Blues' study shows employers face upcoding from health insurers, too

By Allison Bell

Analysis March 19, 2026 at 04:13 PM

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What You Need To Know

A Blue Cross Blue Shield think tank found AI-powered upcoding added 1.8% to employer plan claims studied in 2024.
Aetna agreed to pay $117.7 million to resolve allegations over Medicare Advantage plan patient health coding.
UnitedHealth faces allegations that a provider affiliate may upcode claims as a plan administrator unit complains about emergency room doctor upcoding.

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