Search for: "Blue Cross and Blue Shield Investigators"
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19 Jul 2012, 7:14 am
., 240 AD2d 452 [2nd Dept. 1997]; Rossi v Blue Cross & Blue Shield, 73 NY2d 588, 594 [1989 ]). [read post]
14 Oct 2014, 12:24 pm
Dept. of Health and Human Services Office of Inspector General, the DEA, Michigan Attorney General’s Office, and Blue Cross and Blue Shield of Michigan investigative personnel. [read post]
14 Sep 2022, 8:28 am
The untenable increases should have been mitigated by an offset of pandemic monies received by the State coupled with more effective negotiations with insurers and enforcement of contracts that require Horizon Blue Cross Blue Shield to provide more transparency on provider costs and quality. [read post]
15 Apr 2010, 2:32 am
For more on Wellmark and the investigations, click here for a copy of the letter sent by the IID in response to the Court’s request for a secondary review. [read post]
15 Apr 2010, 2:32 am
For more on Wellmark and the investigations, click here for a copy of the letter sent by the IID in response to the Court’s request for a secondary review. [read post]
19 Mar 2012, 2:42 pm
The agency’s investigation followed a notice submitted by Blue Cross Blue Shield of Tennessee (BCBST) reporting that 57 unencrypted computer hard drives were stolen from a leased facility in Tennessee. [read post]
4 Dec 2023, 2:29 pm
Rhode Island Cracks Down on Agent: License Revoked Amidst a Trail of Incompetence, Dishonesty, and Fraud with Multiple Insurance CarriersThe investigation by the Rhode Island Department of Business Regulation into licensed agent, Bruno Raguso (Raguso or Respondent), after receiving “various complaints” about…↓ READ MORE ↓ ICI Member LOG IN or SUBSCRIBE today! [read post]
13 Sep 2011, 2:42 pm
This point is reflected in the ongoing litigation against Blue Cross Blue Shield of Michigan and American Express.International Cooperation, CoordinationThe acting antitrust chief said that she worked closely with her predecessor, Christine Varney, setting antitrust priorities. [read post]
7 Oct 2016, 9:05 am
Blue Cross Blue Shield of Texas issued a press release on September 28, 2016 with the headline, “Welcome to Concussion Season. [read post]
12 Aug 2022, 4:24 am
Most payors still include Fluid Flow on their experimental and investigational list for all orthopedic conditions.[9] As policies are updated, some payors, like Blue Cross Blue Shield of Rhode Island,[10] are considering some uses of the product as medically reasonable. [read post]
23 Nov 2011, 12:00 pm
Between January 2003 and December 2006, Sherman billed Medicare and Blue Cross Blue Shield of Michigan for a procedure known as an "avulsion of the nail plate" or "nail avulsion" procedure. [read post]
8 Jan 2018, 10:53 am
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]
29 Nov 2010, 8:15 am
KeySpan Corporation (CCH Trade Regulation Reporter ¶50,975).In addition, the Division filed civil antitrust lawsuits against Blue Cross Blue Shield of Michigan and (together with seven states) against American Express, MasterCard, and Visa.In the first suit, the Division challenged “most-favored nations” (MFN) clauses in Blue Cross’s agreements with hospitals that allegedly limit the discounts the hospitals can offer to… [read post]
19 Mar 2012, 10:36 am
These were sent to Cigna, Blue Cross Blue Shield and Assurant. [read post]
17 Aug 2011, 3:58 pm
Blue Cross blue Shield of Tenn., 2010 WL 670081 (E.D. [read post]
21 Jan 2015, 6:01 pm
The potential injury to the children from disclosure of their postings, she ruled, did not outweigh Horizon Blue Cross Blue Shield of New Jersey’s need for the information. [read post]
6 Jan 2011, 9:54 am
Justice Department and the Michigan Attorney General filed a civil action in the federal district court in Detroit against Blue Cross Blue Shield of Michigan, the largest provider of commercial health insurance in Michigan, over its use of “most favored nation” clauses in contracts with hospitals across the state.Also in October, the U.S. [read post]
1 May 2018, 9:05 am
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]
10 Jun 2012, 1:56 pm
A Blue Cross Blue Shield grant program recently provided funds to the natural childbirth organization for their work helping mothers learn about alternatives to hospital births. [read post]
22 Oct 2018, 11:20 am
” Federal prosecutors believe the alleged scheme bilked $174 million from private health care companies, including Blue Cross Blue Shield. [read post]
