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Federal Contractor Misconduct Database (FCMD)
The federal government routinely awards contracts to companies with
histories of misconduct, including
…
contract fraud and other
violations. POGO believes that providing this website will help to
improve contracting decisions and increase public knowledge of how
the government spends billions of taxpayer dollars each year.
Read more…
Underpayment and Unfair Settlement of Substance Abuse Treatment Claims in California
The California Department of Insurance issued an order to show cause against Health Net claiming the company violated state and federal laws by improperly reimbursing substance abuse residential treatment providers in 2015 and 2016. The order alleges Health Net failed to pay inpatient and outpatient claims according to its policy, resulting in the “underpayment and unfair settlement of claims.” The order also alleges Health Net referred provider claim requests without proper investigation. The order proposes penalties of $5,000 for each non-willful violation and $10,000 for each willful violation.
- Misconduct Type
- Consumer Affairs
- Enforcement Agency
- State/Local
- Contracting Party
- None
- Court Type
- Administrative
- Disposition
- Pending
- Date of Order
- 7/25/2018