Search for: "The Anthem Companies of California" Results 21 - 40 of 119
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18 Jul 2012, 6:38 am
Anthem Blue Cross has gotten in trouble this week with California state regulators over trying to collect millions of dollars from medical providers for medical claims the company thinks were overpaid. [read post]
30 Nov 2010, 5:37 pm by Robert McKennon
Anthem Blue Cross, a unit of Indianapolis-based WellPoint Inc., and Blue Shield of California received the largest fines — $900,000 each. [read post]
14 Jan 2011, 10:41 am by brettb
According to the Times, while some insurance companies are following the new law that went into effect Jan. 1, Anthem Blue Cross is playing fast and loose with the rules. [read post]
26 Feb 2010, 2:54 pm by Cal Law
The insurance companies fired back, through the California Association of Health Plans. [read post]
25 May 2018, 11:33 am
" This occurs when a company buys a group plan, but only those with health issues actually sign up (or mostly those). [read post]
6 Mar 2019, 6:00 am
So, FoIB Steve Downey alerted us to this item at CNN:"A woman received nearly $375,000 from her insurance company over several months for treatment she received at a California rehabilitation facility. [read post]
7 Feb 2011, 12:18 pm by Robert McKennon
Despite more attention focused on the nation’s largest health insurance companies with their recent requests for large premium increases and with all of the talk about national healthcare reform, California’s largest health insurance companies continue to deny about 26 percent of all health insurance claims, according to a recently released study by the California Nurses Association(“CAN”)/National Nurses United (“NNU”). [read post]
12 Nov 2019, 6:00 am
A read of the article offers this tantalizing tidbit,“Bard’s saga began, traumatically, when she gave birth to Sadie at just 26 weeks on Sept. 21, 2018, at the University of California, Irvine Medical Center in Southern California. [read post]
11 Nov 2016, 3:30 am by Kevin Pollack
”2 In the property insurance context, the California Insurance Code explicitly provides that an insurance company must, “at least 45 days prior to policy expiration,” provide notice in a renewal offer of “any reduction of limits or elimination of coverage. [read post]
Authorities Uncover $20 Million Health Care Scheme in California Federal authorities arrested five individuals connected to San Fernando Valley clinics and a significant health care fraud scheme. On May 22, a federal grand jury indictment was unsealed. The indictment alleges that the five individuals engaged in a health care fraud conspiracy over multiple years and targeted at least eight health insurance companies and the International Longshore and Warehouse Union, the Pacific Maritime Association Benefit Plan, and the Federal Employees Health Benefits Program. The Conspirators According to the Department of Justice (DOJ) press release, the co-conspirators included: Roshanak “Roxanne” or “Roxy” Khadem, 50: Khadem owned and operated two clinics, R&R Med Spa and Nu-Me Aesthetic and Anti-Aging Center. Dr. Roberto Mariano, 59: Mariano helped operate the clinics. Marina Sarkisyan, 49: Sarkisyan was a clinic office manager. Lucine Ilangezyan, 38: Ilangezyan was an insurance biller for the clinics. Gary Jizmejian, 44: Jizmejian was previously a senior investigator at the Anthem Special Investigations Unit, the insurer’s anti-fraud unit. The Allegations The indictment alleges that the co-conspirators induced patients to visit the clinics for free cosmetic procedures, such as Botox injections, facials, and laser hair removal. These procedures were not covered by insurance. The co-conspirators would gain the patients’ insurance information and bill their insurers for medical services that were unnecessary or never provided. The defendants then used some of the illegally obtained proceeds to calculate a “credit” the patients could use for discounted or free cosmetic procedures. The defendants submitted at least $20 million in insurance claims and were paid approximately $8 million. The indictment also states that Jizmejian, for cash payments, would provide Khadem and others with confidential Anthem information. This information helped the defendants submit fr
30 May 2018, 5:43 am by Gregory J. Brod
This information helped the defendants submit fraudulent bills to anthem. [read post]
2 Jul 2010, 6:54 am
Now comes word from California insurance blogger David Fluker that "more than 200,000 affected so far by the security breach of the Anthem Blue Cross Online Application Tracker. [read post]
4 Jul 2019, 12:22 pm by Green and Associates
The indictment further alleges that some patients who underwent multiple surgeries at TMI suffered severe medical complications from the procedures.The health insurance companies included Anthem Blue Cross, Blue Cross/Blue Shield of California, Blue Cross/Blue Shield of Massachusetts, Regional Employer/Employee Partnership for Benefits, formerly known as Riverside Employer/Employee Partnership (REEP) and Cigna. [read post]
The plaintiff brought a putative class action in the superior court alleging that defendant, Anthem Blue Cross Life and Health Insurance Company d/b/a Anthem Blue Cross, failed to properly safeguard, secure and protect the sensitive personally identifiable information (“PII”) and personal health related information (“PHI”) of the plaintiff and the purported class. [read post]
18 Apr 2016, 10:45 am
Consultations are absolutely free, and we handle matters on a contingency basis everywhere in the state of California and even neighboring states. [read post]
20 Nov 2013, 6:00 am
The company suggested I look to Covered California starting in October. [read post]