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UnitedHealth Wins First OK of Prosthetic Device Class Settlement

July 22, 2019, 4:24 PM

UnitedHealthcare Insurance Co. will reprocess claims for prosthetic devices and change how it handles the claims after a federal court granted preliminary approval to a class settlement July 19.

The deal resolves a 1,000-person class action accusing the insurer of Employee Retirement Income Security Act violations.

The deal requires UnitedHealthcare to be more specific when it declines to cover a patient’s requested prosthetic device, and to provide information about how coverage might be available in the future.

The insurer also agreed to reprocess previously denied claims using these new procedures and to reimburse some people who paid out-of-pocket for prosthetic...

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