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Ruling on Dismissal in Business Tort Case Against Blue Cross Changes Little

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2 days ago
Last Friday, Judge Holly L. Teeter considered but disposed of Orchestrate HR Inc. and Vivature Inc.’s (together, Vivature) added claims that Blue Cross Blue Shield Kansas (Blue Cross) mislabeled health insurance claims it submitted as fraudulent or improper. The District of Kansas opinion cautioned that the operative complaint failed to address prior versions’ defects, “leaving the case in essentially the same position it was in November 2019.”
The complaint centers on Vivature’s partnership with universities to help them bill insurers for medical services performed by licensed athletic trainers. Vivature reportedly contracts with schools, assists them in filing insurance claims, and receives a share of the billings collected. The conflict arose when Blue Cross denied many of the claims submitted by Vivature for its university clients and began marking them as fraudulent or improper. ....

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Blue Cross Blue Shield Kansas extends free COVID-19 coverage

Blue Cross Blue Shield Kansas extends free COVID-19 coverage
Blue Cross and Blue Shield Kansas, one of the largest health insurance companies in the state, announced Friday it would continue covering the cost of COVID-19 treatment for members.
It will continue waiving member co-pays and deductibles of COVID-19 treatment through March 31. This applies to fully insured members and those using Medicare Advantage plans.
Originally set to expire at the end of the year, coverage includes telehealth services and those at a doctor’s office, urgent care facility and emergency room, plus in-patient hospital stays.
“Extending this coverage is the right decision and shows our continued commitment to the health and wellbeing of our members,” CEO Matt All of BCBSKS said in a statement. “While we are at the height of this pandemic, no one should have to decide between seeking care for COVID-19 and paying bills or putting food on the table.” ....

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