Business
Blues details fraud recoveries
NEWS IN BRIEF — Posted Sept. 5, 2005
The BlueCross BlueShield Assn. says its member plans in 2004 saved or recovered a collective $228 million through the company's anti-fraud efforts.
The Blues, in an Aug. 22 news release, claimed its investigative units recovered $120 million in fraudulent claims, and prevented the payout of another $108 million in fraudulent claims.
All total, 663 cases last year were referred to law enforcement authorities, representing an increase of 14.7% over 2003, the Blues said. In those cases, 189 warrants and indictments were issued, an increase of nearly 17%.
Hotline calls received by Blues plans increased by more than 15%, to more than 80,000 calls, according to the Blues.
Note: This item originally appeared at http://www.ama-assn.org/amednews/2005/09/05/bibf0905.htm.