Anthem's California companies are suing 11 Prime Healthcare facilities, alleging that the hospitals committed fraud by ...

Anthem sues Prime hospitals in California, alleging $15 million in fraudulent No Surprises Act awards through ineligible dispute claims.

Insurers report that nearly 40% of payment disputes filed under the No Surprises Act's independent dispute resolution (IDR) process are ineligible. A recent joint report from America's Health ...

Many claims that providers submit for dispute resolution under the No Surprises Act are actually ineligible for the process, according to a new survey from health insurance groups. AHIP and the Blue ...

Blue Cross Blue Shield of Texas sued medical billing firm Zotec Partners, alleging systematic abuse of the No Surprises Act's ...

DALLAS, March 26, 2025 /PRNewswire/ -- Ventra Health ("Ventra"), a leading business solutions provider for facility-based physicians, announced today that it has formed a strategic partnership with ...

"Congress designed the No Surprises Act to protect American patients from exorbitant, unfair billing practices, not to pad private equity-backed provider profits on the backs of patients," Phillip ...

POST FALLS — Blue Cross of Idaho said Monday that it sent a letter to the Department of Insurance to investigate Nutex Health Inc's. business model and its use of the independent dispute resolution ...

A new report released jointly by AHIP and the Blue Cross Blue Shield Association estimates that up to 39% of out-of-network claims submitted to the federal independent dispute resolution (IDR) process ...