The allegations were similar to those that United resolved with New York. In that case, Mr. Cuomo alleged that United’s wholly-owned subsidiary, Ingenix, rigged the databases that health insurers rely upon to set the “reasonable and customary” rates they charge for out-of-network physician fees. United agreed to pay $50 million to fund a not-for-profit organization to create a new, independent health information billing database.
In a news release, United said the company and its affiliate entities will pay $350 million to health plan members and out-of-network providers who were allegedly shortchanged by Ingenix’s databases for claims dating to 1994. United settled without admitting wrongdoing.
Read an AMA news release about the UnitedHealth Group settlement.
Read a UnitedHealth Group news release about settling the out-of-network reimbursement lawsuit.
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