WE NEED TO STOP ILLEGAL 3RD PARTY MEDICAL INSURANCE REIMBURSEMENT PRICING IMMEDIATELY! Racketeer Influenced and Corrupt Organizations (RICO's) ARE RUNNING WILD AND MAKING HUGE PROFITS AS PART OF THE ENTERPRISE WITH MAJOR MEDICAL INSURANCE COMPANIES

Data iSight is ILLEGALLY repricing Out of Network claims in an attempt to "save consumers out of pocket costs" for medical claims. This is not the case. Data iSight operated under MultiPlan/NCN is another 3rd party Cost Containment vendor that is attempting to underpay Out of Network medical claims and put more of a financial burden on patients that seek out of network medical services. This company claims to be fully transparent with all parties however, this repricing is done without the knowledge of the subscriber or doctor. Patients are presented with a bill telling them to contact Data isight for them to negotiate with the Doctors to save the patient money but this is not their purpose. As a patient that has met their out of pocket expenses for out of network services there would be no cost to the patient. So this is in actuality a way to save insurance companies money and underpay doctors using a "patented methodology" that does not take into account the laws and regulations of certain states and jurisdictions and out of network pricing set forth by the Attorney general (ex: Fair Health of NY protocol). Data iSight will not actually present the methodology for each claim they underprice. Data iSight is inserting themselves into insurance underwriting disclosures by private contract with insurance companies without informing subscribers, insurance brokers and agents as well as HR departments of insured employee health plans. Data iSight is in violation of ERISA laws. Premiums have gone up for insurances which creates more revenue, and benefits get paid out reduced by more than 70+% because of Data iSight creating more profit for the insurance company that Data iSight is contracted with (for example Aetna). The legality of this egregious practice should be clearly established, however that legality cannot be found. There is no transparency as claimed by Data iSight. Multiplan who is the parent company of many UCR cost containment vendors has had many of their subsidiary companies litigated and had to pay restitution for the same type of practices that Data iSight is implementing. Data iSight is currently being sued in several states under RICO violations.

Multiplan tried this same tactic as a parent company for Ingenix and was sued in 2009 and lost because of the unethical practices of Usual and Customary cost containment vendors. I encourage anyone reading this to web search the lawsuits that have been filed against Multiplan and their subsidiaries. Even Data Isight has been sued. The equation is simple, all of these companies still profit because while they take in 100's of millions of dollars they only have to pay out a small percentage (which they are insured on anyway) of what was profited. The bigger picture is that Data Isight is part of an ongoing campaign to destroy our of network providers future incomes. People are becoming unemployed and practices are closing nationwide because they have been underpaid and have to go through an egregious process to try and get paid at the Reasonable and Customary rates for rendered services. This loss of income makes it impossible for doctors to pay their staff and practices are forced to close their doors. In addition the EOB's sent to subscribers are blatantly shaming patients for going out of network and is a blatant misrepresentation of patients benefits.

I ask that Data iSight not be permitted to continue their current practices which are ILLEGAL of repricing claims under the guise of trying to save patients money when what they are really doing is trying to keep out of network reimbursements at a low point to burden patients with high financial responsibilities so that patients are persuaded to only seek in network services which effects out of network doctors to the point where they cannot afford to treat patients anymore and are closing all over the nation.