Texas Attorney General Ken Paxton has opened an investigation into UnitedHealth Group over care the insurer is accused of denying Texans. One example in the case is a patient who was told a procedure was approved and then received a large bill after the approval was withdrawn. His office announced the investigation on October 5, and says it has issued civil investigative demands to the company.
No court has ruled on any of this, and the announcement does not include a response from UnitedHealth. What it does describe is a patient who got a letter saying a service was approved, had the service, and then learned the approval no longer counted. Anyone who has a prior-authorization letter in hand, or who has been told no, has a reason to know what the paper trail should look like and how an appeal works…