X

Thank you for sharing!

Your article was successfully shared with the contacts you provided.
The company claims that the lawsuit “challenges the common sense practice that health plans reimburse health care providers with different training, experience, and licensure at different rates.” (Photo: Shutterstock)

Affiliates of UnitedHealth Group Inc. the nation’s largest health insurer, have taken their first shot at knocking out a class action lawsuit claiming they are illegally underpaying reimbursements for mental health services.

Lawyers at Zuckerman Spaeder and Psych-Appeal, Inc. sued United Healthcare Insurance Co. and United Behavioral Health in October claiming that the companies imposed arbitrary reimbursement penalties for certain psychotherapy services provided by psychologists and master’s-level counselors rather than doctors. Their client, an anonymous Pennsylvania woman, claimed UnitedHealth reduced the “eligible expense” of charges from her counselor by 35 percent, even though there would have been no reduction for identical services had they been provided by a physician.

Complete your profile to continue reading and get FREE access to BenefitsPRO.com, part of your ALM digital membership.

Your access to unlimited BenefitsPRO.com content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical BenefitsPRO.com information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and BenefitsPRO.com events.
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com

Already have an account?

BenefitsPRO

Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join BenefitsPRO.com now!

  • Unlimited access to BenefitsPRO.com - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
  • Exclusive discounts on BenefitsPRO.com and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2021 ALM Media Properties, LLC. All Rights Reserved.