If the verdict from a New Orleans jury survives appeal, it could give out-of-network physicians more power over insurance reimbursement.
In a stunning verdict against Blue Cross and Blue Shield of Louisiana , a New Orleans jury has awarded $421 million in damages to a surgery center over the insurer's alleged failure to fully pay out-of-network charges.that the September 20 verdict is unusual. If upheld on appeal, one said, it could give out-of-network providers more power to decide how much insurers must pay them.
The lawsuit claimed that the insurer's online system confirmed that that claims would be paid and noted the percentage of patient bills that would be reimbursed. newspaper reported. Authorization of a procedure doesn't guarantee payment, the insurer argued in court.Out-of-Network Free For All He added that"if insurance companies were on the hook to pay whatever any provider charges, nobody would ever belong to a network, and rates would be sky high. Many fewer people would buy insurance. Providers would charge as much as they think they can get from the patients."
Revenue Breast Cancer Malignant Breast Neoplasm Breast Carcinoma Aesthetic Medicine Facial Rejuvenation Insurance Surgery Breast Surgery Hospitals Louisiana Breast Reconstruction Breast Prosthesis Reconstruction Of The Breast Breast Mammary Gland Care Management Financial Reimbursement Reimbursement Board Certification Boards Board Recertification California
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