Did you receive a notice from Anthem? Did you receive a mail about a class action on the settlement to resolve claims about the Anthem microprocessor-controlled prosthesis coverage lawsuit? This review will help you partake in the class action settlement after confirming the authenticity of the mail.
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What Is Anthem microprocessor-controlled prosthesis coverage Class Action Settlement?
Anthem agreed to a class action lawsuit settlement to resolve claims it wrongfully denied insurance coverage for microprocessor-controlled prostheses. The name of the case is Lacy Atzin, et al. v. Anthem Inc., et al., Case No. 2:17-cv-6816, in the U.S. District Court for the Central District of California.
What Is This Class Action All About?
According to a class action lawsuit, Anthem wrongfully denied plan participants coverage for microprocessor-controlled knee and ankle prostheses. The company allegedly used excessive criteria to deny claims for microprocessor-controlled prostheses including requiring people to prove that they could master a “faster than normal walking speed.”
“While a microprocessor-controlled knee prosthesis may allow a person to walk faster, plaintiffs alleged this was only one of the benefits of the device and failed to recognize that they also allowed people to accomplish ‘normal’ activities of daily living,” the Anthem class action lawsuit contends.
Plaintiffs in the case say these and other unreasonable requirements caused numerous insureds to be denied coverage for prostheses that would greatly improve their quality of life.
Anthem hasn’t admitted any wrongdoing but agreed to pay an undisclosed amount to settle these allegations.
Those who had their requests for microprocessor-controlled prostheses denied under former policies can resubmit their claims for review under the current prostheses policy.
Additionally, those who paid out of pocket for these devices after their post-service claims or pre-authorization requests were denied under previous policies can receive reimbursement from the settlement. These insureds must include documentation such as health care provider information, services rendered and total charges for prostheses.
Who Is Eligible?
The settlement benefits all class members or individuals covered by Anthem health insurance plans who were denied coverage for microprocessor-controlled knee or ankle prostheses as a result of Anthem’s Former Medical Policy on Microprocessor Controlled Lower Limb Prosthesis, Policy No. OR-PR.00003.
How To Be Part of This Settlement
For a class member to partake in this settlement, class members must submit a valid claim form. The deadline to submit a claim has not been decided. The deadline for exclusion and objection is July 28, 2022. The settlement website is AtzinSettlement.com.
What Is The Pay For This Settlement?
The pay for this settlement varies and the proof of purchase is the Insurance information and other documentation that demonstrates that you incurred and paid out-of-pocket for a microprocessor controlled knee or foot-ankle prosthesis.
As you submit your claim to the settlement website AtzinSettlement.com, just like Sincera Reproductive Medicine class action settlement we have reviewed , you’re doing so under penalty of perjury. You are also harming other eligible Class Members by submitting a fraudulent claim. The final approval hearing is scheduled for Aug. 29, 2022. In order to speak at this hearing, class members must submit a notice by Aug. 8, 2022.