04/15/2026
We are raising concerns regarding ongoing systemic underpayment issues affecting our small, inclusive behavioral health practice based in Urbana, Illinois.
Since 2024, outpatient behavioral health services have been reimbursed below contracted rates, with inconsistent results following reprocessing.
Despite multiple formal appeals, significant delays, rejected claims, and two Project Rewards submissions, over $15,000 in contracted reimbursements remains outstanding. These ongoing issues place strain on small practices and ultimately impact access to care for the communities we serve.
We urge Aetna to review and address these concerns promptly🤝🏼.