Confessions of a Pediatric Management Consultant... Where fame and fortune await those who help keep pediatric practices alive and independent!

Highmark Lawsuit (Feb Deadline!)

Written by Chip Hart | Dec 19, 2007 2:22:01 PM

[Before I begin, it looks like there might be an important RVU update later today!]

From hmosettlements.com:

On October 19, 2007, Highmark Inc., and Highmark West Virginia, Inc. d/b/a Mountain State Blue Cross and Blue Shield (“Highmark"), entered into a Settlement Agreement with physicians. The settling parties filed their Joint Motion for Preliminary Approval of Settlement on October 23, 2007; the court issued its preliminary approval order on November 19, 2007...

The deadline for submitted claims is February 27, 2008. Any questions regarding the settlement should be directed to the Highmark/Mountain State Settlement Administrator at 1-866-486-1725.

To make a long story short:

The Complaint in the Action alleges, among other things, that between 1999 and the present, the Blue Plans, among others, engaged in a conspiracy to improperly deny, delay, and/or reduce payment to physicians, physician groups, and physician organizations by engaging in several types of allegedly improper conduct.

I am shocked, shocked I tell you, that the insurance companies might conspire to deny, delay, or reduce payments! Apparently, based on your claim $$ volume from 2004 through 2006, you are potentially entitled to money you earned, but was manipulated from you by BC/BS, Highmark, etc. You can find their claim form on-line, too.

Your deadline is Feb 27, so don't delay.