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Payer

Elevance Health is facing a federal lawsuit alleging the payer received more than $100 million in overpayments from CMS after a judge declined to dismiss the suit, the Indianapolis Business Journal reported Oct. 5. 

Aetna Health of California beat a lab's proposed class-action lawsuit alleging that the payer evaded its obligations to fully cover COVID-19 diagnostic testing, but the lab will have another chance to bring claims under federal benefits and racketeering laws, Bloomberg…

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Highmark Senior Health Plan received an estimated $6.2 million in overpayments from CMS for Medicare Advantage beneficiaries, according to an audit by the HHS Office of Inspector General. 

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