Thursday, September 3, 2009
California HMOs Deny 1 in 5 Claims
Thank you California Nurses Association for doing the first analysis of how many claims California insurers reject and don't pay. The result is shocking. One insurer (PacifiCare) denies 39.6% of claims. Anthem Blue Cross, the state's largest for-profit health plan rejected 28% of all claims. These denials, after premiums have been paid for months and years, reflect what is wrong with our