Payer Updates:
California Lawmaker Sues Anthem BCBS for Claims Violations
Published on Mon Feb 22, 2010
Plus, report finds wasteful healthcare spending costs $1.2 trillion. Anthem Blue Cross and Blue Shield (BCBS), the largest for-profit health insurer in California, allegedly broke the law more than 700 times between 2006 and 2009, says a top lawmaker in that state. According to the Los Angeles Times, California Insurance Commissioner Steve Poizner claims Anthem repeatedly failed to pay medical claims on time and misrepresented policy provisions to customers. The state is suing Anthem to the tune of $7 million. "We believe there is evidence to suggest there are serious issues with how Anthem Blue Cross pays claims," Poizner said during a news conference. Many of the violations stem from allegations that the company did not pay patient claims within the 30 days required by California state law, officials said. WellPoint, Inc., the Indiana-based parent company of Anthem, released a statement which vowed full cooperation with the suit, yet downplayed [...]