Yet Another Fine
Thursday, August 14th, 2008 Yet another payer has been ordered by state regulators to pay restitution of $3.9 million to thousands of members and a $250,000 fine for underpayment of claims related to care in out-of-network hospitals and other medical facilities.
State Insurance Commissioner Mike Geeslin ordered the health insurer to make the payments over the next several months and specified that if they don’t total at least $3.9 million, the balance must be paid to the state as an additional fine, reported the Dallas Morning News.
Doug Danzeiser of the Texas Department of Insurance said the underpayments date to Jan. 1, 2004, and involves thousands of members in Texas enrolled in Preferred Provider Organization plans.
Dallas Morning News, August 9, 2008
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