ADA vs. Aetna: membership advocacy aimed at protecting the dentist-patient relationship

Article Abstract:

The American Dental Association has sued Aetna Inc., Aetna-U.S. Healthcare Inc., and Aetna Life Insurance Company for breach of contract, trade libel, and unlawful interference with the dentist-patient relationship. The case revolves around two dentists who were not part of Aetna's network of dentists but provided care to patients insured by Aetna. Aetna paid less than the usual, customary, and reasonable fee to these dentists, implying that the dentists' fees were excessive and unreasonable.

American Dental Association, Health insurance industry, Aetna Inc., Aetna U.S. Healthcare Inc., AET, Aetna Life Insurance Co.

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Could failing to register your PSC void your contracts with insurers?

Article Abstract:

The details of the legal case, between Chatham Foot Specialists, P.C., and Health Care Service Corp, are presented. The case was filed on grounds of failure to register a professional service corporation (PSC) with the Illinois Department of Professional Regulation, by the healthcare provider, making the contract it had signed with an insurance company, void.

HEALTH SERVICES, Health care industry, Breach of contract, Health Care Service Corp.

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Stress, strain and unpaid claims

Article Abstract:

A legal case of delayed payment of claims by American Standard Insurance is discussed. According to the Colorado Supreme Court, the insured can seek damages for emotional distress due to unreasonable delay of payment of their claims by the insurance company.

Government regulation (cont), Government regulation, Accident & Health Insurance, Insurance Carriers, Direct Health and Medical Insurance Carriers, Hospital and medical service plans, Medical Care Insurance, Laws, regulations and rules, Health insurance, American Standard Insurance Co.

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