Any Employer Group, regardless of Industry, is eligible to seek recovery from being overcharged for Insulin related products, as long as that Employer Group has / had on average more-than 200 ‘eligible’ enrolled Plan Members (Employees + Dependents) in their Self-insured / Self-Funded Healthcare Plan between 2004 – 2025 (Fully-Insured Plans are NOT eligible). Plus, that Employer Group will have had to have had one or more of the named PBM Defendants incorporated into their Healthcare Plan during this timeframe. Completing the Pre-Qualification Questionnaire (PQQ) provides SourceBridge Group with the essential information needed to pursue and attempt to secure recoverable monies on behalf of impacted Employer Groups.
Those Healthcare Providers with total Out-of-Network (OON) billing in excess of $500K, between the years of 2013 – 2023, who’s OON reimbursements were processed through MultiPlan, Data iSight, Viant, NCN, or related systems; which is a service that handles a substantial portion of the OON claims for major payors (UnitedHealth Group, Aetna [a CVS Health company], Elevance Health, Cigna, Health Care Service Corporation [HCSC], Humana, Kaiser Foundation Health Plan Kaiser Permanente, various Blues, Centene Corporation, Health Alliance Medical Plans, etc.). Many Providers may not know whether their OON claims have been handled by MultiPlan, or related systems. We can vet that based on some claims data sampling. We also will exclude any claims for any Payors for which the Provider has been In-Network. Completing the Pre-Qualification Questionnaire (PQQ) provides SourceBridge Group with the essential information needed to pursue and attempt to secure recoverable monies on behalf of impacted Employer Groups.
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