Aetna, Cigna Didn’t Disclose Key Billing Data, CMS Says (1)

Four Aetna Inc. and Cigna Healthcare plans in Florida and Tennessee failed to report a key payment metric to medical providers in hundreds of cases, according to reports released by the Biden administration Thursday.

The No Surprises Act required insurance companies and health care providers to settle certain emergency out-of-network billing disputes themselves, shielding patients from unexpected high costs. When responding to provider invoices, insurers must also disclose the median in-network rate for the services, also known as the qualifying payment amount.

The reports of missing QPAs underscore provider complaints that insurance companies aren’t following the rules created by the ...