NYC Health & Hospitals seeks $11.5M from UnitedHealthcare in denied medical claims

Modern Healthcare: NYC Health & Hospitals and UnitedHealthcare are heading to arbitration over $11.5 million in denied inpatient medical claims, the nation's largest public health system said Tuesday.

The majority of the denied claims submitted between July 1, 2014, and Dec. 31, 2017, were for emergency department visits involving patients covered by UnitedHealthcare's Medicaid program and Medicare plan, a spokeswoman for the health system said. None of the denials stemmed from behavioral health, ambulatory care or other services, she said.

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