Category: ER Billing

BCBS Controversial ER Claims Process Begins – Houston

The largest health insurer in Texas changed an ER claims review process Monday. Blue Cross Blue Shield of Texas said its 500,000 HMO members may have to pay the entire cost of an out-of-network emergency room bill, if they go for

Texas allows Blue Cross Blue Shield to deny payments for some out-of-network ER visits

Blue Cross and Blue Shield of Texas will begin a controversial new program Monday in which it will not pay any expenses for an out-of-network emergency room visit if it is later determined the patient should have gone elsewhere for

If it’s not an emergency, Blue Cross Blue Shield won’t pay 

It’s the middle of the night and that nagging chest pressure seems to be getting worse. Could be a heart attack. Could be indigestion from the bad burrito at dinner. Do you a) Go to the nearest emergency room; b)

Contract dispute means bigger PMC ER bills for many 

POCATELLO — The emergency room physicians at Portneuf Medical Center recently formed their own practice, prompting a contract negotiation process between them and two major Idaho insurance companies that has left many ER patients with larger than normal medical bills.

Medical Associations Sue Blue Cross Blue Shield, Anthem Over ER Claims | Daily Report

Last year, Blue Cross Blue Shield of Georgia and parent company Anthem Insurance Cos. rolled out a new policy that included refusals claims based on emergency room visits if the insurers later deemed them non-emergencies. Medical associations have been fighting

Cost of ER visits nearly doubled as fees are coded at highest level – Houston Chronicle

Even though the number of insured emergency room visits has stayed about the same in recent years, the cost to step inside the door has nearly doubled, according to new data released by a health care policy group. In 2016,

Blue Cross Blue Shield of Texas Delays Controversial Change After Backlash

The largest health insurer in Texas was set to change a review process on Monday. But it has been delayed until August 6th, after getting backlash from physicians in Texas. If the new process is launched, Blue Cross Blue Shield of

Emergency rooms to see impact is Blue Cross Blue Shield passed; -Amarillo

A rule that could effect how Blue Cross Blue Shield of Texas customers are treated during a health emergency has been postponed for at least 60 days. Local urgent care centers will not be effected if the new rule were

Why your next ER visit could cost you more if you have BCBS

A trip to the emergency room could soon become more expensive for some Texans. Starting June 4, the state’s largest health insurance provider, Blue Cross Blue Shield, is changing how it processes ER claims. The company says the change is for BCBS’s fully

ER doctors: Anthem policy to deny coverage for some visits is dangerous

A group of emergency room doctors is pushing back on a program from Anthem Blue Cross and Blue Shield that could deny reimbursement for those using the hospital emergency room for treatment the insurer doesn’t deem an emergency. Emergency room