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00:02Elevance Health has sued autism therapy provider Perfect Child,
00:07alleging it paid the company $160 million due to misleading claims over five years,
00:12according to The Wall Street Journal.
00:14The lawsuit alleges that Perfect Child used more than 100 affiliated companies
00:18to bill higher out-of-network rates, violating its contract with Elevance.
00:23Those companies billed the insurer $800 million between 2021 and March 2026.
00:30Elevance says it paid $160 million after denying many claims,
00:34including $102 million in alleged duplicate charges.
00:38The lawsuit also alleges that Perfect Child billed for impossible amounts of therapy,
00:43including more than 2,000 instances of services exceeding 12 hours a day for a single patient.
00:49The lawsuit follows reports of an FBI investigation into the company.
00:53For all things money, visit Benzinga.com.
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