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Insurer Says It Will Change Mental Health Fee Schedule After APA Files Suit

Today, the Insurance Commission of Connecticut issued a press release stating that Anthem had agreed to adjust its fee schedule for mental health care providers to recognize coding changes in Current Procedural Terminology (CPT). The readjustment, which will be retroactive to January 1, 2013, is reported to cover 28,000 claims and $400,000 in payments owed.

APA had initiated a lawsuit against Anthem and Wellpoint alleging that its implementation of the CPT codes violated the Mental Health Parity and Addiction Equity Act (MHPAEA) and state parity, contract, and consumer protection laws. According to APA...

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Published By: Psychiatric News - 7 days ago

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