Aetna to Pay $120 Million to Settle Claims of Underpayment for Out-of-Network Procedures

December 11, 2012

Aetna would be the third insurer, after Health Net and UnitedHealth, to settle claims that its out-of-network reimbursements were too low because it relied on an industry database that set "customary and reasonable" rates for medical procedures. Plaintiffs including the American Medical Association are still pursuing similar claims against Cigna and WellPoint.