Aetna Inc. has agreed to settle a class action lawsuit that alleges the health insurer paid inadequate reimbursements for out-of-network medical providers by using faulty databases and other methods to determine the amounts paid. Certain Aetna subscribers and out-of-network health care providers may be eligible for compensation under the class action settlement.
Class Members of the Aetna class action settlement include the following Aetna subscribers and out-of-network health care providers:
- Under the terms of the Aetna class action settlement, a “subscriber” refers to anyone who, at any time from March 1, 2001 through Aug. 30, 2013, was an Aetna plan member who received a covered service or supply from an out-of-network health care provider and whose resulting claims for reimbursement included partially allowed claims.
- A “provider” refers to any people or entities who, at any time from June 3, 2003 through Aug. 30, 2013, were out-of-network health care providers who provided covered services or supplies to Aetna plan members and whose resulting claims for reimbursement included partially allowed claims.
If you fit into either of these categories, you may be eligible for reimbursement under the Aetna out-of-network provider class action settlement.
A cash award based on a pro rata share of the $120 million class action settlement fund after all expenses have been paid.
Proof of Purchase
Claim Form Deadline
In re: Aetna UCR Litigation, MDL No. 2020, in the U.S. District Court for the District of New Jersey.
The Aetna out-of-network provider settlement will resolve multidistrict litigation (In re: Aetna UCR Litigation) that accuses Aetna of relying on Igenix databases to determine the amounts paid, resulting in out-of-network providers being systematically under-reimbursed.
Aetna UCR Litigation
c/o Berdon Claims Administration LLC
P.O. Box 15000
Jericho, NY 11853-0001
James E. Cecchi
CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO
D. Brian Hufford
Robert J. Axelrod
POMERANTZ GROSSMAN HUFFORD DAHLSTROM & GROSS LLP
Joe R. Whatley Jr.
Stephen A. Weiss
SEEGER WEISS LLP
Edith M. Kallas
WHATLEY KALLAS LLP
Christopher M. Burke
Joseph P. Guglielmo
SCOTT + SCOTT LLP
Richard J. Doren
Geoffrey M. Sigler
GIBSON DUNN & CRUTCHER LLP
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