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Insurance issues dealing with CMS to private insurance.

If you can’t find the information you are looking for or need help with a question, contact the FCA Insurance and Legal Liaison Office.

 

 



Update on BCBS Reimbursement Issues
Wednesday, 17 June 2009

The FCA thanks our members for sending examples of  Blue Cross Blue Shield (BCBS) reimbursement limitations.  These examples have been collected, reviewed, sorted and organized into the different issues. The FCA legal team may still request documentation on issue-specific claims; however, they will make these requests on a case by case basis.

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Great News Department: Crist Approves Direct Benefits Bill
Thursday, 11 June 2009

               Despite a very costly Blue Cross Blue Shield-sponsored blitz of statewide media advertising urging otherwise, yesterday Gov. Charlie Crist signed into law Senate Bill 1122. 

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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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