$5061 for adjustment and recovery and are pending reimbursement. is any of this provided to us in writing? yes. it s included in ann hewitt s report. it s not in the analysis what you told us in terms of how many claims and the dollar values. is that included somewhere in it is. it s included in the last column in the tables pages 11-12 estimated group financial impact. it s the column. and the na is because you have determined it s annoy a systemic error. that s right. it s an error that we did not agree with or an error due to process or which was not systemic repeatable. i just want to make clear if you disagreed you did not do a financial analysis even though our auditors continue to disagree with you. you just said is we don t agree and we are not going to show you the numbers. correct. if we did not agree, we did not run a corrective analysis. we appreciate your opinion on the matter and would like to see the numbers on this. for future we would like
we did add one recommendation regarding a second review for claim denials over $10,000. we had one audit error over $200,000 denied in error. we are recommending a denial audit put in place. that was my recommendation. i can see why we would do that because someone was very unhappy that it was denied in error. so this is where the process is. so uhc, i m sorry i have forgotten your name, i apologize, does your report of the last time address this finding? rené marcus, united health care. i do have an update on this, i don t have it in writing as of yet. okay. why don t you give it to us orally and provide it later. so additional research investigation was conducted and i am happy to report that united health care does have an internal control in place for billed charges currently right now the threshold is $25,000 in claims and greater. if it goes 0 , it goes through a second review to ensure it was denied correctly. the recommendation that the threshold be low
multi-clarity base and there was a transparency resolution passed by the board of supervisors and that claims be moved to all payer s claims data base and in june the health service board approved the wellness plan and a key component of that wellness strategy of the wellness plan is the database. some of the work we ve been doing in items now coming in together. as we look at our milestones, i have already just called out some of the first few ones dating back in 2012 to 2013 and really we have spent all this year trying to realize that goal out of those resolutions, to that end we did in january of this year bring to the board our recommendation on the 205 budget which included the claims data base. in february of this year we included the blackout notice for the rfp and did release that in march. in june the wellness plan which is an integral part for our going forward strategy and also in june the rfp process wrapped up and we noted our notice of intent and we have spent
component of that wellness strategy of the wellness plan is the database. some of the work we ve been doing in items now coming in together. as we look at our milestones, i have already just called out some of the first few ones dating back in 2012 to 2013 and really we have spent all this year trying to realize that goal out of those resolutions, to that end we did in january of this year bring to the board our recommendation on the 205 budget which included the claims data base. in february of this year we included the blackout notice for the rfp and did release that in march. in june the wellness plan which is an integral part for our going forward strategy and also in june the rfp process wrapped up and we noted our notice of intent and we have spent direction negotiations with our vendor with being ready to bring that to you today. just an overview, what we are proposing here in our apcd overview is that our data sources we bring in will be our medical claims, pharmaceut
find out if you re affected. reporter: she s one of the concerned maker. her car s maker is among those that may contain the faulty air bags. air bag switch can inflate with too much force sending metal shards to passengers. it s very dangerous. reporter: 11 different automakers are involved. as many as one out of every four cars on the road may be impacted. the japanese made takata air bags are blamed for six deaths. other drivers have lost eyes and have smaller cuts. this new agreement expands the scope. up until now takata has refused to acknowledge their air bags are defective. i can imagine if i ever got into an accident. reporter: antonio, a ford driver is wondering if he ll be impacted be the faulty deployments have been worse in extremely humid climates. it may take several years to recall every car. reporter: while her car wasn t listed yesterday the feds say drivers should keep checking as data is updated in the coming weeks. you ll be waiting to see