Table: pcs_quarterly_received_claims , plan_name like O*

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qtr	year_str	plan_name	provider_type	nature_of_complaint	number_of_claims_received
1	2019	Orange County Health Authority	Hospital-Based Physician	Claims Payment Dispute	1
1	2019	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	2
1	2019	Orange County Health Authority	Hospital/Institutional	Dispute Resolution Problems	1
1	2019	Orange County Health Authority	Hospital/Institutional	Non-Contracted Providers	1
2	2019	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	1
2	2019	Orange County Health Authority	Pharmacy	Claims Payment Dispute	2
2	2019	Orange County Health Authority	Skilled Nursing Facility	Claims Payment Dispute	1
3	2019	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	11
3	2019	Orange County Health Authority	Skilled Nursing Facility	Dispute Resolution Problems	1
4	2019	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	1
4	2019	Orange County Health Authority	Hospital/Institutional	Dispute Resolution Problems	2
4	2019	Orange County Health Authority	Hospital/Institutional	Non-Contracted Providers	1
4	2019	Orange County Health Authority	Hospital/Institutional	Other	3
4	2019	Orange County Health Authority	Mental Health	Claims Payment Dispute	1
4	2019	Orange County Health Authority	Skilled Nursing Facility	Claims Payment Dispute	1
1	2020	Optum Health Plan of California	Hospital/Institutional	Claims Payment Dispute	1
1	2020	Orange County Health Authority	Home Health Services	Claims Payment Dispute	10
1	2020	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	3
1	2020	Orange County Health Authority	Other Specialist Providers	Other	1
1	2020	Orange County Health Authority	Skilled Nursing Facility	Dispute Resolution Problems	1
1	2020	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	1
2	2020	Orange County Health Authority	Home Health Services	Claims Payment Dispute	7
2	2020	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	1
2	2020	Orange County Health Authority	Other Ancillary Service Providers	Contractual Issues	5
2	2020	Orange County Health Authority	Skilled Nursing Facility	Claims Payment Dispute	3
3	2020	Orange County Health Authority	Ambulance	Claims Payment Dispute	1
3	2020	Orange County Health Authority	Durable Medical Equipment	Claims Payment Dispute	1
3	2020	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	1
3	2020	Orange County Health Authority	Skilled Nursing Facility	Claims Payment Dispute	1
3	2020	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	1
3	2020	Oscar Health Plan of California	Hospital/Institutional	Non-Contracted Providers	1
4	2020	Optum Health Plan of California	Hospital/Institutional	Claims Payment Dispute	1
4	2020	Optum Health Plan of California	OB/GYN	Claims Payment Dispute	1
4	2020	Optum Health Plan of California	Skilled Nursing Facility	Claims Payment Dispute	1
4	2020	Orange County Health Authority	Hospital/Institutional	Non-Contracted Providers	1
4	2020	Oscar Health Plan of California	Hospital/Institutional	Other	1
1	2021	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	1
1	2021	Orange County Health Authority	Hospital/Institutional	Dispute Resolution Problems	3
1	2021	Oscar Health Plan of California	Anesthesiology	Non-Contracted Providers	2
1	2021	Oscar Health Plan of California	Other Specialist Providers	Claims Payment Dispute	2
1	2021	Oscar Health Plan of California	Other Specialist Providers	Non-Contracted Providers	1
1	2021	Oscar Health Plan of California	Pharmacy	Claims Payment Dispute	4
2	2021	Optum Health Plan of California	Skilled Nursing Facility	Claims Payment Dispute	2
2	2021	Orange County Health Authority	Durable Medical Equipment	Claims Payment Dispute	1
2	2021	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	3
2	2021	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	1
2	2021	Oscar Health Plan of California	Hospital/Institutional	Non-Contracted Providers	3
2	2021	Oscar Health Plan of California	Mental Health	Other	7
3	2021	Orange County Health Authority	Hospital/Institutional	Non-Contracted Providers	1
3	2021	Orange County Health Authority	Internal Medicine	Non-Contracted Providers	1
3	2021	Orange County Health Authority	Other Specialist Providers	Claims Payment Dispute	1
3	2021	Orange County Health Authority	Other Specialist Providers	Dispute Resolution Problems	4
3	2021	Oscar Health Plan of California	Family/General Practice	Claims Payment Dispute	2
3	2021	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	6
3	2021	Oscar Health Plan of California	Hospital/Institutional	Non-Contracted Providers	10
4	2021	Orange County Health Authority	Home Health Services	Claims Payment Dispute	8
4	2021	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	1
4	2021	Oscar Health Plan of California	Ambulance	Non-Contracted Providers	2
4	2021	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	25
4	2021	Oscar Health Plan of California	Hospital/Institutional	Non-Contracted Providers	13
4	2021	Oscar Health Plan of California	Other Specialist Providers	Claims Payment Dispute	3
1	2022	Orange County Health Authority	Hospital/Institutional	Dispute Resolution Problems	1
1	2022	Orange County Health Authority	Other Ancillary Service Providers	Claims Payment Dispute	1
1	2022	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	33
1	2022	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	1
1	2022	Oscar Health Plan of California	Hospital/Institutional	Non-Contracted Providers	1
1	2022	Oscar Health Plan of California	Physical/Speech/Occupational Therapy	Dispute Resolution Problems	1
2	2022	Optum Health Plan of California	Mental Health	Claims Payment Dispute	12
2	2022	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	5
2	2022	Orange County Health Authority	Hospital/Institutional	Dispute Resolution Problems	2
2	2022	Orange County Health Authority	Hospital/Institutional	Non-Contracted Providers	1
2	2022	Orange County Health Authority	Other Ancillary Service Providers	Claims Payment Dispute	2
2	2022	Orange County Health Authority	Physical/Speech/Occupational Therapy	Contractual Issues	10
2	2022	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	4
2	2022	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	1
2	2022	Oscar Health Plan of California	Hospital/Institutional	Non-Contracted Providers	2
2	2022	Oscar Health Plan of California	Other Ancillary Service Providers	Claims Payment Dispute	1
2	2022	Oscar Health Plan of California	Other Ancillary Service Providers	Dispute Resolution Problems	1
2	2022	Oscar Health Plan of California	Other Specialist Providers	Claims Payment Dispute	7
2	2022	Oscar Health Plan of California	Other Specialist Providers	Non-Contracted Providers	1
2	2022	Oscar Health Plan of California	Pediatrics	Overpayment/Refund Request	2
3	2022	Orange County Health Authority	Durable Medical Equipment	Claims Payment Dispute	1
3	2022	Orange County Health Authority	Hospital-Based Physician	Dispute Resolution Problems	1
3	2022	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	3
3	2022	Orange County Health Authority	Other Ancillary Service Providers	Other	1
3	2022	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	5
3	2022	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	2
3	2022	Oscar Health Plan of California	Hospital/Institutional	Non-Contracted Providers	3
3	2022	Oscar Health Plan of California	Other Specialist Providers	Dispute Resolution Problems	1
4	2022	Optum Health Plan of California	Mental Health	Claims Payment Dispute	1
4	2022	Optum Health Plan of California	Skilled Nursing Facility	Dispute Resolution Problems	1
4	2022	Orange County Health Authority	Pharmacy	Claims Payment Dispute	2
4	2022	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	2
4	2022	Oscar Health Plan of California	Hospital/Institutional	Non-Contracted Providers	2
4	2022	Oscar Health Plan of California	Mental Health	Claims Payment Dispute	2
4	2022	Oscar Health Plan of California	Pediatrics	Claims Payment Dispute	1
1	2023	Optum Health Plan of California	Skilled Nursing Facility	Claims Payment Dispute	1
1	2023	Orange County Health Authority	Durable Medical Equipment	Non-Contracted Providers	5
1	2023	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	2
1	2023	Orange County Health Authority	Skilled Nursing Facility	Claims Payment Dispute	1
1	2023	Oscar Health Plan of California	Family/General Practice	Claims Payment Dispute	3
1	2023	Oscar Health Plan of California	Hospital/Institutional	Non-Contracted Providers	2
1	2023	Oscar Health Plan of California	Hospital/Institutional	Other	1
1	2023	Oscar Health Plan of California	Other Specialist Providers	Claims Payment Dispute	2
2	2023	Optum Health Plan of California	Hospital/Institutional	Non-Contracted Providers	1
2	2023	Orange County Health Authority	Ambulance	Claims Payment Dispute	1
2	2023	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	2
2	2023	Orange County Health Authority	Hospital/Institutional	Dispute Resolution Problems	1
2	2023	Orange County Health Authority	Hospital/Institutional	Non-Contracted Providers	2
2	2023	Orange County Health Authority	OB/GYN	Claims Payment Dispute	2
2	2023	Orange County Health Authority	Skilled Nursing Facility	Claims Payment Dispute	1
2	2023	Oscar Health Plan of California	Chiropractic	Claims Payment Dispute	8
2	2023	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	3
2	2023	Oscar Health Plan of California	Hospital/Institutional	Unknown	1
2	2023	Oscar Health Plan of California	Other Ancillary Service Providers	Claims Payment Dispute	3
2	2023	Oscar Health Plan of California	Other Specialist Providers	Claims Payment Dispute	2
2	2023	Oscar Health Plan of California	Pediatrics	Claims Payment Dispute	2
3	2023	Optum Health Plan of California	Hospital/Institutional	Claims Payment Dispute	2
3	2023	Optum Health Plan of California	Pediatrics	Dispute Resolution Problems	1
3	2023	Orange County Health Authority	Hospital-Based Physician	Overpayment/Refund Request	1
3	2023	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	2
3	2023	Orange County Health Authority	Other Ancillary Service Providers	Claims Payment Dispute	4
3	2023	Orange County Health Authority	Other Ancillary Service Providers	Dispute Resolution Problems	2
3	2023	Orange County Health Authority	Other Specialist Providers	Claims Payment Dispute	1
3	2023	Orange County Health Authority	Skilled Nursing Facility	Claims Payment Dispute	1
3	2023	Oscar Health Plan of California	Chiropractic	Overpayment/Refund Request	4
3	2023	Oscar Health Plan of California	Durable Medical Equipment	Claims Payment Dispute	1
3	2023	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	2
3	2023	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	2
4	2023	Optum Health Plan of California	Hospital/Institutional	Claims Payment Dispute	1
4	2023	Orange County Health Authority	Ambulance	Claims Payment Dispute	1
4	2023	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	9
4	2023	Orange County Health Authority	Other Ancillary Service Providers	Claims Payment Dispute	2
4	2023	Orange County Health Authority	Skilled Nursing Facility	Claims Payment Dispute	1
4	2023	Oscar Health Plan of California	Family/General Practice	Other	1
4	2023	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	2
4	2023	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	2
1	2024	Optum Health Plan of California	Hospital/Institutional	Claims Payment Dispute	1
1	2024	Optum Health Plan of California	Hospital/Institutional	Non-Contracted Providers	1
1	2024	Optum Health Plan of California	Other Specialist Providers	Claims Payment Dispute	1
1	2024	Orange County Health Authority	Ambulance	Claims Payment Dispute	1
1	2024	Orange County Health Authority	Hospital-Based Physician	Claims Payment Dispute	1
1	2024	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	2
1	2024	Oscar Health Plan of California	Ambulance	Non-Contracted Providers	1
1	2024	Oscar Health Plan of California	Durable Medical Equipment	Claims Payment Dispute	1
1	2024	Oscar Health Plan of California	Family/General Practice	Other	1
1	2024	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	2
1	2024	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	2
1	2024	Oscar Health Plan of California	Hospital/Institutional	Non-Contracted Providers	1
1	2024	Oscar Health Plan of California	Other Specialist Providers	Claims Payment Dispute	2
1	2024	Oscar Health Plan of California	Other Specialist Providers	Dispute Resolution Problems	2
1	2024	Oscar Health Plan of California	Pediatrics	Claims Payment Dispute	2
2	2024	Optum Health Plan of California	Other Specialist Providers	Claims Payment Dispute	1
2	2024	Optum Health Plan of California	Pharmacy	Claims Payment Dispute	1
2	2024	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	8
2	2024	Orange County Health Authority	Skilled Nursing Facility	Claims Payment Dispute	1
2	2024	Orange County Health Authority	Skilled Nursing Facility	Contractual Issues	1
2	2024	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	1
2	2024	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	2
2	2024	Oscar Health Plan of California	Hospital/Institutional	Non-Contracted Providers	2
3	2024	Optum Health Plan of California	Ambulance	Claims Payment Dispute	1
3	2024	Optum Health Plan of California	Hospital/Institutional	Claims Payment Dispute	12
3	2024	Optum Health Plan of California	Hospital/Institutional	Non-Contracted Providers	1
3	2024	Optum Health Plan of California	Other Specialist Providers	Claims Payment Dispute	1
3	2024	Optum Health Plan of California	Pediatrics	Non-Contracted Providers	1
3	2024	Orange County Health Authority	Hospital-Based Physician	Claims Payment Dispute	1
3	2024	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	64
3	2024	Orange County Health Authority	Internal Medicine	Claims Payment Dispute	2
3	2024	Orange County Health Authority	Other Specialist Providers	Claims Payment Dispute	2
3	2024	Orange County Health Authority	Skilled Nursing Facility	Dispute Resolution Problems	2
3	2024	Oscar Health Plan of California	Durable Medical Equipment	Claims Payment Dispute	2
3	2024	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	1
3	2024	Oscar Health Plan of California	Physical/Speech/Occupational Therapy	Claims Payment Dispute	2
4	2024	Optum Health Plan of California	Hospital/Institutional	Non-Contracted Providers	2
4	2024	Orange County Health Authority	Ambulance	Claims Payment Dispute	4
4	2024	Orange County Health Authority	Ambulance	Non-Contracted Providers	8
4	2024	Orange County Health Authority	Hospital-Based Physician	Claims Payment Dispute	1
4	2024	Orange County Health Authority	Hospital-Based Physician	Dispute Resolution Problems	1
4	2024	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	72
4	2024	Orange County Health Authority	Mental Health	Claims Payment Dispute	1
4	2024	Oscar Health Plan of California	Hospital/Institutional	Other	1
4	2024	Oscar Health Plan of California	Other Specialist Providers	Claims Payment Dispute	1
1	2025	Optum Health Plan of California	Ambulance	Claims Payment Dispute	1
1	2025	Optum Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	1
1	2025	Optum Health Plan of California	Other Specialist Providers	Claims Payment Dispute	1
1	2025	Orange County Health Authority	Ambulance	Claims Payment Dispute	126
1	2025	Orange County Health Authority	Ambulance	Dispute Resolution Problems	1
1	2025	Orange County Health Authority	Anesthesiology	Claims Payment Dispute	1
1	2025	Orange County Health Authority	Hospital/Institutional	Claims Payment Dispute	17
1	2025	Orange County Health Authority	Hospital/Institutional	Other	1
1	2025	Orange County Health Authority	Other Specialist Providers	Claims Payment Dispute	1
1	2025	Orange County Health Authority	Skilled Nursing Facility	Claims Payment Dispute	20
1	2025	Oscar Health Plan of California	Hospital/Institutional	Claims Payment Dispute	1
1	2025	Oscar Health Plan of California	Hospital/Institutional	Dispute Resolution Problems	1
1	2025	Oscar Health Plan of California	Hospital/Institutional	Other	1