Aetna Hits Clinics, Hospital With Billing Fraud Claims

Law360, New York (August 16, 2012, 6:53 PM EDT) -- Aetna Life Insurance Co. targeted three health care providers with a fraud suit in Texas federal court on Wednesday, saying two of the providers, aided by the third, had wrongfully posed as emergency rooms to bill the insurer at inflated prices, costing Aetna millions.

According to Aetna, Spring, Texas-based walk-in clinic chain 2920 ER LLC — which does business as Trinity Healthcare Network — and ER DOC 24/7 PLLC had misrepresented their facilities to the insurer as emergency rooms by using incorrect Aetna claim codes in order...
To view the full article, register now.