The lawsuit, filed April 16 in the U.S. District Court for Northern California, accuses BCBS of Indiana of only paying $78,771 of more than $2 million in charges for medically necessary care.
While BCBS of Indiana is an out-of-state insurer, Stanford argued in its lawsuit that the payment is owed because of a written contract with Anthem. As a member of Anthem’s Blue Card Program, BCBS of Indiana had an implied contract to pay Stanford the same negotiated rates outlined in the Anthem contract, Stanford argued.
As a result, BCBS of Indiana owes Stanford $1.9 million, the lawsuit alleges.
Anthem told Becker’s it is not providing comment on the lawsuit.
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