In the latest filing on January 20, 2015, North Shore Medical Center, Good Samaritan Medical Center, St Mary’s Medical Center and West Boca Medical Center, each represented by the Miami law firm of Lash & Goldberg, claim that CINICO failed to pay the full amounts owed to the plaintiff hospitals for the medical treatment and care rendered to patients insured by CINICO.
According to the complaint, CINICO failed to pay fully for the services provided, either by underpaying the claims; failing to pay the claims in accordance with requirements to qualify for a contractual discount; and/or failing to pay the claims entirely.
Although the specific amounts claimed are not set out in the complaint, the amount due to North Shore Medical Center is cited by way of example at in excess of $600,000.
The latest case reference is 1:15-cv-20231-RNS Tenet Healthsystem North Shore, Inc. et al v. Cayman Islands National Insurance Company Ltd
In November last year, the University of Miami Hospital and Aventura Hospital filed separate complaints in US federal court claiming over $1.4 million from CINICO in unpaid medical bills, alleging breach of contract and unjust enrichment on the part of CINICO.