Feb 13th, 2018
Here’s a stark reminder of the responsibilities  – and risks – of being a business associate: Aetna is suing the company that mailed 12,000 envelopes last summer revealing the recipients had HIV for $20 million and more. Aetna hired claims administrator Kurtzman Carson Consultants (KCC) to send letters notifying Aetna members of a settlement the ...
Feb 13th, 2018
Aetna is under investigation in California for allegedly not following protocol when making coverage decisions. One Aetna member, Gillen Washington, 23, claims it nearly cost him his life. Washington is suing Aetna for breach of contract and bad faith, according to CNN. Case for the Plaintiff Washington, who has common variable immunodeficiency (CVID), claims Aetna ...
In Billing
Oct 26th, 2017
CVS Health is reportedly making offers to buy Aetna, one of America’s oldest insurers, for at least $66 billion, according to a number of sources that include the Wall Street Journal and Reuters. Established in Connecticut in 1853, Aetna has evolved from property to healthcare coverage, with 23.1 million medical and 14.3 dental members in late ...
On November 19, one of the nation’s largest insurers announced they were second guessing their choice to sell coverage in the Affordable Care Act’s individual markets for 11 states. According to MSN, UnitedHealth’s “Losses from the plans this year and next will total more than half a billion dollars.” Although UnitedHealth was late to join ...
Jul 1st, 2014
Your options can mean the difference between getting paid and not getting paid. By Heather M. Garcia, CBCS, CMAA, CMB Aetna has made a nationwide policy decision for chiropractic reimbursement, which states that when manual therapy (97140 Manual therapy techniques, one or more regions, each 15 minutes) is performed on the same date of service ...