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: P.I.S.S.D. -- Personal Injury, Social Security Disability

UnitedHealth to Face Senate Tuesday

By Robert Kraft

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The AP reports, "Sen. Jay Rockefeller, chairman of the Senate Commerce, Science and Transportation Committee, wants answers at a hearing Tuesday from the chief executives of UnitedHealth Group Inc. and its subsidiary Ingenix Inc., a claims database used by insurers nationwide to calculate out-of-network rates." The inquiry follows lawsuits "alleging that UnitedHealth and Ingenix manipulated rate data so insurers had to pay less and patients more for out-of-network services." Typically, "when patients go out of network, their plan doesn't actually pay 70% of the doctor's visit cost. It pays 70% of what it determines is the 'usual, customary and reasonable' cost for the procedure or doctor's visit in question."

From the American Association for Justice news release.

Full post as published by P.I.S.S.D. -- Personal Injury, Social Security Disability on March 30, 2009 (boomark / email).

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