Antitrust Claims Dismissed in Medical Billing Price-Fixing Suit

In In re: WellPoint Inc. Out-of-Network “UCR” Rates Litigation, Central District of California Judge Philip S. Gutierrez dismissed Sherman Act claims in a long-running multidistrict litigation for lack of standing.  In their suit, plaintiffs accuse WellPoint and other insurers of conspiring to underpay health care providers by knowingly creating and using flawed data – contained in the Ingenix database – to record “usual, customary, and reasonable” (UCR) reimbursement rates for out-of-network health services.  Although the court dismissed many of the allegations in the case, it gave plaintiffs until November 1 to amend their claim.

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