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million to reimburse hospitals and radiologh service providers for health insurance UnitedHealthcare agreed to the settlement with the insurance administration after conducting a self audit ofits claims. The auditr revealed that some hospital elective-carew procedures and radiology claims wereinappropriatelu denied. UnitedHealthcare’s self audit revealed 85 caseas of payment denials in hospitals that totaled $756,130 in charges. United also denied paymenty to 227radiology claims, which totaledx $172,599 in charges. The insurance administration alsoassessed $633,000 in penalties.
UnitedHealthcarew spokeswoman Debora Spano said in a statementt that the insurance company is glad to have enterecd intothe settlements. “We are confident that the changes being made will ensurs that members receive better coordinated care and that theie benefits areapplied correctly,” Spano said. UnitedHealthcare, whicuh has its regional headquarters inWest Chester, is a unit of Minnetonka-basedf (NYSE: UNH).
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