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Becker's Hospital Review
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Aetna Health of California must stop using national standards to
deny payment for emergency room claims, the California Department of Managed
Health Care ordered Aug. 25. The department said the practice has led to
Aetna wrongfully denying ER claims because California's broader standards on
ER services aren't being applied. Aetna faces a $500,000 fine for repeatedly
not following California law and failing to implement improvements.
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Friday, August 28, 2020
Aetna fined for denying ER claims in California
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