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Daily Archives: September 13, 2009

ANJC Files Class Action Suit Against Aetna; Joins Class Action Against Blue Cross/Blue Shield

By |September 13, 2009|News|

Association of NJ Chiropractors Brings Class Action Suit against Aetna for Post Payment Audit Practices

The Association of New Jersey Chiropractors (ANJC), one of the largest chiropractic state associations in the nation, today announced that it has filed a lawsuit against Aetna seeking nationwide relief on behalf of chiropractors and other healthcare professionals.

The ANJC retained the law firm of Buttaci & Leardi, LLC, in concert with the renowned class action law firm of Pomerantz Haudek Grossman & Gross LLP, to investigate and file the lawsuit, which challenges Aetna s improper recoupment demands on chiropractors and other healthcare providers. The action alleges that Aetna s post-payment audit process is violative of the Employee Retirement Income Security Act of 1974 ( ERISA ), and further alleges that Aetna s post-payment audit process and its pre-payment claim review process violate the Racketeer Influenced and Corrupt Organizations Act ( RICO ). The action also attacks Aetna s clinical policy bulletins that are used to deny services retroactively. (more…)