The 4th Circuit Court of Appeals reversed a decision June 22 that puts Aetna and Optum back in hot water for allegedly using “dummy code” that disguised administrative charges as billable medical fees ...
Aetna and OptumHealth face another round in a legal battle with patients who allege the companies sought to charge more cost-sharing by disguising administrative fees as medical expenses. Judge Martin ...
Though Aetna was not named as a fiduciary in the plan documents, the court ruled it could be considered a functional fiduciary because of its role in the plan. The Employee Retirement Income Security ...
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