Archive for September 27th, 2008

Texas Department of Insurance – BCBSTX Fined $250,000

Saturday, September 27th, 2008

Blue Cross and Blue Shield of Texas, A Division of Health Care Service Corporation of Chicago, IL
Order Number: 080514
Date of Order:  6/13/2008
Order Final In:   June
Action Taken:  $250,000 fine with additional fine of $3,900,000 subject to possible dollar-for-dollar reduction to zero by restitution paid
Violation:  Failed to make non-preferred benefits reasonably available to its insureds; Failed to maintain an accurate listing of its preferred providers

Editor’s Note: PPO networks change almost daily. So how does one maintain an accurate listing of its preferred providers?