out-of-network payments

Latest Headlines

Latest Headlines

Group Health overcharged members for out-of-network services

Group Health, a unit of Emblem Health, was using improper billing and claims practices to overcharge its members for seeing out-of-network providers, New York Attorney General Eric Schneiderman said Tuesday.

Texas Blues owes provider $3.7M, lawsuit says

Blue Cross Blue Shield of Texas owes $3.7 million to a health provider system for contested claims that left patients facing pricey medical bills, according to a lawsuit against the insurer.

Big insurers faulted for 'surprise' out-of-network medical bills

Major insurance companies in New York are to blame for so-called "surprise" out-of-network bills that often result after scheduled, non-emergency and insurer-approved medical services,...

Aetna sues surgery centers for overbilling

Aetna is suing seven California surgery centers, claiming they illegally lure customers and overbill up to 2,500 percent more than they pay providers for procedures, reported Bloomberg . The lawsuit,...

Attorney General: Fined insurers must update provider directories

Eight New York insurers have agreed to pay a $60,000 collective fine and will ensure their provider directories are accurate under a settlement agreement with the state attorney's general office.

Horizon urges members to avoid hospital due to high fees

Horizon Blue Cross Blue Shield of New Jersey has asked its members not to use the Bayonne Medical Center because the hospital charges "exorbitantly high" fees. In a letter to its members, Horizon

UnitedHealthcare: Out-of-network ASCs file class action over low payments

Ambulatory surgery centers (ASCs), led by the California centers Downey Surgical Clinic and Tarzana Surgery Center, are following in the footsteps of physicians to battle Minnetonka, Minn.-based

WellPoint added to AMA's class-action lawsuit

The American Medical Association recently argued in U.S. District Court in Los Angeles that Indianapolis-based WellPoint, held its out-of-network reimbursements artificially low for several years.