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- Florida Pathologists Receive $12 Million Settlement for Outstanding PC of CP Payments
Florida pathologists received a multi-million dollar class-action settlement against Sunshine State Health Plan Inc, attorneys for the pathologists announced October 19.
Payments totaling over $12 million to Florida hospital-based pathologists were sent on October 18 as part of the settlement to compensate pathologists for PC of CP claims that went unpaid since 2016 by Ambetter for Sunshine Health. Future payments required under the settlement agreement are anticipated to add an additional $11 million to $39 million, making the total value of the settlement approximately $23 million to $51 million.
In 2016, the Florida pathologists discovered that Ambetter did not make payments for the PC of CP services pathologists rendered to health plan beneficiaries. Attorneys with Colson Hicks filed the class-action lawsuit on behalf of Ruffolo Hooper & Associates, one of the largest physician-owned pathology groups in the state, in 2019.