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|United HealthCare Out of Network Ingenix Class Action Lawsuit Settlement|
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Class Action Lawsuit Settlement Case(s): The American Medical Association v. United HealthCare Corporation Case No. 00 Civ. 2800 (LMM) (GWG) in the United States District Court for the Southern District of New York
Company(ies): UNITED HEALTHCARE CORPORATION n/k/a UNITEDHEALTH GROUP, UNITED HEALTHCARE INSURANCE COMPANY, UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK, INC.,UNITED HEALTHCARE OF THE MIDWEST, INC., UNITED HEALTHCARE SERVICES, INC., UNITED HEALTHCARE SERVICES OF MINNESOTA, INC., UNITED HEALTHCARE SERVICES CORPORATION, INGENIX, INC., METROPOLITAN LIFE INSURANCE COMPANY, AMERICAN AIRLINES, INC., OXFORD HEALTH PLANS, INC., OXFORD HEALTH PLANS LLC, OXFORD HEALTH PLANS (NJ), INC., OXFORD HEALTH PLANS (NY), INC., AND OXFORD HEALTH INSURANCE
Website Link to access the Class Action Lawsuit Settlement and get YOUR Stake (DOWNLOAD CLAIM FORM HERE): www.berdonclaims.com
Address of Class Action Lawsuit Settlement Administrator to submit a claim form (REQUIRED):
United Healthcare Class Action Litigation
c/o Berdon Claims Administration LLC
P.O. Box 15000
Jericho, NY 11853-0001
Fax: (516) 222-0271
Details: The United HealthCare Out of Network/Ingenix class action lawsuit settlement was filed by health plan subscribers and beneficiaries against United Healthcare Corporation (n/k/a UnitedHealth Group) (“UHC”) and its subsidiaries and affiliates has been settled for $350 million. The United HealthCare Ingenix Settlement resolves lawsuits over the way UHC pays claims when members of UHC’s health insurance plans use out-of-network medical providers for covered healthcare benefits. The action claims that UHC issued inadequate reimbursements to its members for Covered Services provided by Out-of-Network Providers by using the Ingenix databases and/or other protocols or methods, referred to as Seven Out-of-Network Reimbursement Policies. UHC denies the factual allegations and legal claims asserted by the Plaintiffs and denies any wrongdoing or liability.
What can you get out of the United HealthCare Out of Network class action lawsuit? The Settlement provides both monetary and non-monetary benefits to the members of the Class. The Settlement establishes a Cash Settlement Fund in the amount of $350 million. Proceeds from the fund will be issued in accordance with the Plan of Allocation. The Plan of Allocation is a set of formulas that determine each claimant’s proportionate share of the settlement proceeds. Also, as part of the Settlement, UHC will initiate certain business practices for the benefit of Class Members.
There are multiple claim groups in the United HealthCare Out of Network class action lawsuit. The claim groups are below:
Group A claim is a simplified type of claim where the claimant is required to provide only the number of years, during the period from 1994 through 2009, that he/she were a member of any Defendant’s healthcare plan that included provisions for Covered Out-of-Network Services or Supplies. Group A claimants do not need to provide supporting documentation. A Subscriber who elects to make a Group A claim may not elect to be included in any other group.
Please see the www.berdonclaims.com for more information.
Group B claims are if you received a bill from your Provider for the amount that was not paid by the insurer, and paid it in full, you may have a Group B claim. If you paid only a portion of that bill, you may have both, Group B and Group C claims. Your Group B claim, in that case, would be based on the paid portion of that bill. Please see www.berdonclaims.com for more information.
Group C claims are if you received a bill from your Provider for the amount that was not paid by the insurer, and paid nothing, you may have a Group C claim. If you paid only a portion of that bill, you may have both, Group B and Group C claims. Your Group C, in that case, claim would be based on the unpaid portion of that bill. Please see www.berdonclaims.com for more information.
Group D claims are if you are a Provider and issued a bill to your patient for the amount that was not paid by the insurer, and the patient failed to pay the bill in part or in full, you may have a Group D claim. Your Group D claim is based on the unpaid portion of that bill. Please see www.berdonclaims.com for more information.
You will need to submit supporting documentation for come claims in the United HealthCare Out of Network class action lawsuit. The documentation requirements will vary based on the type of claim you are planning to make.
For each out-of-pocket payment, provide copies of:
- canceled check; or
- receipt for cash payments; or
- invoices from your Out-of-Network Provider(s) indicating your payment(s); or
- internal accounting records from your Out-of-Network Provider reflecting your payment(s); and
- Explanation of Benefits (“EOB”) or other documentation demonstrating that your Provider(s) was/were Out-of-Network and rendered Covered Out-of-Network Services or Supplies. You only need to provide an EOB for Covered Out-of-Network Services and Supplies that did not appear on the report you received from the Claims Administrator.
For each unpaid Adjusted Bill, provide copies of:
- Adjusted Bill issued by your Out-of-Network Provider; or
- Evidence from your Out-of-Network Provider’s records that an Adjusted Bill was sent to you; and
- EOB or other documentation demonstrating that your Provider(s) was/were Out-of-Network and rendered Covered Out-of-Network Services or Supplies. You only need to provide an EOB for Covered Out-of-Network Services and Supplies that did not appear on the report you received from the Claims Administrator.
For each unpaid Adjusted Bill that was submitted to a collection agency or reported to a credit agency, provide a copy of:
- a written notice from a collection agency; or
- evidence of telephone contact with a collection agency (see page 13 of the claim form), or
- a printout of your credit report showing that debt to your Out-of-Network Provider was reported to a credit agency; or
- an agreement with your Out-of-Network Provider to enter into a payment plan with you.
Those Out-of-Network Providers filing Group D claims and seeking increased damages must present records for the services provided and documentation in support thereof. Please see Section 5(b) of the claim form for further details.
Please note that your supporting documentation must clearly identify the service in question and provide all required information, such as date of service, subscriber’s name, provider’s name, amounts billed or paid, and other relevant details. You should not send any originals to the Claims Administrator, as your documents will not be returned.
If you have any questions or wish to submit a claim in the United HealthCare Out of Network class action lawsuit head over to www.berdonclaims.com for more information and submit your claim now!
Purchased From: 3/1994 - 11/18/2009
Claims must be submitted online (if applicable) or postmarked by: 10/5/10
Class Action Lawsuit Settlement Amount(s): $350,000,000 = $258,100,000 to consumers and medical practitioners (ESTIMATE) + $89,000,000 Attorney Fees and Expenses (ESTIMATE) + $25,000 for each of the sixteen different Representative Plaintiffs + $2,500,000 Settlement Administrator and Notification Costs (ESTIMATE)
D. Brian Hufford, Esq.
Pomerantz Haudek Block Grossman & Gross LLP
Stanley M. Grossman, Esq.
Robert J. Axelrod, Esq.
Pomerantz Haudek Block Grossman & Gross LLP
Office of the General Counsel
UnitedHealth Group, Inc.
Jeffrey S. Klein, Esq.
Nicholas J. Pappas, Esq.
Weil, Gotshal & Manges LLP
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Last Updated on Thursday, 27 December 2012 11:09