Retained by Boies Schiller, Quinn Emanuel, Robbins Russell
In Aetna Inc. et al. v. Mednax Inc. et al. (E.D. Penn. No. 2:18-cv-02217), Pediatrix and its affiliated physicians were alleged to overbill Aetna and its plan sponsors for neonatal services.
Vega Economics was retained by defendants to review millions of claim records made available through discovery. We performed a querying analysis to detect potential errors and inconsistencies in the insurance provider’s multi-gigabyte database, including duplicate results, improperly labelled categories, billing errors, and impossible or missing values. We then evaluated whether the produced materials were sufficient to accurately recreate the analysis, considering factors such as the completeness and accuracy of the provided data sources, knowledge of proprietary variable naming conventions, and the difficulty of running the provided referential code outside of the insurance company’s local computing environment.
In advance of a scheduled hearing related to the data produced through the discovery, Vega assisted counsel in preparing exhibits to illustrate the deficiency of the production data.