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Court holds Aetna liable for mental health claims dispute



A North Carolina judge ruled against Aetna Inc. Feb. 9 over an "all or nothing" policy that allegedly resulted in mismatched reimbursements and denied claims for a mental health recovery, Becker’s Payer Issues reports. The lawsuit was filed in August 2020 by a North Carolina parent on behalf of their child, who in 2018 received care at an inpatient recovery program and later moved to a transitional program with the same provider. Aetna initially denied coverage of both programs, claiming they were medically unnecessary.

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