Jan 12, 2012 7:04 PM by Trovette Tottress

DMHC orders Anthem to pay providers for services

LOS ANGELES (AP) - State regulators have ordered Anthem Blue Cross to pay doctors and hospitals for services dating back to 2007, after the insurer failed to remediate violations revealed by a state audit.

Department of Managed Health Care spokesman Rodger Butler says it's unclear how much money the medical providers will get but Anthem has told the regulator that it will need to review 2.6 million claims for accuracy.

In 2008, the DMHC audited the state's seven largest health plans in response to repeated complaints from medical providers over late and inaccurate payments, and inappropriate claim denials.

In response, plans were required to submit corrective plans and pay providers.

Anthem has 30 days to submit a plan for corrective action to the state.

A call to Anthem seeking comment was not immediately returned.


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