The group of staffing firms, all of which are out of network for UnitedHealthcare, claim that the insurer and Multiplan worked together using Multiplan’s Data iSight platform to set their own “reasonable” rates for out-of-network claims, which undercut payments to the doctors. The physicians added that they were undercut affected the COVID-19 pandemic, when they were putting their lives at risk to treat patients. A number of the instances cited in the lawsuit occurred in 2020.
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