Aetna Settlements (Awake!)

July 25, 2007

insurance

Hot off the presses, plus I wanted to stop picking so much on UHC/Oxf.

AETNA PENALIZED $9.5 MILLION AND ORDERED TO PAY REPARATIONS TO
OUT-OF-NETWORK PROVIDERS

This week the New Jersey Department of Banking & Insurance (DOBI) fined Aetna almost $9.5 million for its attempt to pay certain out-of-network providers what it deemed a "fair" amount 125% of Medicare rather than the providers' billed charges. DOBI also ordered Aetna to directly pay the affected providers' billed charges, in reparation, for certain services rendered out-of-network. The $9,457,500 total penalty is among the largest that DOBI has ever levied against a healthcare insurer...

Read the rest at the MSNJ site. Great work!

You can read the full thing on NJ Department of Banking and Insurance's site.

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Aetna Settlements (Awake!)

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