Request Legal Help Now - Free
LAWSUITS NEWS & LEGAL INFORMATION

Insurance Fraud

Baltimore, MD: (Sep-25-07) Maryland state officials brought a lawsuit against CareFirst BlueCross BlueShield, alleging that Maryland's largest health insurer improperly denied claims. The violations were revealed following an audit that was conducted in 2004. The complaint stated that the company had unethical business practices that led to the claims being rejected. Insurance Commissioner Ralph Tyler said CareFirst not only wrongfully denied claims, in some cases it was failing to process the denials within 30 days, which is also illegal.

In a settlement reached, CareFirst BlueCross BlueShield agreed to pay the $125,000 fine levied on it by the state. CareFirst has also entered into a consent decree with the Maryland Insurance Administration that calls for the company to correct the practices that led to the claims being rejected. [MARYLAND DAILY RECORD: INSURANCE FRAUD]


Legal Help

If you have a similar problem and would like to be contacted by a lawyer at no cost or obligation, please click the link below.
Published on Sep-27-07


READER COMMENTS

Posted by

on
I was diagnosed with Cancer on January 18th, 2007. Humana has denied my claim stating it was a pre-existing condition. I appealed their decision, and even had my Doctor send them a letter, stating that I had never been seen with any symptoms relating to cancer. They have denied my appeal on 1 Oct 2007.

ADD YOUR COMMENT ON THIS ISSUE

Fields marked * are mandatory. Please read our comment guidelines before posting.

*Name:

Note: Your name will be published with your comment.

*Email Address:

Your email will only be used if a response is needed.
*Your Comment:

Are you the defendant or a subject matter expert on this topic with an opposing viewpoint? We'd love to hear your comments here as well, or if you'd like to contact us for an interview please submit your details here.
Request Legal Help Now! - Free