Discover Health News from Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ), the state’s leading New Jersey- based health insurer.
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Our Plan Experts are here to help you navigate your coverage. Explore all of Horizon's insuranceplans and services. Horizon is #1 in Member Satisfactionamong Commercial Health Plans in NJ³ Health Care Cost and Quality Horizon is addressing the rising costs of health care to keep it affordable...
On Thursday, Blue Cross Blue Shield of North Carolina (BCBSNC) submitted a 14-page formal protest to Sam Watts, acting administrator of the State Health Plan, opposing the award of the plan’s 2025-27 third-party administrator contract to Aetna. BCBSNC held that contract for more than 40 ye...
"In the event of payment or provision otherwise by the Administrator of any benefits under this Plan, the Administrator shall, to the extent thereof, be subrogated and shall succeed to all rights of recovery (whether in contract, tort, or otherwise) which the Member or any other person has...
Medical research continues to yield new technology for managing illness and disease. Blue KC determines coverage of new technology by verifying if the Blue Cross and Blue Shield Association has an existing policy. If so, Blue KC adopts that policy. If not, Blue KC researches the new technology...
Sometimes you may need to get approval from Blue Cross and Blue Shield of Illinois before we will cover certain inpatient, outpatient and home health care services and prescription drugs. This is called prior authorization, preauthorization, pre-certification or prior approval. These terms all refer...
(BCBSMT) is a division of Health Care Service Corporation, a Mutual Legal Reserve Company and Independent Licensee of the Blue Cross and Blue Shield Association. BCBSMT is the largest and longest-standing statewide, customer-owned health insurer and full-service health benefits administrator in ...
BIRMINGHAM, Ala.,Dec. 16, 2024/PRNewswire/ --Whatley Kallas, LLP Announces Major Settlement for Healthcare Providers A landmark$2.8 billionsettlement has been reached with the Blue Cross Blue Shield Association ("BCBSA") and participating Individual Blue Plans ("Sett...
Building a model health insurer: An Interview with Blue Cross North Carolina CEO Patrick Conway - ScienceDirect Patrick Conway is President and CEO of Blue Cross and Blue Shield of North Carolina (Blue Cross NC) and a practicing pediatric hospitalist Hewas formerly the Acting Administrator, Princi...