Cigna, Aetna, and several other major health insurers, including Elevance Health and Humana, are facing antitrust class actions. These lawsuits target alleged actions to suppress payments to out-of-network medical providers. The cases, implicating entities like Zelis Claims Integrity LLC and Zelis Network Solutions, have been filed in multiple jurisdictions, including the Northern District of California and District Courts in Massachusetts and Kansas.
The allegations have brought to light statements from Zelis Healthcare LLC, a healthcare cost management company, which disputes claims regarding their role in this framework. The company’s press office emphasized their services’ legality and the customized solutions they provide. For further details on these legal proceedings, read more in Law.com’s detailed article.