ILLUSTRATION: Chris Whissen PHOTOS: shutterstock.com
In its escalating fight against Anthem BlueCross BlueShield’s dangerous policy of retroactive denials of ED visits the insurer deems as “non-emergent,” ACEP has taken legal action. Joined by the Medical Association of Georgia, ACEP filed a lawsuit against Anthem’s BlueCross BlueShield of Georgia in July 2018 in federal court.
This action follows a yearlong effort by ACEP to protect the prudent layperson standard on behalf of its members and fight back against the policy that Anthem currently is enforcing in six states. These efforts have yielded significant progress: Anthem announced in February that it was expanding the “always pay exceptions” on the denials policy and would request a medical record for every potential denial; The New York Times ran a story on reactions to Anthem’s policy that featured data contributed by ACEP on denials in each state the policy was implemented in; and most recently, Sen. Claire McCaskill (D-MO) published a report on the Anthem issue for which ACEP also contributed information.
Pages: First |1 | 2 | 3 | Next → | Last | Single Page
Loading ...
No Responses to “ACEP Sues Insurer for Retroactive Denials of Emergency Department Visits”