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UnitedHealthcare Group Lawsuit Settlement Connecticut State Medical Society Medical Society of the State of New York North Carolina Medical Society Tennessee.

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Presentation on theme: "UnitedHealthcare Group Lawsuit Settlement Connecticut State Medical Society Medical Society of the State of New York North Carolina Medical Society Tennessee."— Presentation transcript:

1 UnitedHealthcare Group Lawsuit Settlement Connecticut State Medical Society Medical Society of the State of New York North Carolina Medical Society Tennessee Medical Association

2 UnitedHealthcare Group Lawsuit Settlement Resolves decades old litigation 2001 Filing of state and federal claims 2015 Settlement (with four state medical societies positively impacting physicians in all states)

3 Provider Service Enhancements UnitedHealthcare to invest $9 million in enhancements Relief focused on claims management and claims resolution process Addresses issues of appeals filing, policy and payment codes, resubmission of corrected claims Objective to is increase efficiencies and reduce delays

4 Physician Advisory Council (PAC) 10 members, 8 physicians 4 meetings per year Forum for discussion of issues impacting physicians in these states Society representatives to PAC may bring issues of concern and discussion back to societies

5 Financial Settlement Specifically for educational programming by settling societies Including ICD-10, medical audits, CPT coding, appeals, electronic claims submission and processing.


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