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Violation Tracker Individual Record

Company: CareCore National LLC
Current Parent Company: Cigna
Parent at the Time of the Penalty Announcement:  subscribe to see this data field
Recap of Ownership Changes:  subscribe to see this data field
Penalty: $18,000,000
Year: 2017
Date: May 11, 2017
Offense Group: government-contracting-related offenses
Primary Offense: False Claims Act and related
Violation Description: CareCore agreed in principle to pay $18 million to resolve multistate litigiation alleging that it auto-approved hundreds of radiology service requests on a daily basis, deeming them reasonable and medically necessary, even though there had been no evaluation of those cases by appropriate medical personnel. This was part of a larger $54 million settlement involving the federal government; see the Violation Tracker entry at (click here)
Level of Government: state
Action Type: agency action
Agency: Multistate Attorneys General Case
Civil or Criminal Case: civil
HQ Country of Current Parent: USA
HQ State of Current Parent: Connecticut
Ownership Structure of Current Parent: publicly traded
Major Industry of Current Parent: healthcare services
Specific Industry of Current Parent: insurance; managed care
Source of Data: (click here)
Source Notes: If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Current parent company note: Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.