UHC agrees to close Ingenix ‘usual and customary’ databases

Article Overview

This article explains a settlement between the New York Attorney General’s office and UnitedHealthCare that affects how private payers determine usual and customary reimbursement rates for out-of-network services. It is relevant to health care billing, claims reimbursement, payer policy, and compliance audiences who track insurance rate-setting practices and database governance. The article also discusses the planned creation of a new independent database, consumer access to reimbursement information, and the broader concerns that led to the investigation.