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Health Care & Hospital Law

May 12, 2010

Lawsuits Fly Over Use Of Database For Health Treatment Costs

A lawsuit over a controversial database which many insurers have long used to calculate payments to providers who treat patients "out of network" has widened to include dozens of self-insured employers, such as Best Buy and GE.

By Evan George

Daily Journal Staff Writer

LOS ANGELES - Who can be held liable for payment decisions made based on a shadowy database once called "the black box" behind the health insurance industry shortchanging physicians?

That's the crux in a widening lawsuit against UnitedHealth Group Inc., one of the nation's largest managed care companies, and its controversial Ingenix database, which many insurers have ...

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