Ingenix Investigation

NY Attorney General investigates health insurers' fraud scheme.

The continuing investigation has revealed that Ingenix operates a defective and manipulated database that most major health insurance companies use to set reimbursement rates for out-of-network medical expenses.

The investigation also found that two subsidiaries of UnitedHealth Group—Ingenix's parent company—under-reimbursed their members for out-of-network medical expenses by using data provided by Ingenix.

This investigation will be one to watch. The outcome of these accusations may certainly affect the calculation and repayment of future medical claims.