The department fined the payer for allegedly not making timely changes to its list of in-network providers on its website. The Minnesota Department of Commerce claimed BCBSM didn’t remove Robbinsdale, Minn.-based North Memorial Medical Center and its affiliated clinics from its online list of “Consumer Value Network” participants.
The department said the episode took place during the 2015 open enrollment period, according to the report. The settlement states: “[Blue Cross] voluntarily agreed that, for individual members who purchased a health plan utilizing the Consumer Value Network for any time in 2015 and obtained services from North Memorial … it would reprocess the member’s 2015 North Memorial claims to reflect in-network benefits,” Star Tribune reports.
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