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Hackensack Meridian Health, locked in a contract dispute with Aetna, has sent letters to the insurer's customers warning them that they may lose in-network coverage if the two sides can't reach a ...
The class action lawsuit alleges Aetna Health is claiming reimbursement it isn't entitled to when customers settle medical malpractice cases. Lawsuit claims insurer Aetna is wrongly taking money ...
NY health plans are directing mental health patients to "ghost" providers, forcing patients to skip care or pursue costly out-of-network providers.
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The EDI Health Care Claim Transaction Set (837) is used to submit health care claim billing information, encounter information, or both, except for retail pharmacy claims (see EDI Retail Pharmacy Claim Transaction). It can be sent from providers of health care services to payers, either directly or via intermediary billers and claims ...
The lawsuit, which has since been moved to federal court, names Aetna Health of Iowa and a collections firm, Rawlings Co. of La Grange, Kentucky, as defendants. An Aetna spokesperson declined to ...
Aetna Life Insurance Co. v. Lavoie, 475 U.S. 813 (1986), was a United States Supreme Court case in which the Court held the Due Process Clause requires state supreme court justices to recuse themselves from cases in which they have a direct, personal, substantial, and pecuniary interest in the outcome.
The deal keeps Providence providers from becoming out-of-network medical providers for some patients. Providence, Aetna reach deal to avoid health insurance lapse for 35,000 WA patients Skip to ...