UnitedHealthcare, NMHS to share data amid payment disputes

In an attempt to solve payment disputes, UnitedHealthcare and North Mississippi Health Services will share electronic payment information and research, Daily Journal reports.

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.  

More articles about payer issues:
Anthem BCBS launches new HMO plan in Connecticut: 4 things to know
Individual ACA health plan premiums to rise 16% in Wisconsin
NY State of Health exchange names 2017 insurers

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Top 40 articles from the past 6 months