Blue Cross Blue Shield (BCBS) reached a contract with the Minnesota Commerce Department to pay a $45,000 fine and pay back $328,000 over misleading website in surprise medical fees to clients.
The problem arose as the misleading website of BCBS misrepresented doctors and hospitals as “in network” care for the Blue Cross Blue Shield Consumer Value Network. Clients later found out the services they had consumed were out of network, and came with large unveiled charges as a result.
Jay Craswell told that he was hit with a surprise medical bill amounting to $24,000. He is now motivating everyone to double check all of their medical bills to ignore the stress he went through.
“You know, unless you are OCD like me and you’ve a yellow pad with everything you checked, you possibly just assume that it is your own mistake,” Craswell.
The key problem with the system came from failure of BCBS to delist North Memorial Medical Center and affiliated clinics as “in network”. The failure occurred during part of the 2015 open enrollment period, and BCBS also failed to maintain a system which permitted individuals with coverage to accurately recognize in-network providers.
“We recognized and apologized for the complications confronted by these members and made every effort to remedy situations that were brought to our attention,” BCBS claimed in a statement.
BCBS didn’t admit any wrongdoing in their settlement, Commerce Department Spokesman Ross Corson told.
“[Blue Cross] voluntarily accepted that, for individual members who bought a health plan utilizing the Consumer Value Network for any time in the year of 2015 and gained services from North Memorial … it would reprocess the member’s 2015 North Memorial claims to depict in-network benefits,” the consent order states,” Corson said.
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