Medical Associations Sue Blue Cross Blue Shield, Anthem Over ER Claims

Last year, Blue Cross Blue Shield of Georgia and parent company Anthem Insurance Cos. rolled out a new policy that included refusals claims based on emergency room visits if the insurers later deemed them non-emergencies. Medical associations have been fighting the policy as dangerous and a violation of federal law ever since. On Tuesday, two groups—the American College of Emergency Physicians and the Medical Association of Georgia—sued to block the policy.

A controversial policy instituted by Blue Cross Blue Shield of Georgia and parent company Anthem Insurance Cos. denying emergency room claims after the fact faces a legal challenge by two physicians organizations.

The American College of Emergency Physicians and the Medical Association of Georgia have asked a federal judge in Atlanta to compel Blue Cross Blue Shield and Anthem to abandon the policy, which the insurers have also implemented in Missouri, Kentucky, Indiana, New Hampshire and Ohio.

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