Aetna, owned by CVS Health, is suing Radiology Partners, accusing them of overcharging and abusing the federal arbitration process for out-of-network medical claims. The lawsuit sheds light on billing tactics in the US healthcare system and the complexities of the federal arbitration system created by the No Surprises Act. Aetna alleges that Radiology Partners engaged in fraud by exploiting a lucrative contract, billing for millions they shouldn’t have received. After Aetna terminated the contract, Radiology Partners allegedly flooded the arbitration process with out-of-network claims that should have been billed under existing in-network contracts. The lawsuit highlights the financial intricacies of the healthcare industry.
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