Aetna is now facing another set of claims calling into question its determination and payment methodology for out-of-network reimbursement. On September 4, 2015, six surgical centers in Texas (Allied Center for Special...more
9/29/2015
/ Aetna ,
Ambulatory Surgery Centers ,
Denial of Benefits ,
Denial of Insurance Coverage ,
Employee Retirement Income Security Act (ERISA) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Insurance Industry ,
Life Insurance ,
Out-of-Pocket Expenses
On February 23, 2015, Aetna filed suit in Texas federal court against Robert A. Behar, M.D. and North Cypress Medical Center (North Cypress), alleging that Dr. Behar, the CEO of North Cypress, offered impermissible ownership...more
8/31/2015
/ Aetna ,
Breach of Duty ,
Contingency Fees ,
Employee Retirement Income Security Act (ERISA) ,
Fiduciary Duty ,
Healthcare ,
Healthcare Fraud ,
Hospitals ,
Insurance Industry ,
Lanham Act ,
Life Insurance ,
Malicious Prosecution ,
Out of Network Provider ,
Patient Referrals ,
Real Party in Interest ,
RICO ,
Tortious Interference
Aetna Life Insurance Company (Aetna) is going on the offensive against a Northwest Houston hospital with an out-of-network strategy. On February 23, 2015, Aetna filed suit in Texas federal court against Robert A. Behar, M.D....more