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National Renal Alliance Files Suit Against Blue Cross and Blue Shield of Georgia.

Publication: Business Wire
Publication Date: 16-JAN-08 		Format: Online
Delivery: Immediate Online Access

Article Excerpt
Filing details insurance company's push to prevent dialysis patients from exercising out-of-network rights

FRANKLIN, Tenn. -- National Renal Alliance today announced that it has filed a civil Complaint against Blue Cross and Blue Shield of Georgia, the state's largest private insurance company. The Complaint, filed in federal court in Atlanta, details the insurance company's systematic attempt to single out dialysis benefits and cut out-of-network reimbursement to National Renal clinics in the state.

The Complaint reveals Blue Cross' efforts to unilaterally and retroactively cap the reimbursement which Blue Cross pays for out-of-network dialysis services provided by National Renal in violation of federal law. By refusing to contract at fair rates and slashing payments for out-of-network care to a level 88% lower than customarily reimbursed charges, Blue Cross has breached its insurance...

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