Amid Court Battle, BCBS Ends Contract with Knox County Hospital for Federal Employees

Federal employees and retirees in Knox County received notice a day after open enrollment ended that their local hospital would no longer be in-network for Blue Cross Blue Shield’s Service Benefit Plan. In a statement sent to the Times-Record News, BCBS of Texas said the following plans would not longer have Knox County Hospital District in network for the following plans. ParPlan Blue Choice PPOSM Blue EssentialsSM Blue Advantage HMOSM The company directed patients to hospitals 20 and 40 miles away to remain in-network. The statement sent to the Times-Record continues, “Members being treated for a pregnancy, disability, acute condition… Full Story

Blue Cross-Knox City Conflict May Be Going to Federal Court

Blue Cross Blue Shield of Texas is hoping to move the legal battle with Knox County Hospital District to federal court, and the temporary restraining order hearing scheduled for September 10 has been suspended. After 50th District Court Judge Bobby Burnett issued the TRO ordering BCBS to pay Knox County Hospital more than $21 million in what they allege are unpaid insurance claims, BCBS filed a motion in U.S. District Court for Northern Texas in Wichita Falls to move the case to federal court because BCBS of Texas is owned by Health Care Services Corporation in Chicago. “Blue Cross Blue… Full Story

BCBS of Texas Ordered to Pay $21 Million for “Willful Conduct of Fraud”

A Texas judge has ordered Richardson’s Blue Cross Blue Shield of Texas to pay more than $21 million to Knox County Hospital in unpaid insurance claims because of “acts to be willful conduct of fraud,” according to the Times Record News in Wichita Fallas. Bobby Burnett, the presiding judge of the 50th District Court of Texas, also placed a temporary restraining order against BCBS, according to a release from Knox County Hospital District. The restraining order says it was placed because BCBS willfully secured funds that did not belong to them, they engaged in slanderous activities, breached duty of care, and… Full Story