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New Jersey cardiologists reach deal with insurer on overpayments

NEWS IN BRIEF — Posted March 27, 2006

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A settlement agreement will allow Horizon Blue Cross Blue Shield of New Jersey to recover an undisclosed portion of the $15 million the insurer says it overpaid several hundred New Jersey cardiologists.

The amount was "mutually agreed upon," according to a joint statement Horizon, the Medical Society of New Jersey and the New Jersey chapter of the American College of Cardiology released in March.

The doctor groups sued Horizon in November 2004 to block the plan from collecting the money from more than 900 cardiologists.

Horizon claimed it mistakenly overpaid the doctors for cardiac catheterizations performed between 2003 and 2004.

After detecting the error caused by computer problems, Horizon sent letters to the physicians seeking repayment. Horizon argued that not recouping the funds would be a financial burden for the company.

The terms of the settlement remain confidential, and all three parties involved declined to comment beyond the statement.

Note: This item originally appeared at http://www.ama-assn.org/amednews/2006/03/27/prbf0327.htm.

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