Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

Insurer Admits Nearly 1,000 Doctors Wrongly Placed On Covered California Provider List
sanfrancisco.cbslocal ^ | April 22,2014 | No Attribution

Posted on 04/22/2014 1:09:51 PM PDT by MeshugeMikey

Two months after KPIX 5 ConsumerWatch first reported about some doctors listed on the Covered California exchange were actually not accepting the plans, insurer Anthem Blue Cross admitted that nearly 1,000 doctors were erroneously listed.

According to a statement by the California Medical Association, the insurer recently notified 965 physicians that they were wrongly placed on the exchange’s list. The notice, which was posted on April 9th, stated that the doctors were “inadvertently” listed for “a certain period of time” during the open enrollment period.

(Excerpt) Read more at sanfrancisco.cbslocal.com ...


TOPICS: Government; News/Current Events
KEYWORDS: anthembluecross; coveredcalif; democratcare; exchanges; incompetence; obamacare; obamacaredoctors; obamacarelies
how does one mistakenly list 1000 ..of.anything
1 posted on 04/22/2014 1:09:51 PM PDT by MeshugeMikey
[ Post Reply | Private Reply | View Replies]

To: MeshugeMikey
"how does one mistakenly list 1000 ..of.anything"

It's easy with computer files and no quality control.

It's also very easy to fraudulently list 1000 of something and claim it was computer error.

2 posted on 04/22/2014 1:15:12 PM PDT by DannyTN
[ Post Reply | Private Reply | To 1 | View Replies]

To: MeshugeMikey

More good work by our ACORN administration.


3 posted on 04/22/2014 1:18:00 PM PDT by Oldeconomybuyer (The problem with socialism is that you eventually run out of other people's money.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: MeshugeMikey
“inadvertently” listed for “a certain period of time” during the open enrollment period.

Yeah, right...

4 posted on 04/22/2014 1:18:37 PM PDT by Doomonyou (Let them eat Lead.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Oldeconomybuyer

there is a light at the end of the ObamaTunnel...I just KNOW there is....I Know there is...


5 posted on 04/22/2014 1:19:33 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 3 | View Replies]

To: MeshugeMikey

Good old fashioned fraud of the bait and switch variety.


6 posted on 04/22/2014 1:19:53 PM PDT by JimSEA
[ Post Reply | Private Reply | To 1 | View Replies]

To: DannyTN

CGI’s been working on Covered Californias list.. evidently


7 posted on 04/22/2014 1:20:40 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 2 | View Replies]

To: Doomonyou

Our Mistake and we are proud to have corrected it when it no longer mattered...


8 posted on 04/22/2014 1:21:24 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 4 | View Replies]

To: MeshugeMikey

Fraud. FUBAR


9 posted on 04/22/2014 1:21:49 PM PDT by VRWC For Truth (Roberts has perverted the Constitution)
[ Post Reply | Private Reply | To 1 | View Replies]

To: MeshugeMikey

I guess they wanted to make sure “their” doctor was on the list to cover for Obama.


10 posted on 04/22/2014 1:21:59 PM PDT by Parley Baer
[ Post Reply | Private Reply | To 1 | View Replies]

To: JimSEA

FRAUD?? ....ahahaha A Smidgeon of corruption here,....A Smidgeon of corruption here,....

what comes after a smidgeon?


11 posted on 04/22/2014 1:22:19 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 6 | View Replies]

To: MeshugeMikey

Oopsie.


12 posted on 04/22/2014 1:23:00 PM PDT by Jeff Chandler (Obamacare: You can't make an omelette without breaking a few eggs.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: VRWC For Truth

Id considered Napping until this whole obama thing had been cleaned up and the Whitehouse fumigated and redecorated...but sadly that just isnt in the cards.

currently Im waiting for him to go postal during press conference


13 posted on 04/22/2014 1:24:16 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 9 | View Replies]

To: MeshugeMikey

“If you like your imaginary doctor, you can keep your imaginary doctor.”

All it takes is a little imagination in the Land of Fruits and Nuts.


14 posted on 04/22/2014 1:24:33 PM PDT by DeFault User
[ Post Reply | Private Reply | To 1 | View Replies]

To: Jeff Chandler

the post...and delete buttons look almost identical...


15 posted on 04/22/2014 1:24:51 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 12 | View Replies]

To: DeFault User

California Dreamin........


16 posted on 04/22/2014 1:25:29 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 14 | View Replies]

To: MeshugeMikey

The light is on the front of a speeding out-of-control commie train headed for most of us...


17 posted on 04/22/2014 1:31:06 PM PDT by hal ogen (First Amendment or Reeducation Camp?)
[ Post Reply | Private Reply | To 5 | View Replies]

To: hal ogen

Im currently backing out....of the tunnel....


18 posted on 04/22/2014 1:35:41 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 17 | View Replies]

To: MeshugeMikey

An Obamaton?


19 posted on 04/22/2014 1:36:00 PM PDT by JimSEA
[ Post Reply | Private Reply | To 11 | View Replies]

To: JimSEA

Yep!!


20 posted on 04/22/2014 1:39:21 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 19 | View Replies]

To: MeshugeMikey

how does one mistakenly list 1000 ..of.anything “

We get calls from patients all the time who call wanting an appt and state that one of my doctor clients is listed in their network. Networks are combining at a rate never before see, providers are never notified that they used to be in Network A which has now been taken over by Network B to form new Network C. No paperwork, no authorization from doctor.

Doctor’s office staff have to try and keep on top of all of this which is often almost impossible. Most doctors don’t even know where a copy of their original contract is or any of the small print that it contains which allows networks to move the docs as they wish. Only recourse is to resign from the new network but in the intervening 3 to 6 months they may be forced to see those patients. Then they may find they still can’t get rid of them because of a medical liability issue.

It is all a hopeless mess and one of the reasons why so many docs are getting out of the insurance business totally before everything totally collapses.


21 posted on 04/22/2014 1:46:39 PM PDT by Grams A (The Sun will rise in the East in the morning and God is still on his throne.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: MeshugeMikey
It appears unicorns have trouble tying with those little hoofs and simply made a few mistakes.

That's OK. Their intentions were good. It's now fixed.

Unfortunately, so are the people who signed up for this fraudulent "insurance" scam thinking they were going to actually see a real doctor.

22 posted on 04/22/2014 1:46:48 PM PDT by Gritty (Gun controllers aren't afraid of guns but a country where the individual has power-Dan Greenfield)
[ Post Reply | Private Reply | To 1 | View Replies]

To: MeshugeMikey

and 17 MILLION Americans were “inadvertently” listed as insured...


23 posted on 04/22/2014 1:48:58 PM PDT by Tennessee Nana
[ Post Reply | Private Reply | To 1 | View Replies]

To: MeshugeMikey
what comes after a smidgeon?

Jot & tittle.

24 posted on 04/22/2014 1:52:12 PM PDT by Graybeard58 (There is no peace, saith the Lord, unto the wicked.Isaiah 48: 22)
[ Post Reply | Private Reply | To 11 | View Replies]

To: Grams A
Why is this so much worse in some states than others? For example, in my state (WA), it is not that bad, if it is a problem at all. Although I frequently post articles from the Seattle Times and Seattle PI about Obamacare issues in the state, I am not aware of "wrongful listing of provider issues". Would not be a surprised if there were a small number due to ordinary data mistakes. It is true that some enrollees were surprised that certain hospitals were not covered but they were correctly listed as not covered.

Also, our exchange pretty much worked and still does (some teething issues early on). However, payment rate by enrollees has been below expectations -- 65-70% roughly.

Nothing out of the ordinary has occurred in my family's appointments since the first of the year. In fact, nothing really changed at all once you get in the examining room. Rx same way.

I do pray as always that contraceptive coverage gets shot down. I do not think my plan has abortion coverage although the Democrat state legislatures are trying to mandate it.

25 posted on 04/22/2014 1:59:28 PM PDT by steve86 (Acerbic by nature not nurture)
[ Post Reply | Private Reply | To 21 | View Replies]

To: steve86

You don’t have abortion coverage Steve? Sounds like a comrade health commissioner needs to pay you a visit and explain to you the patriotic need for that coverage ... or else!


26 posted on 04/22/2014 2:12:03 PM PDT by RetiredTexasVet (Watching MSM news readers pimping His Arrogance is like watching a dog eat its own vomit!)
[ Post Reply | Private Reply | To 25 | View Replies]

To: MeshugeMikey

You can bet that nationwide, not a single doctor was accidentally omitted from a provider list.


27 posted on 04/22/2014 2:23:25 PM PDT by proudpapa (Scott Walker - 2016)
[ Post Reply | Private Reply | To 1 | View Replies]

To: steve86
Why is this so much worse in some states than others?”

IMO, part of it is because the people who are administering all of this don't know what they are doing. Generally each state has their own regulations and there is absolutely no consistency from one state to another. Provider lists are shared within insurance companies and within networks.

There has been a huge growth in the types of plans available and each of these different plans, although all of their claims may be paid by the same insurance carrier, may and probably does have a different provider network.

No one ever is taken off of a list. I have doctor clients who may have been in practice for 20 years in 5 different locations and all that info is still in the “current” system.

Was so much easier to administer when there were no networks, everybody had the same deductible and everything was paid at 80% with a 20% co-pay. It all began to go in the toilet many years go but destruction really escalated when Clinton came up with HIPAA.

Then there is the issue of deciding whether something must be pre-approved or managed by a case manager. Just another level of bureaucracy and expense.

28 posted on 04/22/2014 2:42:43 PM PDT by Grams A (The Sun will rise in the East in the morning and God is still on his throne.)
[ Post Reply | Private Reply | To 25 | View Replies]

To: MeshugeMikey

If someone without connections to a corrupt White House did this, it would be fraud and prosecuted as the serious felony it is.


29 posted on 04/22/2014 2:55:49 PM PDT by Pollster1 ("Shall not be infringed" is unambiguous.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: MeshugeMikey

“A Smidgeon of corruption here,....A Smidgeon of corruption here,....

what comes after a smidgeon?”

A Whitewash. Nothing to see here folks, you right wing conspiracy nuts move along.


30 posted on 04/22/2014 3:50:28 PM PDT by wildbill (O)
[ Post Reply | Private Reply | To 11 | View Replies]

To: wildbill
thas racess we can no longer accept the racess use of words such as "VV)(1☦e wash"....
31 posted on 04/22/2014 4:40:51 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 30 | View Replies]

To: Pollster1

theres a key out there somewhere that will unlock the door to the prosecution , removal from office of one buraq hussein obama.

Where and what it is just hasn’t been made apparent YET.


32 posted on 04/22/2014 4:43:15 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 29 | View Replies]

To: proudpapa

Doubtless not. DOUBTLESS not!

Pray we find and act on the GOODS on The Hussein Obama regime and soon.


33 posted on 04/22/2014 4:44:55 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 27 | View Replies]

To: Tennessee Nana

frankly given what we’ver seen from this bunch, Im surprised that the number of “insured” hasnt already exceeded the size of the population.


34 posted on 04/22/2014 4:48:46 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 23 | View Replies]

To: MeshugeMikey

Obama will not be removed from our White House until January 20, 2017 at the earliest. The Democrats care more about power than they do about the rule of law, and the Republicans care more about being treated nicely by the far left media than they care about the rule of law. We are stuck with the communist in power until Inauguration Day (at best).


35 posted on 04/22/2014 4:50:06 PM PDT by Pollster1 ("Shall not be infringed" is unambiguous.)
[ Post Reply | Private Reply | To 32 | View Replies]

To: Gritty

theyll be lucky to get backyard fence advice from a Boileroom.”Customer Service”..Phone Bank In Pakistan


36 posted on 04/22/2014 4:51:19 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 22 | View Replies]

To: Grams A

a more sorry state of affairs is REALLY hard to imagine.

My condolances on being sideswiped!


37 posted on 04/22/2014 4:54:15 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 21 | View Replies]

To: MeshugeMikey

This is only half the story.

The other half is the thousands of Californians that have no idea, or are just finding out, that they have signed up for health insurance that they had no idea was actually ObamaCare.

The doctor’s office my sister works at had all of their doctors falsely listed as ACA doctors, AND EVERY DAY they are getting more patients coming in that had NO IDEA that the insurance they’ve recently purchased was actually ObamaCare.

A great many of them are quite incensed.

Additionally, the doctors office has found that it is quite difficult to tell if the insurance presented is actually ObamaCare, without actually putting the account number through the system.

It appears that there has been rampant fraud, at least in CA, to sell ObamaCare insurance as Non-ObamaCare insurance.


38 posted on 04/22/2014 6:13:01 PM PDT by EasySt (Time to build that gulch...)
[ Post Reply | Private Reply | To 1 | View Replies]

To: EasySt

“Anthem-Care”? ,,,,


39 posted on 04/22/2014 6:23:24 PM PDT by MeshugeMikey ( "Never, never, never give up". Winston Churchill)
[ Post Reply | Private Reply | To 38 | View Replies]

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson