header-left
File #: 2656-2021    Version: 1
Type: Ordinance Status: Passed
File created: 10/6/2021 In control: Administration Committee
On agenda: 10/25/2021 Final action: 10/27/2021
Title: To authorize the Director of Human Resources to enter into a settlement agreement with United HealthCare Services, Inc.; to accept funds in the amount of $120.00; and to declare an emergency.
Attachments: 1. 100421 UHCRx settlement UHC signed, 2. 2656-2021 United Health Care settlement attachment 2020 UHCRx audit

Explanation

BACKGROUND:
In 2021, it was discovered that United HealthCare Services, Inc., through an audit process, had overcharged the City of Columbus as it pertained to copayments from February 1, 2020 through January 31, 2021.
United HealthCare Services, Inc. paid claims incorrectly when copayments were pursued that resulted in overpayments by the City between February 1, 2020 through January 31, 2021. United HealthCare Services, Inc., has agreed to issue payment to the City in the amount of One Hundred Twenty Dollars ($120.00), representing a refund for the overpayments during that period,

It is in the City’s best interest to enter into a Settlement Agreement with United HealthCare Services, Inc. and accept payment in order to resolve this issue.

Emergency action in being requested so that this settlement payment of $120.00 from United HealthCare Services, Inc. can be deposited by the Treasurer into the Employee Benefits Fund (5502) in order to correct an overcharge error and allowing the transaction to be finalized at the earliest possible time.

FISCAL IMPACT: This ordinance authorizes a deposit of $120.00 to be accepted by the Treasurer and deposited into Fund 5502, the Employee Benefits Fund.

Title
To authorize the Director of Human Resources to enter into a settlement agreement with United HealthCare Services, Inc.; to accept funds in the amount of $120.00; and to declare an emergency.

Body

WHEREAS, it was discovered that United HealthCare Services, Inc. had overcharged the City of Columbus as it pertained to copayments from February 1, 2020 through January 31, 2021; and

WHEREAS, United HealthCare Services, Inc. will issue payment to the City in the amount of $120.00 in order to settle the overpayments made by the City for the period February 1, 2020 through January 31, 2021;
and,

WHEREAS, an emergency exists in the usual daily operation of the Department of Human Resources in that it is immediately necessary to authorize the Directo...

Click here for full text