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Maldonado Medical LLC Champions Physician & Patient Rights for Better Reimbursement Schedules Nationwide
Date:9/3/2009

e in various other class action lawsuits. Examples of other lawsuits may include the practice of using post-payment audit processes to place pressure on providers. The insurer's intention is to claim that the providers have been overpaid in the past for services that are not deemed to be covered under its health care policies for various reasons. This includes stating that the services are purportedly experimental and/or investigational. They feel this will intimidate physicians into not using "Out of Network" benefits that patients have paid substantial amounts for.

"Health Insurance companies consistently invalidate acceptable medical procedures thus making the patient responsible for their health care costs," states Gregory Maxon Maldonado. "In making demands like this, health insurance companies fail to provide even minimal due process, which is required under the Employee Retirement Income Security Act (ERISA), before health insurance companies can make any unfavorable health benefit determinations. These health insurance companies continue to violate the legal rights of physicians, non-physician providers and the premium paying patients."

"We are involved in this historic class action lawsuit to assist physicians and patients in defending themselves. We have expended enormous resources to create a proprietary database of thousands of violations of ERISA and to create transparency in this corrupt system of reimbursement schedules with the intent to change the system in making it more fair for doctors and patients," says Brandon Maxon Maldonado.

On June 15, 2009, in the face of overwhelming accusation and historical precedence, a federal judge ordered the Aetna class action case to a preliminary settlement conference. It is at this conference where Maldonado Medical, along with the American Medical Association and associated plaintiffs, will attempt to reform "Out of Network" reimbursement procedures a
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