A federal court says this insurer could be on the hook for how it processed claims - and profited from correcting its own ...

Jefferson joined the lawsuit filed in California by multiple health networks from across the country in March.

St. Luke’s University Health Network is among a throng of U.S. health systems that have sued Blue Cross Blue Shield ...

A federal appeals court just illustrated the importance of an employer’s duty to monitor service providers that assist with the administration ...

Byars helps patients who have claims denied by their insurer, and a new study released by the KFF Foundation claims the biggest health insurer in Alabama, Blue Cross and Blue Shield of Alabama ...

Recent changes in legislation have given the public access to data from insurance claims ... is his primary insurance and Federal Employee Program Blue Cross, his secondary.

Jorge Zamora-Quezada has been sentenced to a decade in prison for an 18-year healthcare fraud scheme that abused and ...

In Steuben Foods Inc. v. Shibuya Hoppmann Corporation, the Federal Circuit addressed the boundaries a district court may impose on experts by ...

"Dr. Zamora-Quezada funded his luxurious lifestyle for two decades by traumatizing his patients, abusing his employees, lying ...

Vermont healthcare employees fall into two groups: hands-on healthcare providers (clinical) and system managers and administrators (overhead). When the $1.9B budget of UVM Medical Center (UVMMC) is ...

He accumulated over $118 million in false claims and over $28 million in payments ... Medicaid, TRICARE and Blue Cross Blue Shield by subjecting the patients to unnecessary treatments.