Cigna class action suit (USA reimbursement)

Cigna class action suit (USA reimbursement)

1/25/2005

Hi Everyone,



I received in the mail today info concerning the settlement of a class
action lawsuit filed against Cigna. The settlement covers claims filed
from 1-1-90 through 12-29-04. Within the language, orthotists and
prosthetists are specifically stated (can you believe it?)! You can get
more info from the Settlement Administrator at (888) 230-9905 or go to
www.cignaprovidersettlement.com
< <URL Redacted>> .



I am in region B, but I wonder how and if this will affect Cigna's
relationship with the region D DMERC? I'd love to get your input and
keep this thread going. I hope this is a small win for the good guys
(us)!



This litigation is generally about:

            - ...edits to unilaterally bundle, down code and/or
reject claims for medically necessary services

             - Failing and/or refusing to recognize CPT modifiers;

             - Misrepresenting and/or refusing to disclose applicable
fee schedules;

             - Failing to pay claims for medically necessary covered
services.

             - .failing to disclose the use of appropriate or unsound
criteria to calculate payments. (you get the idea)



Have a great day!



Lisa Schoonmaker, CPO











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