A class action lawsuit has been filed against the insurance provider alleging it used a silent PPO scheme to deny Illinois healthcare providers millions of dollars in payouts. The lawsuit was filed in St. Clair County Circuit Court and claims County Mutual improperly accessed provider discount databases, processed claims through automated re-pricing, and applied discounts to bills submitted by medical providers.
A silent PPO is the illegitimate appropriation of discounted reimbursement amounts by insurers who do not offer a preferred provider policy to the insured or any financial incentives for receipt of medical services.
If you feel you should be included in this pending class action lawsuit, please contact Kevin T. Hoerner of [Becker, Paulson, Hoerner & Thompson]