My wife recently had to go to the emergency room w...

My wife recently had to go to the emergency room with a broken wrist. After ER care and providing pain medication we were directed to a Doctor for followup. The Doctor showed to be 'in network' so we went to to see him on a Monday. Surgery was recommended for Thursday of the same week. The medical surgical facility showed to be 'in network' and a phone conversation with a UHSM rep confirmed it as such. However; beginning on Tuesday of the same week I had multiple conversations with the surgical facility and they declined to work with UHSM even though they showed to be in network and our only opportunity would be to 'self pay'. So my wife had need for surgery and this was the Doctors preferred facility to perform surgery at that he was most comfortable and he and the staff were familiar with. We went ahead with the surgery and as a result had to self pay which was quite an expense. On a separate but related note we had a follow-up on Wednesday, the 25th with the Doctor. He was quite pleased with my wife's progress and recommended a physical therapist going forward. The PT he recommended was once again 'in network' so we scheduled an appointment. That same afternoon a representative from the PT's billing department called me to let me know they had contacted UHSM and given the Tax ID info and based on discussion were deemed 'not in network'. So, the moral of my story is just because a provider shows to be 'in network' on the UHSM website does not mean the provider is obligated in any way to work with UHSM. In long term cases one may have time to shop around until someone is found but in a case such as my wife's where there is an urgent need to repair a broken bone and your into the 11th hour attempting to make a decision it is very disheartening to say the least!