The use of flawed databases operated by Ingenix Inc. to determine out-of-network health insurance reimbursement rates was widespread across the nation, according to a new report of the Senate Commerce, Science and Transportation Committee.

Not only did Ingenix scrub data it received from insurers to remove high charges in order to lower "usual and customary" rates on which reimbursement was determined, but the insurers also scrubbed high charges from their data before submitting it to Ingenix, according to the report.

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