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Legal Update - 10.7.15
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United Healthcare:

We have no real update at this time but if providers are still having issues with UHC taking money out of EOB’s please contact our office.



Our Court case is a week from today to continue the Class Action suit again Humana.  Our legal team feels very good about our argument.  We had a call with the team last week and they shared that a number of other national insurance companies have been writing letters of support to the court on behalf of Humana.  They state this is a positive thing because it shows this case has real merit if it is getting the attention of other companies.  We will have more of an update after the hearing.


If you are still having issues with Humana taking monies it is important that you appeal this decision.




We have yet to receive a response from the letter submitted by our legal team.  We did meet with our legal team and they will be issuing another letter and making a phone call to follow up on the first letter.


We have been informed another 4 states have submitted a similar letter to OPTUM.  This makes 11 States total fighting OPTUM on this change. We are hopeful that the unified effort of the profession will stop the adoption of this policy on November 1st.


We will keep our members informed as we know more.

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