Sovereign Health Insurance Fraud

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Defunct Sovereign Health to pay $11 million to settle wrongful …

(6 days ago) WEBThe two sides have settled for $11 million, to be paid through insurer Capitol Specialty Insurance Corporation. “We were pleased the parties could reach a …

https://www.eastbaytimes.com/2023/09/11/defunct-sovereign-health-to-pay-11-million-to-settle-wrongful-death-lawsuit/

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Rehab Riviera: Insurer wins big racketeering, fraud …

(9 days ago) WEBThat $45 million hit to Sovereign and Sharma breaks down like this: Health Net’s damages for fraud and/or intentional interference amounted to $15.82 million, with a $13.31 million cherry on top

https://www.ocregister.com/2022/08/02/rehab-riviera-insurer-wins-big-racketeering-fraud-verdict-against-defunct-sovereign-health/

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Shuttered Sovereign Health resurrected under new name, …

(Just Now) WEBSovereign Health — the embattled addiction treatment and mental health provider investigated by the FBI for insurance fraud, by the state for failing to pay …

https://www.ocregister.com/2019/04/12/shuttered-sovereign-health-resurrected-under-new-name-wrongful-death-suit-alleges/

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Mental health treatment crisis in California leads to $11M …

(Just Now) WEBIn 2022, a jury awarded insurance provider Health Net nearly $45 million, finding Sovereign and Sharma liable for fraud. That case is on appeal. The Nelsons still …

https://www.nbclosangeles.com/news/local/mental-health-treatment-crisis-in-california-leads-to-one-familys-11m-settlement/3329453/

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OC home of CEO of closed rehab chain is now a detox center

(8 days ago) WEBInsurance company Healthnet recently won a $45 million verdict for fraud and racketeering against Sharma and the now defunct Sovereign Health, but that’s on …

https://www.nbclosangeles.com/investigations/home-of-the-ceo-of-shuttered-sovereign-health-rehab-chain-is-now-a-24-7-detox-center/3368325/

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Battle-weary Sovereign Health claims boost from state in fierce …

(7 days ago) WEBThe state Department of Insurance received hundreds of complaints from out-of-network residential treatment centers — like Sovereign — about how Health Net …

https://www.ocregister.com/2019/05/03/battle-weary-sovereign-health-claims-boost-from-state-in-fierce-fight-for-millions-from-health-net/

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Sovereign Health Blocked From Selling Assets in Benefit Case

(8 days ago) WEBEmployees who accused Sovereign Health of failing to pay more than $1.1 million of their health expenses won a court order blocking the company from selling …

https://news.bloomberglaw.com/employee-benefits/sovereign-health-blocked-from-selling-assets-in-benefit-case

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Following Financial Troubles, Allegations Of Fraud, Addiction …

(3 days ago) WEBIn June 2017, FBI agents along with federal and state officials served search warrants at Sovereign’s headquarters and other locations. Though officials haven’t said …

https://californiahealthline.org/morning-breakout/following-financial-troubles-allegations-of-fraud-addiction-treatment-center-sovereign-health-to-close/

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Sovereign Health Motion Alleges Insurance Giant Influence on …

(1 days ago) WEBSAN CLEMENTE, Calif., Aug. 16, 2017 /PRNewswire/ -- Sovereign Health has filed a motion with the U.S. District Court of the Central California Dis

https://markets.businessinsider.com/news/stocks/sovereign-health-motion-alleges-insurance-giant-influence-on-federal-investigation-1002263296

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In Lawsuit, Sovereign Health Blames Health Net for June FBI Raid

(3 days ago) WEBAngeles Superior Court, alleging bad faith, breach of contract and other state law claims resulting from Health Net’s wrongful denial of over $55 million in claims …

https://www.picketfencemedia.com/sanclementetimes/eye-on-sc/in-lawsuit-sovereign-health-blames-health-net-for-june-fbi-raid/article_0acd8e81-485a-538d-bbee-ed60f8bcd381.html

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Payer Roundup—Sovereign Health sues Anthem for - Fierce …

(7 days ago) WEBSovereign operated behavioral health and substance abuse facilities in five states and was closed in 2018 due to financial troubles. The lawsuit says Anthem paid …

https://www.fiercehealthcare.com/payer/roundup-sovereign-sues-anthem-for-directly-paying-patients

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California files order against HealthNet for stiffing addiction

(4 days ago) WEBThe state says HealthNet's action violated several portions of the California state insurance code as well as the federal Mental Health Parity and Addiction Equity …

https://www.fiercehealthcare.com/payer/california-files-notice-against-healthnet-for-resisting-addiction-recovery-facilities

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From Frying Pan to Fire: Strategic Issues When - Buchalter

(1 days ago) WEBThe items sought suggested a potential connection to a civil lawsuit that Sovereign had filed against insurer Health Net for bad faith denial of insurance claims, as well as cross …

https://www.buchalter.com/publication/from-frying-pan-to-fire-strategic-issues-when-reimbursement-disputes-turn-into-criminal-investigations/

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Sovereign Health, accused of placing profits ahead of patients, …

(4 days ago) WEBWith FBI knocking, Sovereign Health rehab defends practices some say put profits ahead of patients. but her co-worker Kienzle said suspicion of insurance fraud …

https://www.desertsun.com/story/news/health/2017/07/06/sovereign-health-accused-placing-profits-ahead-patients-says-did-nothing-wrong/414299001/

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Sovereign Health Workers’ Suit Over Unfunded Health Plan …

(2 days ago) WEBCarmen Castro-Pagan. Former Sovereign Health employees can partially advance their lawsuit seeking to hold liable the claims administrator of the company’s health …

https://news.bloomberglaw.com/employee-benefits/sovereign-health-workers-suit-over-unfunded-health-plan-advances

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Sovereign Health tells workers they won’t be paid; closes California

(3 days ago) WEBBut in a countersuit filed in 2017, Health Net argued that Sovereign’s companies engaged in massive fraud that harms consumers and threatens the ongoing …

https://www.marquartlawgroup.com/2018/07/11/sovereign-health-tells-workers-they-wont-be-paid-closes-california-drug-rehab-facilities/

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Sovereign Health Suit Set for Trial After Partial Settlement

(8 days ago) WEBThe lawsuit centers on Sovereign’s health plan, which is funded by the company and not through an insurance contract with a third-party insurer. Workers say …

https://news.bloomberglaw.com/employee-benefits/sovereign-health-suit-set-for-trial-after-partial-settlement

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Sovereign Nations Insurance ordered to stop selling unauthorized …

(3 days ago) WEBThe company has sold health insurance policies in Washington, though it does not have authorization from the Office of the Insurance Commissioner to do so. The company …

https://www.insurance.wa.gov/news/sovereign-nations-insurance-ordered-stop-selling-unauthorized-health-insurance-washington

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Sovereign Health tells workers they won’t be paid; closes California

(7 days ago) WEBBut in a countersuit filed in 2017, Health Net argued that Sovereign’s companies engaged in massive fraud that harms consumers and threatens the ongoing …

https://www.ocregister.com/2018/07/11/sovereign-health-tells-workers-they-wont-be-paid-closes-california-drug-rehab-facilities/

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Rehab Clinics Under Federal Scrutiny for Fraud, Neglect

(6 days ago) WEBSharma says the Health Net lawsuit is retaliation for a lawsuit first filed by Sovereign against the insurer. Sharma says the insurer stiffed his business for $55 …

https://www.nbclosangeles.com/news/rehab-clinics-under-federal-scrutiny-for-fraud-neglect/22655/

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Sovereign Nations Insurance to Stop Selling Unauthorized …

(4 days ago) WEBSovereign Nations Insurance, LLC signed a settlement agreement with Washington Insurance Commissioner Mike Kreidler to cease its operations in the state. …

https://www.insurancejournal.com/news/west/2023/11/03/746869.htm

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Sovereign Health Sued Over Not Funding Employee Health Plan

(7 days ago) WEBSovereign Health, Allied allegedly failed to pay more than $1.1 million in covered claims Workers seek to represent 500 participants in Sovereign Health’s plan …

https://news.bloomberglaw.com/employee-benefits/sovereign-health-sued-over-not-funding-employee-health-plan

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Anyone have experience with Sovereign Indian Nations Insurance …

(2 days ago) WEBSounds super complicated to me, coming off of my parent's plan with Tufts. I have the option to go with my employer's Tufts insurance for $400, but I was shopping around …

https://www.reddit.com/r/HealthInsurance/comments/r8682j/anyone_have_experience_with_sovereign_indian/

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No easy fixes to Obamacare enrollment fraud : Shots - Health …

(3 days ago) WEBThe agency is also working closely, he wrote, with insurance companies, state insurance departments, and law enforcement "so that agents violating CMS rules or …

https://www.npr.org/sections/health-shots/2024/05/07/1249417648/aca-health-insurance-brokers-obamacare-stop-fraud

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