Envision Sues UnitedHealthcare Over Allegedly Denied ER Claims

Envision Healthcare, a national physician staffing firm, said it is suing UnitedHealthcare, one of the nation’s largest insurers, for denying payment for emergency services the medical group provided, Healthcare Dive reports.

Envision CEO Jim Rechtin alleges UnitedHealthcare routinely denied claims for commercial members who were among the sickest and sought care at an emergency room. Rechtin called UnitedHealth’s alleged practice “cold, callous and inhumane,” according to a statement released Friday announcing a lawsuit was filed in a Tennessee federal court.

UnitedHealthcare denied payment for a 31-year-old man’s emergency appendectomy and care for a baby with unexplained episodes of choking, vomiting and turning blue, Envision alleges.

A spokesperson from UnitedHealthcare said the company is still reviewing the filing. Read more.

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