• Magazine
    • Past Issues
    • Subscribe
    • Change Mailing Address
    • Surveys
    • Guidelines for Authors
    • Editorial Calendar
    • Editorial Deadlines
  • Practice
    • Business Tips
    • Chiropractic Schools
    • Clinical & Technique
    • eBooks
    • eCourses
    • Infographics
    • Quizzes
    • Wellness & Nutrition
    • Personal Growth
    • Podcast
  • Resource Centers
  • Products & Services
    • Buyer’s Guide
    • Products Directory
    • Submit a Product
    • Vendor Login
  • Datebook
    • Become an Events Poster
    • Post an Event
    • View Events
  • Jobs
    • Jobs
    • Post a Job
  • Advertise
    • Advertising Information
    • Media Kit
    • Contact Us
    • Upload Advertising

Your Online Chiropractic Community

Chiropractic Economics Your Online Chiropractic Community
Subscribe
  • Home
  • Current Issue
  • News
  • Webinars
  • Chiropractic Research
  • Students
  • Coronavirus (COVID-19)

New York investigates insurance scheme

Chiropractic Economics March 20, 2008

March 6, 2008 – ­­­New York Attorney General Andrew Cuomo announced he is conducting an industry-wide investigation into a possible scheme by health insurers to defraud consumers by manipulating reimbursement rates.

The investigation will focus on Ingenix Inc., the nation’s largest provider of healthcare billing information, which allegedly serves as a conduit for rigged data to the largest insurers in the country.

Cuomo has issued 16 subpoenas to the nation’s largest health insurance companies including Aetna, CIGNA, and BlueCross BlueShield, and intends to file suit against Ingenix, as well as parent company UnitedHealth Group. Cuomo claims Ingenix operates a defective and manipulated database that many major health insurance companies use to set reimbursement rates for out-of-network medical expenses.

Cuomo’s investigation discovered that United insurers knew most simple doctor visits cost $200, but claimed to their members the typical rate was only $77. The insurers then applied the contractual reimbursement rate of 80 percent, covering only $62 for a $200 bill, leaving the patient to cover the $138 balance.

Source: Office of New York State Attorney General, www.oag.state.ny.us/home.html

Related Posts

  • New York investigates insurance schemeNew York investigates insurance scheme
  • Are you prepared? ICD-10 is coming soonAre you prepared? ICD-10 is coming soon
  • CMS: Mandatory NPI useCMS: Mandatory NPI use
  • 17 dos and don’ts of coding and compliance17 dos and don’ts of coding and compliance
  • MedLink Acquires 100% of Anywhere MDMedLink Acquires 100% of Anywhere MD
  • Top five benefits of using practice management softwareTop five benefits of using practice management software

Filed Under: News, Practice Management Software, Resource Center

Current Issue

Follow Us

  • Facebook
  • Twitter
  • Instagram
  • LinkedIn
  • YouTube logoYouTube logoYouTube

820 A1A N Highway W18,

Ponte Vedra Beach, FL 32082

Phone 904.285.6020

Fax 904.395.9118

CONTACT US »

Privacy Policy & Terms of Service

Copyright © 2021, All Rights Reserved

SUBSCRIBE TO THE MAGAZINE

Get Chiropractic Economics magazine
delivered to your home or office. Just
fill out our form to request your FREE
subscription for 20 issues a year,
including two annual Buyers Guides.

SUBSCRIBE NOW »

Latest Chiropractic News

  • Troy Healthcare debuts clinically-validated topical migraine and headache formula
  • Colorado allows chiropractors to give COVID-19 vaccine shots
  • American Chiropractic Association lauds U.S. Congress passing fair competition health legislation
    The American Chiropractic Association (ACA) lauded the U.S. Congress for passing legislation that will promote fair competition in health...