Health insurance giant Aetna under legal fire from New York City Cardiologist

A New York cardiologist, Dr. Perry Frankel, issuing Aetna for breach of contract with his practice, Advanced Cardiovascular Diagnostics (ACD) in a lawsuit filed today, May 29, 2018. The suit, filed with the Supreme Court of the State of New York, County of New York, is the result of a year-long battle to pay out nearly $1 million worth of legitimate claims for Covered Services of Aetna plan members. Aetna ordered ACD to cease all medical care provided specifically by its mobile clinic in May 2017. The lawsuit follows a protest outside of the Aetna building in New York earlier this month. Dozens of Black and Latino union and city workers affected by the blackballing of ACD screenings, proven to save lives, urged Aetna to reinstate ACD coverage to their plans. ACD made repeated attempts to ask Aetna why it honored claims for some ACD services and refused others but never received an explanation. Soon after, Aetna dropped Dr. Frankel as a provider altogether, leaving hundreds of members claims unpaid.

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