NMMC said the lawsuit will not affect the interim agreement. Rather, NMMC’s filing of the lawsuit in the Lee County Circuit Court is one of many actions the hospital is taking against UnitedHealthcare over the payment disputes, according to a statement the hospital released Tuesday to Daily Journal.
The temporary agreement, effective until May 31, will allow more than 50,000 UnitedHealthcare policyholders to access NMMC services at in-network prices. Under the agreement, UnitedHealthcare agreed to reimburse NMMC at in-network rates, while NMMC will accept the payer’s payments in full sans balance billing.
In early October, the health system revealed its plans to sever ties with UnitedHealthcare over the payer’s “failure to accurately and fairly reimburse” member services as agreed upon in its provider participation agreement.
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