Physician Law Weekly
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Health Insurance
Insurer's fraud investigations save $3M
June 15th, 2005
Through aggressive healthcare fraud investigations and coordination among other states' Blue Cross plans, the Blue Cross Special Investigations Unit (SIU) stopped payment on more than $3 million of suspect claims last year, reducing the impact of fraud on premiums in Minnesota. By comparison, Blue Cross stopped $8.7 million in claims in 2003, most of which was due to the rent-a-patient scams now being investigated and prosecuted in Southern California. "We saved millions of dollars of our members' premium dollars, because we were able to identify the scam early and stop payment on fraudulent claims," said Dave Bohnenstingel, SIU manager. "In fact,...
Source: Physician Law Weekly (2005-06-15)
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