El grupo propuesto de varios miles de pacientes alega que Cigna y su contrato de facturaci\u00f3n MultiPlan violaron ERISA al confabularse para pagar de menos los reclamos fuera de la red por tratamientos para trastornos por uso de sustancias. <\/p>\n\n\n\n
Como informa Law360: <\/p>\n\n\n\n
The proposed class said that for all claims at issue, Cigna verified to patients’ providers on the phone that claims for mental health and substance use disorder treatments would be reimbursed at what’s known as the “usual, customary and reasonable,” or UCR, rate. The UCR rate is a composite rate based on similar providers in the same geographic area. But when claims were later priced using a methodology of MultiPlan subsidiary Viant, reimbursements were calculated using much lower rates, the proposed class said, in a scheme that they allege violated the Racketeer Influenced and Corrupt Organizations Act.<\/p>\n\n\n\n
Napoli Shkolnik Asociado senior Wendy A. Mitchel<\/a>l representa la clase propuesta junto con otras firmas de abogados. <\/p>\n\n\n\n