The Hartford Insurance has engaged in numerous cases in order to seek restitution for payments they made under questionable PPO
discounts asserting that they should have paid under the 2004 fee schedule which the 2004 fee schedule for out-patient services
charges was less then the PPO discounts.
This stance is amazing to me as they purchased PPO discounts and accessed PPO contract discounts through First Health and
others and now that their questionable acts did not produce the windfalls they have been getting they want to yell foul.
It is unfortunate that our Courts do not clearly see the wrong in the purchasing and selling of contract discounts, as they have not
been consistent in their decisions. The reason for the inconsistencies by the Courts with the purchases and selling of contract
discounts is that the defendants put on an admirable magic show at trial and in their recons so that the Courts cannot see through the
mazes of smoke and mirrors. The selling and purchasing of contract discounts is just plan wrong, nothing more, and nothing less.
As far as Harford is concerned lets, hope the Courts finally say, “enough is enough” and stop hampering the medical providers
encouragement to treat injured workers.
discounts asserting that they should have paid under the 2004 fee schedule which the 2004 fee schedule for out-patient services
charges was less then the PPO discounts.
This stance is amazing to me as they purchased PPO discounts and accessed PPO contract discounts through First Health and
others and now that their questionable acts did not produce the windfalls they have been getting they want to yell foul.
It is unfortunate that our Courts do not clearly see the wrong in the purchasing and selling of contract discounts, as they have not
been consistent in their decisions. The reason for the inconsistencies by the Courts with the purchases and selling of contract
discounts is that the defendants put on an admirable magic show at trial and in their recons so that the Courts cannot see through the
mazes of smoke and mirrors. The selling and purchasing of contract discounts is just plan wrong, nothing more, and nothing less.
As far as Harford is concerned lets, hope the Courts finally say, “enough is enough” and stop hampering the medical providers
encouragement to treat injured workers.
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