Podcast Center
Video Center
Webcasts
Resource Center
Events
October 04, 2010 at 08:00 PM
New York state has imposed $850,000 in fines on Aetna Inc. in connection with allegations of problems with explanation-of-benefit (EOB) forms.
The New York State Insurance Department says units of Aetna Inc., Hartford (NYSE:AET), failed to issue all necessary explanation-of-benefit forms, issued some forms that failed to identify the service for which the claim was made, and failed to give required information about filing appeals.
In some cases, Aetna units also violated the New York “prompt pay” law, officials say.
Aetna already has agreed to revise its procedures for issuing explanation-of-benefit forms and develop a plan for improving prompt pay law compliance, officials say.
