Federal Court Certifies Nationwide Class Action Filed by Psych-Appeal and Zuckerman Spaeder Challenging United Behavioral Health Coverage Criteria
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"Yesterday's class certification order is an important victory in the fight for mental health parity," said Meiram Bendat, president of
The plaintiffs' health plans, governed by the Employee Retirement Income Security Act (ERISA), require UBH to evaluate medical necessity according to generally accepted standards of care. UBH's proprietary medical necessity criteria purport to reflect these standards. However, the plaintiffs allege that a push for profits has led UBH to develop criteria that overemphasize acute mental health and substance use disorder symptoms and disregard chronic or complex conditions that require ongoing care, in contravention of generally accepted standards.
UBH is a subsidiary of
Keywords for this news article include: Legal Issues, Mental Health,
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