It seems we are beginning to dig in to those transaction fees that are charged on medical claim processing and it may not be an easy one to understand and get to the bottom on some of these. When a medical claim is processed, it is run through several software algorithmic programs to look for various...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Wed, Mar 2 2011
Filed under:
Filed under: Insurance, My Commentaries, health insurance, Health IT, Blue Cross, Algorithms, Michigan, Contracts, healthcare reform, administrators
This is a new lawsuit against the Ingenix data base and not the same as the settlement by the AMA. This suit reflects specifically on outpatient surgery centers and has been initiated in California by 2 surgery centers. In this case we have some administrators who run employer plans also...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, May 10 2010
Filed under:
Filed under: Medically Related, Insurance, health insurance, Claims, data bases, California, AMA, Fraud, Law Suit, Data, Algorithms, United HealthCare, Ingenix, class action, administrators, underpayments, surgical centers