Claims & Litigation
The Department of Labor July 31 sued a third-party administrator owned by UnitedHealth Group in the U.S. District Court for the Western District of Wisconsin, alleging it improperly denied claims for emergency services and urinary drug screening since 2015.
The New Hampshire Hospital Association recently released a report highlighting the challenges New Hampshire hospitals and health systems face in dealing with Anthem, the state’s largest insurance provider, including nearly $300 million in unprocessed claims for services provided by New Hampshire…
An arbitrator has ordered that Anthem Insurance Company, Inc. (“Anthem”) pay a group of 11 acute care hospitals in Indiana (“hospitals”) $4.5 million as compensation for adopting a policy of processing claims for emergency services that the arbitrator found is a “clear” violation of federal and…
The Department of Justice this week issued formal guidance on how it awards credit to defendants who cooperate during a False Claims Act investigation.