Search for: "Blue Cross Blue Shield of Pennsylvania" Results 1 - 20 of 45
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19 Aug 2015, 2:53 am by tortsprof
Blue Cross attempted to use the Pennsylvania Peer Review Protection Act to shield the... [read post]
21 Jan 2009, 6:50 am
According to an article in today's Philadelphia Inquirer, the Pennsylvania Insurance Department has apparently unofficially informed Highmark Blue Shield and Independence Blue Cross of certain conditions it will place on the merger. [read post]
23 Jul 2009, 11:46 am
In what many Pennsylvania physicians feel is a long overdue move, the Pennsylvania Insurance Commissioner has announced that the Department of Insurance will investigate whether any of Pennsylvania's Blue Cross-Blue Shield insurers have engaged in anti-competitive behavior in violation of the Unfair Trade Practices act. [read post]
28 Feb 2007, 8:45 am
Proposed cuts to a popular Medicare program would lead to sharp increases in costs for recipients, including many in Western Pennsylvania, Blue Cross and Blue Shield Association officials said yesterday. [read post]
26 May 2016, 12:54 pm
" For instance:"Most health insurers in Pennsylvania are pressing for double-digit rates increases for Obamacare plan coverage starting in January"This is unpossible.Or this egregious example:"Health insurance industry lobbyist tells me that Blue Cross Blue Shield of Texas will announce a 59% rate increase today for next year. [read post]
9 Jul 2012, 11:11 am
The laws now define what exactly constitutes telemedicine, which was previously undefined by Michigan law, and requires Blue Cross Blue Shield and other private insurers in Michigan to cover patient visits conducted using telemedicine (so long as certain requirements are met). [read post]
23 Jun 2009, 5:52 am
A Michigan insurance company has opted to settle with 100 families seeking to be reimbursed for autism treatments for their children.Blue Cross Blue Shield of Michigan settled a class action law suit last week. [read post]
2 Mar 2012, 8:00 am
(a wholly-owned subsidiary of Blue Cross and Blue Shield of Florida, Inc.). [read post]
15 Mar 2011, 6:35 am
It didn't cover dental needs or prescription drugs, but it covered the cost of major surgeries and is considered better coverage than Special Care.In 2005, the state's Blue Cross/Blue Shield insurers, which were under scrutiny from then-Gov. [read post]
4 Feb 2011, 2:28 pm
BCBS Association, et al., Case Number 09 C 5619United States District Court, Northern District of Illinois  On January 21, 2011, the United States District Court for the Northern District of Illinois dismissed the counterclaims of 23 Blue Cross/Blue Shield entities seeking recoupment of "overpayments" allegedly made to the plaintiff chiropractors. [read post]
16 Oct 2007, 5:28 am
Briefly, in 2001, plaintiffs - a family doctor, and a medical corporation that services 4,000 patients - filed a putative class action in Pennsylvania state court against HMO Keystone Health Plan Central, Highmark (formerly Pennsylvania Blue Shield), Capital Blue Cross and others alleging that they conspired to defraud, delay payment and reduce payment on insurance claims; defense attorneys removed the class action to federal court. [read post]
30 Mar 2012, 7:58 pm by Peter Vodola
Empire Blue Cross & Blue Shield, 447 Pa.Super. 436, 669 A.2d 975, 983 (Pa.Super.1995). * * * Significantly, the court has declared that causes of action in the nature of a penalty are not assignable. [read post]
5 Jan 2012, 3:13 pm by Bonny Rafel
Horizon Blue Cross Blue Shield of New Jersey, 301 B.R. 662 (Bankr D.N.J. 2003) (providers have standing to demand payment in the absence of an anti-assignment clause), and Ambulatory Surgical Center of New Jersey v. [read post]
16 Jan 2024, 4:51 pm by Currin Compliance
Pennsylvania Launches External Review Process and Website to File ComplaintsNew appeals standards went into effect on January 1, 2024, as part of a new law that was passed in 2022. [read post]
14 Feb 2013, 7:30 am by Howard Iken
One such income stream has come from his appointment to the Blue Cross/Blue Shield of Northern Pennsylvania, which pays between $25,000 and $36,000 per year. [read post]
26 Jun 2014, 2:32 pm by Amber Walsh
-based independent physician group, in 2011; Highmark, a Blue Cross and Blue Shield licensee in Pennsylvania, acquiring West Penn Allegheny Health System, a financially troubled hospital system in Pittsburgh, in 2013; Humana acquiring Concentra, an urgent- and occupational-care provider, in 2010; Humana acquiring SeniorBridge Family Cos., a provider of in-home care for seniors, in 2012; and WellPoint acquiring CareMore Health Group, a Medicare Advantage… [read post]