The breast cancer center appealed thousands of Blue Cross reimbursements for being too low. At trial, the insurer revealed that it had never considered any of the appeals — and that they were pointless: “An appeal is not available to review an underpayment.” (Published April 2025)
“Slow Pay, Low Pay or No Pay”: Trial Reveals How Insurers Try to Wield Power Over Doctors
Blue Cross authorized mastectomies and breast reconstructions for women with cancer but refused to pay the full doctors’ bills. A jury called it fraud and awarded the practice $421 million.
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