Sovereign Health Sues Health Net For Refusal To Reimburse Addiction Treatment Claims, Seeks $55 Million

On June 30, 2016, Sovereign Health, a group of affiliated residential addiction treatment provider organizations, sued Health Net, a California health plan, for refusing to reimburse for services rendered to Health Net members. The complaint, Sovereign Health v. Health Net, alleges that Health Net has unjustly denied $55 million in claims submitted by Sovereign Health in 2015 and 2016. Further, the plaintiffs said that Health Net has begun routinely denying its claims. In 2015, Health Net paid 36% of claims Sovereign Health submitted for treatment provided to Health Net members. In 2016, Health Net paid only 3% of claims. The . . .