Class Action Lawsuit Can Proceed Against Blue Cross Blue Shield BCBS Insurers Over Alleged ERISA Violations In Connection With Blue Cross Blue Shield BCBS Post-Payment Audit & Review Process.
A class action lawsuit pending in the United States District Court for the Northern District of Illinois against 22 Blue Cross Blue Shield (“BCBS”) insurers across the country on behalf of a putative nationwide class of health care providers challenging the Blue Cross Blue Shield BCBS insurers’ alleged practices in using post-payment audits and reviews and repayment demands to pressure providers to repay money that has previously been paid as health insurance benefits for services provided to BCBS subscribers, can continue, according to class action lawsuit news reports.
The Blue Cross Blue Shield (BCBS) class action lawsuit complaint reportedly alleges that BCBS’ repayment demands are retroactive determinations that particular services are not covered under the terms of the BCBS health care plans, but without proper appeal or other protections otherwise available under ERISA for both self-funded and fully insured health care plans offered through private employers, in violation of the Employee Retirement Income Security Act of 1974 (“ERISA”).
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