The independent dispute resolution (IDR) process is a voluntary forum for healthcare providers and health insurance issuers to resolve disputes about how much should be paid for out-of-network care. A GAO report found six of the top 10 initiating parties submitting emergency and non-emergency disputes were owned, at least in part, by...
Cigna contracts with MultiPlan, the largest PPO network in the country. The insurer was accused of intentionally underpaying provider claims and increasing administrative fees in a lawsuit filed in a Connecticut federal court.
The American Medical Association joined the Medical Society of New Jersey and the Washington State Medical...Arizona News
The Arizona Supreme Court ruled Monday that hospitals are not permitted to go after payments owed to a patient if they accept payments from the Arizona Health Care Cost Containment System (AHCCCS), the state's Medicaid program.
Sections of state law have previously authorized hospitals to impose liens on patients when AHCCCS...
