A Texas federal judge has ordered Cigna to pay more than $13 million to Humble (Texas) Surgical Hospital, which is physician-owned. Becker’s Hospital Review reports that the judge decided that the huge Bloomfield, Conn.-based insurer breached the terms of its policies by refusing to cover out-of-network services provided by the facility.
“According to the judge, Cigna’s claim denials were based on the insurer’s flawed interpretation of exclusionary language in self-funded plans it administered,” the news service reported.
Humble sued Cigna after the insurer sued the hospital alleging that it had inflated its bills. The court dismissed all of Cigna’s claims.