NY Insurer Fined Over Denying Claims
MVP Health Plan Inc. and MVP Health Insurance Co. agreed to pay a $200,000 fine and to correct claims processing procedures, and to make $9,000 in restitution to 356 members.
August 22, 2017 at 04:01 PM
2 minute read
A health insurer based in the Albany area has been fined $200,000 for “improperly” denying health insurance claims and charging members for copays and deductibles for preventive services, the Department of Financial Services announced Tuesday.
In a consent order, MVP Health Plan Inc. and MVP Health Insurance Co. have agreed to pay a $200,000 fine and correct their claims processing procedures. The insurer, which has roughly 100,000 members, also has agreed to make approximately $9,000 in restitution to 356 of its members.
“Health insurance companies must provide necessary preventative services without copays and deductibles as the law requires,” Superintendent Maria Vullo said in a statement. “DFS will continue to hold companies accountable if they do not process all claims accurately, in a timely manner and to the letter of the law. DFS appreciates MVP's cooperation in recognizing the importance of making sure its claims examiners and systems process claims correctly for all of its members.”
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