PHOENIX, July 18, 2012 /PRNewswire/ -- American National Medical Management (ANMM), the nation's leader in out-of-network health insurance reimbursement technology, is publicly announcing its support for the group of California physicians and ambulatory surgery centers who filed a lawsuit against Aetna Health in Los Angeles County Superior Court on July 3, 2012.
Nine surgery centers, sixty physicians, and an unidentified member have accused the insurer of deliberately discouraging their Preferred Provider Organization (PPO) members from utilizing their out-of-network benefits, as well as refusing to properly pay claims or even deny services rendered because they are not within Aetna's network of providers. The suit further cites the insurer of wrongfully threatening physicians with termination of their Aetna contracts if they do not refer patients to Aetna contracted providers.
Over the last decade, ANMM has successfully developed a set of unique and revolutionary health insurance claims procedures aimed at seeking proper reimbursement for out-of-network claims that health insurance companies have either completely denied or grossly underpaid. "With growing volumes of empirical data, we have proven that our patent-pending health insurance claims technology has become an incredibly powerful tool for increasing reimbursement in the medical practice, by using existing federal laws to regulate how the private insurance companies process health claims," says Greg Maldonado, President of ANMM.
ANMM has extended their services to an extensive population of out-of-network physicians, ambulatory surgery centers, and medical device providers across the United States and have extensive experience in the misguidance and corruption of the health insurance industry.
"Aetna needs to be held responsible for their actions. A health insurance company cannot sell a member a more expensive plan with out-of-network benefits and then refuse to honor that plan and the benefits the patient has paid for. It is immoral and has a direct effect on the patients' medical health as well as the livelihood of the physician and/or ambulatory surgery center," says Maldonado.
With a presence across the United States, ANMM is one of multiple recognized associations, which include the Los Angeles County Medical Association (LACMA) and the California Medical Association (CMA), extending their support of the suit.
SOURCE American National Medical Management