In the health care industry, payors and providers often have claims for both underpayment and overpayment arising from ongoing contracts or other health care services rendered.
When claims arise between a payor and a provider, they are often aggregated and combined for purposes of litigation, sometimes totaling thousands of claims in a single action. When the parties are unable to resolve the claims informally, they often become subjects of either a civil action or an arbitration. In either case, the parties try to settle those claims and often do so in mediation.
Originally published in Law.com on March 11, 2015.
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