Search for: "Ingenix" Results 21 - 40 of 56
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21 Feb 2008, 6:37 am
  Ingenix is unwilling to stand behind its numbers. [read post]
30 Mar 2009, 6:20 am
" The inquiry follows lawsuits "alleging that UnitedHealth and Ingenix manipulated rate data so insurers had to pay less and patients more for out-of-network services. [read post]
30 Mar 2009, 6:20 am
" The inquiry follows lawsuits "alleging that UnitedHealth and Ingenix manipulated rate data so insurers had to pay less and patients more for out-of-network services. [read post]
15 Jan 2009, 10:15 pm by Jonathan L. Thornton
The investigation revealed that Ingenix is owned by UnitedHealth Group and therefore, questions were raised about the independence of its review process. [read post]
21 Feb 2010, 7:00 am by Mark S. Humphreys
The database that will replace Ingenix, will not be in place until later this year. [read post]
14 Jan 2009, 7:04 am
"So is this the end of Ingenix? [read post]
29 Mar 2011, 2:15 am by Ray Dowd
While domestic UHG “employees” may contract with UHCS, that does not foreclose the possibility they also work for Ingenix. [read post]
17 Sep 2009, 11:00 am
The key to the design is information provided by UHC's Ingenix folks:ââ [read post]
22 May 2009, 5:45 am
Specifically, the class action complaints, filed by Aetna health plan members, alleged “that (1) the Ingenix database of billing information was flawed leading to lower reimbursement rates; and (2) Aetna improperly calculated the usual, customary and reasonable (‘UCR’) rates of reimbursement for out-of-network services based upon this data. [read post]
27 Jan 2014, 2:27 pm by John C. Manoog III
” And, “there is nothing in the record to establish the accuracy or reliability of Ingenix’s raw data and, thus, its statistical extrapolations. [read post]
21 Jan 2008, 1:23 pm
The BCDSP study, which looked at women aged 15 to 44, supported the i3 Ingenix findings. [read post]
14 Feb 2008, 7:30 am
Well, apparently Ingenix does.Which raises an important, if impudent, question: so what? [read post]
13 Feb 2008, 8:00 am
” Cuomo says his six-month investigation has revealed that rates generated by Ingenix — i.e. the portion of an out-of-network bill that the insurance company will cover — were much lower than they should have been. [read post]
24 Apr 2009, 1:34 pm
Essentially, the lawsuits claim that companies utilizing the Ingenix database have inappropriately manipulated the level of reimbursement paid to providers for out of network medical care to the detriment of members and providers.When a provider treats a patient needing emergency medical services who subscribes to a health plan that is not contracted with the provider, there is no set rate at which the provider should be paid. [read post]
19 Jan 2009, 8:07 am by Richard J. Webb
Interestingly, the Ingenix model is the same one New York Attorney General Cuomo just compelled United Health Group to stop using in New York, calling that system "unreliable, inadequate and wrong. [read post]
10 Jul 2011, 12:39 pm
If you have medical care paid for by a health insurance company after a car accident in Atlanta or anywhere in Georgia, you are likely to get a letter from ACS or Healthcare Recoveries asking that you reimburse the company if you get any settlement money. [read post]
1 Jul 2009, 11:59 am
We've blogged before about the insurers' use of Ingenix to unilaterally determine out of network provider reimbursement rates, and our law firm has been seeking reconsideration of underpayments on behalf of hospitals and physicians in State and Federal court for many years.This report explains how underpayment for out-of-network care affects consumers. [read post]
29 Mar 2009, 10:52 pm
The article also discusses how the insurers use database companies to gather data about people's medical conditions and prescription drug use: To make sure that applicants are not lying, insurers hire a data-gathering service -- Medical Information Bureau, Milliman's Intelliscript or Ingenix Medpoint. [read post]