NY Attorney General, Andrew Cuomo is investigating United Healthcare and has suboenaed 16 other health plans including Aetna, CIGNA, Humana, and Well Point a subsidiary of Empire Blue Cross Blue Shield to determine how they calculate UCR. UCR is the usual customary and reasonable payment made for medical services rendered outside of the insurance carriers network. We have all experienced the EOB that states the cost of your service exceeds what the insurance carrier determines to be usual and customary and your responsible for paying the diffrence. Finally NY AG has taken action to look at insurance carriers pratices to determine UCR
Health Plan Week feature article on 2/28/07 read more click here.