Elevance Health has filed a lawsuit against Perfect Child, an autism-therapy provider, alleging the company used limited liability companies to charge out-of-network rates. The insurer claims these practices resulted in $160 million in allegedly misleading claims. The legal action highlights growing scrutiny over billing practices in the autism therapy sector and the financial impact on health insurers.
Perfect Child has not publicly responded to the allegations detailed in the Wall Street Journal report. The case underscores the complex regulatory landscape surrounding autism therapy reimbursement and the ongoing tension between providers and insurers regarding out-of-network billing practices.
Source: Wall Street Journal Markets · Summarized by HeadlinesBriefing