The American Medical Association and doctor groups in five states are suing Aetna and Cigna for alleged underpayment of claims to doctors in a case similar to one that prompted United Health Group to settle for $350 million.

The AMA alleged in a class-action complaint filed Monday in federal court in Newark that Aetna and Cigna are using a database that has been rigged to underpay doctors submitting out-of-network claims for patients’ treatment.

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