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Elevance sues autism therapy group, alleging $160M in payments to shell companies

By Elizabeth Casolo 1 min read

Elevance Health filed a lawsuit Nov. 4 against autism therapy group Perfect Child, alleging the in-network applied behavior analysis provider leveraged out-of-network shell entities to secure higher reimbursement. The complaint, filed in New York state court, said Perfect Child’s owner, Simcha Bendet, “owned or controlled” more than 100 such entities. After plan members filled out intake forms, Perfect Child allegedly transferred members to out-of-network entities without informing them.  “To keep members silent about this bait-and-switch, defendants waived member cost-sharing obligations — but threatened collection actions if members questioned such tactics… Originally published in Becker’s Hospital Review. Read More

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