PPOs & Networks

:: PHCS Rate Schedule Challenged In New Managed Care Litigation

Chaffin v. Humana (S.D. Tex.)  challenges Humana’s alleged use of the “Prevailing Healthcare Charges System” to establish rates of reimbursement for out of network providers.  The case is brought by members of Humana’s “National Point of Service” insurance plan, according to the complaint. The complaint alleges that Ingenix, a subsidiary of United Healthcare Group, operates …

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