Featured Jobs
|
Managing Director - Operations, Benefits Daybright Financial
|
|
EPIC RPS
|
|
Retirement Plan Administration Consultant Blue Ridge Associates
|
|
Relationship Manager for Defined Benefit/Cash Balance Plans Daybright Financial
|
|
Anchor 3(16) Fiduciary Solutions
|
|
Cash Balance/ Defined Benefit Plan Administrator Steidle Pension Solutions, LLC
|
|
Nova 401(k) Associates
|
|
Compass
|
|
DC Retirement Plan Administrator Michigan Pension & Actuarial Services, LLC
|
|
MVP Plan Administrators, Inc.
|
|
Retirement Plan Consultants
|
|
Strongpoint Partners
|
|
ESOP Administration Consultant Blue Ridge Associates
|
|
Mergers & Acquisition Specialist Compass
|
|
July Business Services
|
|
Combo Retirement Plan Administrator Strongpoint Partners
|
|
BPAS
|
Free Newsletters
“BenefitsLink continues to be the most valuable resource we have at the firm.”
-- An attorney subscriber
|
|
|
'Prevailing Healthcare Charges System' Rate Schedule Challenged In New Managed Care Litigation
Health Plan Law 
[Guidance Overview] Aug. 7, 2009
Excerpt: Chaffin v. Humana (S.D. Tex.) challenges Humana's 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 a proprietary database system known as the 'Prevailing Healthcare Charges System.' PHCS purportedly derives a percentile -segmented survey of 'usual and customary' charges by factoring in insurers' billing information for similar types of medical services.
|
| Please click here to report this link if it is broken (for example, if you see a "404 File Not Found" error message after you click on the linked news item's title). |
| An important word about authorship: BenefitsLink® created this link to the news item, but we are not the news item's author (unless expressly shown above). |