Red Lake Nation News - Babaamaajimowinan (Telling of news in different places)

UnitedHealthcare assessed $1 million penalty for claims payment violations


November 5, 2019

Jim Mone

UnitedHealthcare, the nation's largest health insurere, is paying a penalty over allegations it violated state and federal laws when paying medical claims. File photo at the Minnetonka headquarters the firm's parent, UnitedHealth Group.

Pennsylvania regulators have issued a $1 million civil penalty against UnitedHealthcare on allegations the health insurer violated a number of state and federal laws when paying medical claims, particularly for patients seeking treatment of autism and substance use disorders.

Minnetonka-based UnitedHealthcare will spend another $800,000 on an outreach campaign to educate consumers about their mental health and substance use disorder benefits, according to the agreement announced Monday. The insurer must pay restitution to consumers for wrongly denied or delayed claims, although it's not yet clear exactly how much.


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