UnitedHealth Subsidiary Must Reprocess Mental Health Claims

United Behavioral Health must reprocess thousands of mental health coverage claims that it wrongly denied, a federal court in San Francisco ruled Tuesday.

A class of United Behavioral Health plan participants won at trial on their claims that UBH denied mental health and substance abuse treatment coverage to tens of thousands of its members. The U.S. District Court for the Northern District of California said UBH used internal guidelines that were inconsistent with the terms of the members’ plans, did so “deliberately, to protect its bottom line,” lied to regulators and executives, and deliberately attempted to mislead the court at ...