Reviewer’s Deposition Testimony Sparks California Investigation Into Aetna Claims Process

Mealey's (February 14, 2018, 1:36 PM EST) -- SACRAMENTO, Calif. — California launched an investigation into Aetna Inc.’s health insurance claims approval and prior authorization process after learning that one of the company’s medical reviewers testified in a deposition that he was trained not to review medical records but instead rely on what was provided to him by the company’s nurses, the state’s insurance commissioner announced in a Feb. 12 statement....