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Insurance issues dealing with CMS to private insurance.

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FCA Member Field Alert HB1122 Veto Threat
Friday, 22 May 2009

They're at it again:  BlueCross Urging Veto of Direct Benefits Bill

               As if their latest assault on in-network providers wasn't enough, now BlueCross BlueShield is aiming for out-of-network providers, urging Governor Crist to veto a bill recently approved by the Florida Legislature requiring insurers to honor patients' assignments of benefits.

               Your immediate help is needed to urge Governor Crist to approve this important legislation and reject the deceitful campaign BlueCross is waging now on the airwaves.  We also ask that you engage your patients in this important pro-consumer, pro-choice endeavor at once.

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Blue Cross Blue Shield of Florida: EXPANDED EXAMPLES OF DENIAL REASONS NEEDED
Wednesday, 15 April 2009
               The FCA legal team is receiving great examples of questionable reimbursement practices by Blue Cross Blue Shield of Florida.  Additional issues continue to be identified and catalogued. As our General Counsel and Assistant General Counsel continue to prepare the strategy for moving forward legally, we are attempting to gather an example of each issue from each BCBS plan (PPO, Blue Options, etc.) affecting members and PATIENTS throughout the state.
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Overpayment Refund Request from Health Insurer
Wednesday, 25 March 2009

What do you do if you receive a letter from a health insurance carrier requesting a refund due to overpayment?  Do you have to pay it?

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BCBS Florida Changes in Reimbursement
Wednesday, 25 February 2009

The FCA has been researching the many concerns members have voiced regarding BCBSF changes in reimbursements.

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Blue Cross Blue Shield Network Revision
Friday, 18 April 2008
The deadline set by Blue Cross Blue Shield of Florida for receipt of new network contracts (April 21) is fast approaching and we understand the many grave concerns you may have voiced about this situation and its impact on your patients.  Some have sought FCA recommendations as to whether or not they should sign:  Please understand that the FCA is prohibited by federal anti-trust laws from advising you in your individual decision-making process.
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