FierceHealthcareFierceHealthITFierceHealthFinanceHospital Impact   FiercePharmaFierceBiotechFierceSarbox
About | Sample | Privacy

GA Blue plan sends benefit letters to wrong addresses

Tools
Tags
WellPoint
Identity Theft
health insurer
Explanation Of Benefits
EOB
Blue Cross And Blue Shield Of Georgia

It all goes to show you that even without electronic medical records in place, computers can screw things up. This week, Georgia's largest health insurer has concluded that it sent about 202,000 benefits letters containing both personal and health information to the wrong addresses last week. Blue Cross and Blue Shield of Georgia said the mailings were largely Explanation of Benefits letters, which include the patient's name and ID number, the name of the medical provider that delivered the service and the amounts charged and owed. Not only is the mistake a possible invitation to identity theft, but it could turn out to be a HIPAA violation as well.

The Blue plan, which has 3.1 million Georgia policyholders, said that the error occurred due to a change in one of its computer systems that had not been tested properly. Executives say that they've altered the system so this kind of mistake can't happen again. Meanwhile, the plan--a subsidiary of giant WellPoint--is providing free credit monitoring for affected patients for one year. It's also giving written notice to policyholders whose names were on the EOBs, and compiling a list of those who received other members' EOBs in error.

To learn more about the breach:
- read this Atlanta Journal-Constitution article

Related Articles:
WellPoint data may have been compromised
Seattle health system will pay $100K HIPAA fine
U.S. hospitals have security 'blind spot'
Trend: Identity thieves get better at stealing medical records

Comments

This has happened to me by Blue Shield PPO in Pennsylvania. I suggest everyone activate online access and closely look at claims and everyone who is a "member" on your policy.

From what I'm told, Blue Shield had an unknown woman "attached" to my husband's SSN. Interesting that when they entered her SSN in the system or vice versa for my husband's SSN that there wasn't a warning alerting the data entry person in enrollment that the SSN already existed for another member! Was there an override perhaps?

All of our EOBs were being mailed to the other woman in my husband's name and with him as the subscriber. So this woman was receiving all EOBs for her own claims with my husband as the subscriber and our assigned policy number, and all EOBs for my claims, my husband's claims AND OUR CHILDREN"S claims with my husband as the subscriber. She NEVER NOTIFIED Blue Shield of the problem either! Oh, her pharmacy claims were being billed to our insurance also. Our long winding road is just beginning I'm sure.

Be careful and please activate online access.

Post new comment

The content of this field is kept private and will not be shown publicly.

More information about formatting options

What is 8 + 35?
To combat spam, please solve the math question above.