Lawsuit: Illinois Physician Seeks Unpaid Interest on Treatment for Workers Comp. Patients
by Erin Shaak
Last Updated on May 8, 2018
Beatty v. Accident Fund General Insurance Company et al.
Filed: September 19, 2017 ◆§ 3:17-cv-01001
A physician has filed a lawsuit against 45 insurance companies, administrators, and claims adjusting companies alleging that they unlawfully failed to pay interest on medical bills for patients insured under the Illinois Workers' Compensation Act.
Hartford Fire Insurance Company Accident Fund General Insurance Company Accident Fund Insurance Company of America Accident Fund National Insurance Company Acuity, A Mutual Insurance American Compensation Insurance Company American Zurich Insurance Company Amerisure Mutual Insurance Company Auto Owners Insurance Company Berkshire Hathaway Homestate Insurance Company Broadspire Services Inc. Cannon Cochran Management Services, Inc. Constitution State Services, LLC Chubb Indemnity Insurance Company Commerce and Industry Insurance Company, Inc. Continental Casualty Company, Inc. American Casualty Company of Reading Pennsylvania Corporate Claims Management Country Mutual Insurance Company Creative Risk Solutions LLC ESIS, Inc. Federated Mutual Insurance Company Fireman's Fund Insurance Company First Liberty Insurance Corporation General Casualty Company of Wisconsin Gallagher Bassett Services, Inc. Hartford Accident & Indemnity Company Hartford Casualty Insurance Company Hartford Insurance Company of Illinois Hartford Insurance Company of the Midwest Hartford Underwriters Insurance Company Illinois National Insurance Company Indemnity Insurance Company of North America Insurance Company of the State of Pennsylvania Liberty Mutual Insurance Company New Hampshire Insurance Company Old Republic Insurance Company PMA Companies Perkin Insurance Company QBE Insurance Company Sedgwick Claims Management Services, Inc. Sentry Casualty Company Synergy Insurance Company Travelers Property & Casualty Company of America Tristar Insurance Group, Inc. Zurich American Insurance Company
Illinois
An Illinois physician has filed a proposed class action lawsuit against 45 insurance companies, administrators, and claims adjusting companies alleging that they unlawfully failed to pay interest on medical bills for patients insured under the Illinois Workers’ Compensation Act. The suit is brought on behalf of a proposed class of Illinois physicians who rendered medical services to employees covered under the Illinois Workers’ Compensation Act anytime since July 20, 2005 and did not receive their rightful interest payments from the defendants. According to the complaint, the companies attempted to avoid paying mandated interest in the following ways:
- providing “false or misleading” information on Explanation of Benefits (EOB) forms to conceal the identity of the patient’s insurance carrier;
- providing false information on EOB forms concerning the date the defendants received doctors’ requests for reimbursement to give the appearance that their payments were timely; and
- failing to provide EOB forms for claims that were “concluded by settlement or decision of an arbitrator or the Workers’ Compensation Commission.”
As a result, the suit argues that the defendants “systematically and routinely” denied proposed class members their rightful interest payments, subjecting them to financial harm and impeding them from being able to maintain their practices.
A list of the named defendants can be found in the complaint below.
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