"The Court ruled that United's overriding profit motive infected its development of parity for its standards and processes for both its medical necessity guidelines and its coverage determination guidelines prepared by United in 2011.... [A] subsequent class action was filed by behavioral health and substance abuse treatment providers against United asking the Court to order United to re-adjudicate all previously denied or reduced claims for behavioral health and substance abuse treatment services for the period of May 22, 2011 through January 31, 2019 for all provider Class members. The estimated denied and underpaid claims is in the tens of billions of dollars." [Wit v. United Behavioral Health, Nos. 14-2346, 14-5337 (N.D. Cal. Mar. 5, 2019)]   MORE >>