ER physicians accuse UnitedHealth of illegally underpaying claims

Several emergency room physician practices in New York have filed a federal lawsuit alleging UnitedHealth Group and MultiPlan conspired to underpay out-of-network ER providers.

In their federal complaint, filed Nov. 2, five ER physician groups allege UnitedHealth failed to pay them the “reasonable” rate for out-of-network claims.

In a complaint filed Sept. 15, Emergency Care Services of Pennsylvania and Emergency Physician Associates of Pennsylvania allege UnitedHealth hired a data analysis firm to develop market-based reimbursement rates.