Hospital sues Blues plan for $22M in alleged underpayments

A Georgia hospital alleging Blue Cross Blue Shield of Georgia owes it more than $22 million in underpayments has filed suit against the insurer to recover the money.

The Medical Center of Central Georgia filed suit Feb. 22 in Bibb County Superior Court, the The Telegraph reported.

The hospital claims it is owed, among other payments, $1.19 million for cardiac catheterizations since 2011 and $2.24 million for healthy babies born since December 2009, according to the article. The issue was discovered during a 2010 hospital audit, the suit claimed.

The hospital and Blue Cross Blue Shield both declined comment on the suit. However, the suit claimed the insurer denied the allegations of underpayments following the 2010 audit, according to the Telegraph.

Last year Appalachian Regional Healthcare filed suits against Coventry Health and Kentucky Spirit Health Plan alleging $17 million in underpayments. The hospital claimed it was owed $5.7 million in claims from Kentucky Spirit and $12.5 million from Coventry Health in the previous six months. Coventry denied the allegations at the time and said it pays past-due claims with interest.

To learn more:
-read the Telegraph article
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