Health Care Company Files Complaint Asking Aetna To Cover Claims After It Alleged Previous Overpayment lawstreetmedia.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from lawstreetmedia.com Daily Mail and Mail on Sunday newspapers.
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January 5, 2021 On Monday in the Eastern District of New York, Judge Denis R. Hurley granted in part and denied in part a motion by Aetna Health Inc. and Aetna Health Insurance Company to dismiss allegations by Neurological Surgery PC (NSPC) that Aetna underpaid or denied full payment on 200 claims for medical services to Aetna health plan beneficiaries.
The plaintiff, “the largest private neurosurgery practice on Long Island and in the New York tri-state area,” is “out-of-network” with Aetna, which means that when Aetna plan members receive medical services from NSPC, Aetna bills the plaintiff “usual, customary, and reasonable charges for the services rendered, less any co-payment, co-insurance, member out-of-pocket, or deductible amounts,” according to the Aug. 30, 2019 complaint. Aetna members may still be treated at NSPC and sometimes are eligible for claim coverage despite being out of network. NSPC argued in its complaint that “Aetna has
AM Best Affirms Credit Ratings of CVS Health Corporation's Aetna Subsidiaries businesswire.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from businesswire.com Daily Mail and Mail on Sunday newspapers.
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AM Best has affirmed the Financial Strength Rating (FSR) of A (Excellent) and the Long-Term Issuer Credit Ratings (Long-Term ICR) of “a” of Aetna Life Insurance Company (ALIC) (Hartford, CT) and the other operating entities of Aetna Inc. (Aetna) that are now wholly owned subsidiaries of CVS Health Corporation (CVS Health) [NYSE: CVS]. These entities include the members of Aetna Health & Life Group. Concurrently, AM Best has affirmed the FSR of A- (Excellent) and the Long-Term ICR of “a-” Aetna Insurance Company Limited
(AICL) (United Kingdom). The outlook of these Credit Ratings (ratings) is stable. Please see below for a detailed listing of the companies.