In April the Tupelo, Miss.-based health system found $0 electronic payments from UnitedHealthcare, a discrepancy that could extend back years. In September, UnitedHealthcare proposed hiring a third-party reviewer to assess the data, though NMHS declined.
Both parties agreed to share information directly, according to the report. However, UnitedHealthcare said it has not received needed data, hindering a potential resolution.
The decision to share information follows NMHS’ newspaper ad revealing its plans to sever ties with the Minnetonka, Minn.-based payer over “failure to accurately and fairly reimburse” member services, the ad reads.
An unmet resolution between NMHS and UnitedHealthcare could leave about 7 percent of NMHS’ patients out of network with the provider when contracts end in 2017.
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