Aetna, Optum can't escape class-action status in 'dummy code' case
By | September 17, 2023
The 4th U.S. Circuit Court of Appeals said Sept. 13 it won't review a lower court's ruling that certified class-action status in a lawsuit alleging Aetna and OptumHealth Care Solutions conspired to use "dummy code" to make administrative fees appear to be billable medical charges.
The three-judge panel unanimously denied Aetna and Optum's request to review a North Carolina federal judge's June decision to certify class-action status, according to court records. The judges did not provide an explanation for their decision in the order.
The lawsuit, which was originally filed in 2015, alleges the two insurers tricked plaintiff Sandra Peters, other patients similarly situated and their employers into paying administrative fees by disguising them as medical expenses. The lawsuit alleges the defendants violated...(More)
For more info please read, Aetna, Optum can't escape class-action status in 'dummy code' case, by Becker's Payer Issues
