Medical Groups Sue Payors for Underpayment of Out-of-Network Physicians

On March 25, 2009, following settlement of investigations brought by New York Attorney General Andrew Cuomo against United, Aetna, Cigna, WellPoint, and seven other payors (For a copy of the settlements, please click here) and class-action litigation filed by the American Medical Association against Aetna and Cigna (For a copy of the complaints, please click here), the American Medical Association, the California Medical Association, the Connecticut State Medical Society, the Medical Association of Georgia, and the North Carolina Medical Society have filed suit against WellPoint Inc. alleging that WellPoint underpaid out-of-network physicians, resulting in higher copayments being paid by patients and lower payments being paid to out-of-network physicians. A similar lawsuit was filed at the same time against WellPoint, UnitedHealth, Ingenix and Blue Cross by patients affected by out-of-network payment practices.

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