Blue Cross and Blue Shield Sued by Health Care Providers for Abusive... (s action is an important step by the chi...)

Blue Cross and Blue Shield Sued by Health Care Providers for Abusive Practices

Date:9/11/2009

s action is an important step by the chiropractic profession to fight back against the egregious actions being taken by BCBS against our members." The Council and the ANJC had previously joined in a class action recently filed against Aetna, Inc. for similar post-payment audit practices.

In the complaint, plaintiffs allege that, as a means to maximize its profits, the BCBS Entities are using its post-payment audit and review process to make retroactive adverse benefit determinations whereby they demand that providers repay funds they had previously received for providing services to BCBS subscribers. "In essence," says plaintiffs' counsel Dr. Brian Hufford of Pomerantz Haudek, "the BCBS Entities are alleging overpayments and then just taking the money from the providers, without valid due process protections. We believe this is a blatant violation of law."

Pomerantz Haudek, which has offices in New York, Chicago, Washington, D.C., Columbus, Ohio and the San Francisco Bay area, is acknowledged as one of the premier plaintiff class action firms.

Buttaci & Leardi, based in Princeton, New Jersey, has a dynamic national health care practice, representing licensed health care providers, group practices and other provider-related entities throughout the country. It has extensive experience representing providers in challenging post-payment audits, including those pursued by Aetna, and has obtained tremendous success on behalf of its clients.

For more information regarding this lawsuit log onto www.nycouncil.com, email info@nycouncil.com or call 1-(800) 496-6922.

SOURCE New York Chiropractic Council
Copyright©2009 PR Newswire.
All rights reserved

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