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A.G. Schneiderman Announces Settlement With Oxford Health For Improperly Denying Claims Of Hundreds Of Members For Infusion Services

NEW YORK-Attorney General Eric T. Schneiderman today announced an agreement with Oxford Health Plans (NY) and Oxford Health Insurance, Inc. (together, "Oxford"), requiring that Oxford provide refunds to hundreds of small group plan members in New York State for improperly denying coverage of infusion services, including necessary supplies and nurse visits, since November 2015. As a consequence of Oxford's denials, these chronically ill members who needed infusion therapy for serious medical conditions were billed by infusion service providers. Infusion therapy is used as part of a medication treatment plan, and is a procedure in which medication is administered intravenously. Infusion therapy may be used, for example, to treat serious or chronic infections that do not respond to oral antibiotics and for pain management. Oxford is owned by UnitedHealth Group.


Action Details

  • Date:February 23, 2017
  • Agency:New York Attorney General
  • Enforcement Types:
    • State Enforcement Agencies