A Health Insurer Tells Patients It Won’t Pay Their E.R. Bills, but Then Pays Them Anyway [The New York Times]
Anthem, Inc. (ANTM)
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Source: The New York Times
Anthem may save money simply by announcing its policy, even if it is never enforced. July 19, 2018 Image Jason Salyers, of Ashland, Ky., had a 2015 emergency room visit claim rejected by Anthem. After an appeal, the insurer did pay, which according to a recent report is often the outcome. Credit Luke Sharrett for The New York Times The health insurer Anthem is coming under intense criticism for denying claims for emergency room visits it has deemed unwarranted. A new congressional report suggests Anthem has effectively reversed that policy, even as it is being hit with a new lawsuit about it from doctors. The insurer initially rolled out the policy in three states, sending letters to its members warning them that, if their emergency room visits were for minor ailments, they might not be covered. Last year, Anthem denied more than 12,000 claims on the grounds that the visits were “avoidable,” according to data the insurer provided to Senator Claire McCaskill,
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