Patient sues Anthem Blue Cross over liver transplant

Or, as it appears, the government?

http://allnurses.com/social-health-c...ml#post3906423

Yep, Anthem is a big denyer of claims

Percentage of claim lines reduced to $0 by edits
Anthem BCBS 7.33%
Medicare 1.40%


Anthem BCBS 72.14%
Medicare 98.12%


Along with CIGNA, Anthen is worst to deal with according to our home care Managed Care billing manager.

Other companies, you must have bills submitted within 60-90 days in order to get paid....while Medicare allows you 18 months to submit final bill for payment. Have staff overturner, someone forget to get authorization ---bill rejected. No preauth with traditional Medicare!