PORTLAND, Maine — In a dispute with similarities to concerns raised about Anthem in Maine, a federal arbitrator in Indiana found that the health insurer breached its contracts with 11 hospitals and ordered it to pay back claims of $4.5 million.

MaineHealth on Wednesday released a statement about the ruling, saying it is another example of Anthem’s conduct being called into question. Last month, the state of Georgia leveled a $5 million fine against Anthem for illegal practices that were harmful to its policy holders. Over the past three years, Anthem has been embroiled in public disputes with at least 17 hospitals across the country.

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