UnitedHealth Group and CVS Health’s Aetna have faced three lawsuits alleging that the insurance company failed to properly reimburse the surgeon.

Doctors at the Greater New York Surgical Hospital and New York-based Seckin Medical filed three lawsuits alleging that insurance companies underpaid for services provided at the Lenox Hill Hospital in Northwell Health in the city.

Antai, UnitedHealth Group The law firm representing the doctors did not respond to a request for comment.

The three surgeons mentioned in the lawsuit, namely Dr. Tamer Seckin, Dr. Karli Goldstein, and Dr. Panagiotis Manolas, performed operations on patients in 2019 and 2020. They considered medically necessary and received a small amount of money owed. In part, the complaint stated.

After the operation, the patient’s insurance company received more than $200,000 in claims, but the payer initially only reimbursed the surgeon for a few thousand dollars.

According to the lawsuit, Aetna and UnitedHealth Group refused to pay for certain program codes classified by insurance companies as containing other codes. The doctor claimed that the insurance company did not consider the severity and complications of the operation.

The lawsuit alleges that despite the appeal, the insurance company did not pay the remaining payment and incorrectly withheld the payment. Seckin and Goldstein sought damages of USD 277,956.37 and USD 218,515.92 in two lawsuits, while Manolas sought compensation of USD 280,381.98 in the third lawsuit.

In addition, the surgical expert in Greater New York requested an administrative fine of $19,470 because UMR, a subsidiary of UnitedHealth Group, did not provide the plaintiff’s lawyer with the documents they requested in June, which violated federal law, the lawsuit alleges.