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NYS fines MVP $200,000 over some claims' issues

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The state has fined MVP Health Plan and MVP Health Insurance $200,000 for incorrectly applying cost-sharing to members’ claims and improperly denying some claims for preventive healthcare services.

The NYS Department of Financial Services says that MVP, which has a large presence in the Rochester area, has agreed to pay the fine and correct processing procedures. The companies have also agreed to make restitution including interest.

The restitution totals about $9,000 for 356 of MVP’s customers. The violations happened between 2011 and 2013.

MVP issued a statement saying that the cost-share at issue related to less than one percent of preventive service claims and the company says  it has addressed the operational issues.

Randy Gorbman is WXXI's director of news and public affairs. Randy manages the day-to-day operations of WXXI News on radio, television, and online.