Search for: "Blue Cross Blue Shield Illinois" Results 21 - 40 of 81
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5 Jan 2021, 7:25 pm by Pringletech
Blue Cross and Blue Shield of Illinois, which found that while anti-assignment provisions in ERISA matters are valid and enforceable, plan administrators can waive the right to assert and enforce these provisions when their actions are inconsistent with the provision or they are aware that the claimant is acting as an assignee. [read post]
5 Jan 2021, 6:33 pm by Pringletech
  In Beverly Oaks, the U.S. 9th Circuit Appeals Court allowed an out-of-network healthcare provider to assert equitable claims under ERISA seeking a direct recovery of unpaid claims from Blue Cross and Blue Shield of Illinois (BCBS). [read post]
25 Nov 2020, 9:10 am by Tim Rozelle
Aerocare charged $242,500 for the first flight and $284,250 for the second flight and submitted two claims for payment to Lubinski’s employee benefit plan, CVS Health Welfare Benefit Plan (CVS Plan), which was administered by Blue Cross and Blue Shield of Illinois (BCBSIL). [read post]
5 Oct 2020, 10:54 am by Unknown
  Once crossing the expressway I noticed the tomb of Stephen Douglas, a towering and ornate memorial to the white Illinois politician who famously debated Abraham Lincoln, arguing that the expansion of slavery should be left to the local populations of whites. [read post]
8 Jun 2020, 4:27 pm by tvasil
Health Insurance Massachusetts:  On June 8, the Division of Insurance issued Bulletin 2020-19 to Commercial Health Insurers, Blue Cross and Blue Shield of Massachusetts, Inc., and Health Maintenance Organizations about the Division’s expectation regarding carrier flexibility in the administrative of early intervention services. [read post]
26 Mar 2020, 7:43 am by Mary Cutler
Blue Cross Blue Shield (General Association)[10] BCBS announced that its network of 36 independent and locally operated companies will: waive prior authorizations for diagnostic tests and covered services for COVID-19, and cover those tests at no cost share to members. [read post]
5 Jan 2020, 2:52 pm by Kevin LaCroix
The liability environment for directors and officers is always in a state of change, but 2019 was a particularly eventful year in the D&O liability arena, with important consequences for the D&O insurance marketplace. [read post]
5 Jan 2020, 2:52 pm by Kevin LaCroix
The liability environment for directors and officers is always in a state of change, but 2019 was a particularly eventful year in the D&O liability arena, with important consequences for the D&O insurance marketplace. [read post]
4 Dec 2019, 12:53 pm by Amy Howe
Blue Cross and Blue Shield of North Carolina was owed $130 million for 2014, with that number rising to more than $215 million for 2015. [read post]
15 Oct 2018, 3:00 am by Robert Kreisman
The defendants argued, based on the plaintiffs’ depositions, that Lewis and Banks both had their tests paid for by Medicaid and O’Sullivan “was insured by Blue Cross Blue Shield and . . . had no recollection of paying for blood testing of her children. [read post]
26 Jul 2018, 9:01 pm by Jim Sedor
Randy Davis was indicted on charges of conspiracy and bribery over what prosecutors describe as an attempt to pressure Blue Cross Blue Shield (BCBS) to cover insulin therapies offered in health clinics in which he had a financial interest. [read post]
4 Jun 2018, 3:04 pm by Eugene Volokh
Horizon Blue Cross Blue Shield of N.J., 663 F.3d 1124, 1135 (10th Cir. 2011). [read post]
1 May 2018, 9:05 am by Whittel & Melton, LLC
The indictment claims that from 2008 to 2013, the physician fraudulently obtained, or caused his clinic to obtain, at least $950,000 in payments from Medicare and Blue Cross and Blue Shield of Illinois. [read post]
2 Feb 2018, 11:02 pm by McKennon Law Group PC
After using a diabetes insulin pump for nine years, David Lazarus suddenly received a denial letter from his insurer, Blue Cross Blue Shield of Illinois. [read post]
8 Jan 2018, 10:53 am by Evan Schwartz
In a recent case, however, actual fraud occurred, and three clinic owners in Illinois were convicted for a $3.6 million fraud against Blue Cross Blue Shield. [read post]
In 2015, Anthem, the second-largest health carrier, which operates the Blue Cross Blue Shield brand in 14 states, agreed to merge with third-largest Cigna, in what would be the biggest-ever merger of health insurers. [read post]
12 Dec 2016, 9:00 am
On Thursday, November 17, Beich admitted that he was using patients' names to submit false insurance claims for prescriptions to insurers such as Blue Cross Blue Shield of Illinois, Humana, Medicare and several others.... [read post]