After years of efforts with courts and regulators, UnitedHealth Group has settled claims that it used a flawed database operated by Ingenix (a UnitedHealth Group subsidiary) to determine out-of-network payment rates, increasing insurer profits at the expense of patients and providers. Over $350 million is available as part of the settlement to any and all providers who submitted “non-network” claims to UnitedHealth Group between 1994 and 2010. Providers who wished to be excluded from the settlement must have opted out as of July 27. 

This is the only opportunity for providers to obtain any retribution for lost revenue. For this reason -- and given the fast-approaching submission deadline -- the ACC is teaming up with the Managed Care Advisory Group (MCAG) to help members in obtaining data, identifying eligible claims and submitting all necessary paperwork to the settlement administrator by the October deadline. Given the 15-year window for eligible claims, providers must contact MCAG by Sept. 21.

How it works: MCAG retains a small percentage of the money recovered as payment for services. As part of the ACC/MCAG partnership, ACC and American Medical Association (AMA) members will receive discounts on MCAG services. It is important when contacting MCAG to let them know that you are an ACC and/or an AMA member to receive the discounted rates. The MCAG phone number is 800-355-0466. 

MCAG resources for ACC members:

• United Health Group Settlement Information
• UHC Payers Involved In Class Action Settlement

We’ve been waiting a long time for this settlement... If you qualify, you should take this opportunity to file for lost revenue.

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