim denials, credentialing and contracting inaccuracies, please reach out. ADVOCACY IN NUMBERS!”