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Aetna settles suit alleging claim-denying medical director never read patient's records

from CNN

Aetna has settled a lawsuit in which a company medical director said under oath that he never looked at patients' records when deciding whether to approve or deny coverage — testimony that prompted an investigation by the California insurance commissioner. The health insurance giant had vowed to fight the case, saying the medical director's comments were taken out of context, and strongly defended its policies amid a firestorm after CNN broke the story in February 2018. "When those policies are called into question," Aetna said at the time, "we will defend them." more

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